Lichtenstein O, Safar M E, Mathieu E, Poitevin P, Levy B I
Biology of the Vascular Wall, INSERM Unit 141, IFR Circulation, Hôpital Lariboisière, Paris, France.
Hypertension. 1998 Aug;32(2):346-50. doi: 10.1161/01.hyp.32.2.346.
Several recent results obtained in hypertensive animals and subjects under in vivo isobaric conditions do not confirm the classic view of stiffer arteries in hypertensive subjects. We compared the mechanical behavior of in situ isolated common carotid arteries from normotensive Wistar-Kyoto rats (WKY) and age-matched spontaneously hypertensive rats (SHR) under both static and dynamic conditions for transmural pressure ranging from 50 to 200 mm Hg. The static pressure (P)-diameter (D) relationship was shifted to higher values of diameters in the SHR mainly because of a larger unstressed carotid diameter (Do) in hypertensive rats. The carotid mechanical strain, calculated as (D-Do)/Do, was significantly reduced in SHR at pressure levels between 100 and 200 mm Hg. The static carotid compliance and distensibility were markedly smaller in SHR than in WKY carotid arteries, indicating a stiffer wall in hypertensive animals. In contrast, carotid compliance and distensibility were similar under dynamic conditions close to the in vivo pulse pressure (frequency, 300 bpm; peak amplitude of the oscillatory pressure, 20 to 25 mm Hg). However, marked differences in dynamic compliance- and distensibility-strain relationships in SHR and WKY are evidence of clearly different arterial wall material properties in both strains. We therefore conclude that larger lumen carotid arteries in hypertensive rats could compensate for a stiffer arterial wall, resulting in similar dynamic compliance and distensibility in normotensive and hypertensive rats.
近期在体内等压条件下对高血压动物和受试者所获得的多项研究结果,并未证实高血压受试者动脉僵硬的传统观点。我们比较了正常血压的Wistar-Kyoto大鼠(WKY)和年龄匹配的自发性高血压大鼠(SHR)原位分离的颈总动脉在静态和动态条件下,跨壁压力范围为50至200 mmHg时的力学行为。静态压力(P)-直径(D)关系在SHR中向更大的直径值偏移,主要是因为高血压大鼠的无应力颈动脉直径(Do)更大。以(D-Do)/Do计算的颈动脉机械应变在SHR中,当压力水平在100至200 mmHg之间时显著降低。SHR中颈动脉的静态顺应性和扩张性明显小于WKY颈动脉,表明高血压动物的血管壁更僵硬。相比之下,在接近体内脉压的动态条件下(频率,300次/分钟;振荡压力的峰值幅度,20至25 mmHg),颈动脉的顺应性和扩张性相似。然而,SHR和WKY在动态顺应性和扩张性-应变关系上的显著差异,证明了两种品系的动脉壁材料特性明显不同。因此,我们得出结论,高血压大鼠较大管腔的颈动脉可以补偿更僵硬的动脉壁,导致正常血压和高血压大鼠的动态顺应性和扩张性相似。