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骨骼肌微静脉中的血流诱导反应:一氧化氮和前列腺素的调节作用

Flow-induced responses in skeletal muscle venules: modulation by nitric oxide and prostaglandins.

作者信息

Koller A, Dörnyei G, Kaley G

机构信息

Institute of Pathophysiology, Semmelweis University of Medicine, Budapest 1445, Hungary.

出版信息

Am J Physiol. 1998 Sep;275(3):H831-6. doi: 10.1152/ajpheart.1998.275.3.H831.

Abstract

Skeletal muscle arterioles dilate in response to increases in flow velocity/wall shear stress (WSS). The effect of flow/WSS on the diameter of skeletal muscle venules and the possible endothelial mediation of the response, however, have not yet been characterized. Thus changes in diameter of pressurized (10 mmHg) and norepinephrine-preconstricted venules (179 +/- 8 micron in diameter) to increases in perfusate flow before and after endothelium removal or application of inhibitors of NO and prostaglandin (PG) synthesis, Nomega-nitro-L-arginine (L-NNA, 10(4) M) and indomethacin (Indo, 2.8 x 10(5) M), respectively, were measured. Increases in perfusate flow [elicited by increases in the pressure difference (Pdiff) between proximal and distal cannulas] evoked with a delay of 17 +/- 2 s dilations, up to 36 +/- 9 micron at the highest flow, a response that was completely eliminated by removal/disruption of the venular endothelium. Calculation of WSS indicated that in endothelium-intact venules, the midpoint of the shear stress-diameter curve was at approximately 8 dyn/cm2, whereas in endothelium-denuded vessels, shear stress increased in a linear fashion with increases in flow, up to 40 dyn/cm2. L-NNA significantly reduced flow-induced dilations (from 38 +/- 11 to 17 +/- 9 micron at 14 mmHg Pdiff), whereas in the additional presence of Indo, flow elicited constriction of venules decreasing basal diameter (by 21 +/- 8 micron at Pdiff 12 mmHg). Thus in skeletal muscle venules an increase in shear stress due to increases in perfusate flow stimulates the release of endothelium-derived NO and PGs eliciting dilation, which in turn, regulates WSS, albeit at a lower value than what is observed in arterioles. In the absence of NO and PGs, flow-induced constriction is revealed, the cause of which remains obscure. From these data, we propose that shear stress-related responses of venules are involved in the regulation of venular resistance, especially during high flow conditions, such as reactive and exercise hyperemia.

摘要

骨骼肌小动脉会因流速/壁面切应力(WSS)增加而扩张。然而,血流/WSS对骨骼肌小静脉直径的影响以及该反应可能存在的内皮介导作用尚未得到明确阐述。因此,我们测量了在去除内皮或应用一氧化氮(NO)和前列腺素(PG)合成抑制剂后,灌注液流量增加时,处于10 mmHg压力下且由去甲肾上腺素预收缩的小静脉(直径为179±8微米)直径的变化情况,所使用的抑制剂分别为Nω-硝基-L-精氨酸(L-NNA,10⁻⁴ M)和吲哚美辛(Indo,2.8×10⁻⁵ M)。灌注液流量增加(由近端和远端插管之间的压力差(Pdiff)增加引起)会引发延迟17±2秒的扩张,在最高流量时扩张可达36±9微米,而去除/破坏小静脉内皮后,该反应完全消失。WSS的计算结果表明,在内皮完整的小静脉中,切应力-直径曲线的中点约为8达因/平方厘米,而在内皮剥脱的血管中,切应力随流量增加呈线性增加,最高可达40达因/平方厘米。L-NNA显著降低了流量诱导的扩张(在Pdiff为14 mmHg时,从38±11微米降至17±9微米),而在同时存在Indo的情况下,流量会引发小静脉收缩,使基础直径减小(在Pdiff为12 mmHg时减小21±8微米)。因此,在骨骼肌小静脉中,灌注液流量增加导致的切应力增加会刺激内皮源性NO和PG的释放,从而引发扩张,进而调节WSS,尽管其调节值低于在小动脉中观察到的值。在缺乏NO和PG的情况下,会出现流量诱导的收缩,其原因尚不清楚。基于这些数据,我们提出小静脉的切应力相关反应参与了小静脉阻力的调节,尤其是在高流量状态下,如反应性充血和运动性充血期间。

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