Yu D Y, Alder V A, Cringle S J, Su E N, Burns M
Centre for Ophthalmology and Visual Science, The University o Western Australia, Nedlands 6009, Australia.
Am J Physiol. 1998 Jun;274(6):H2009-17. doi: 10.1152/ajpheart.1998.274.6.H2009.
This study was performed to explore the interaction between chronic neural degeneration and the subsequent vascular remodeling. Weekly urethan administration in rats from birth produces a retinopathy model characterized by photoreceptor degeneration, retinal vascular regression, and retinal pigment epithelium (RPE) neovascularization. We investigated the hypothesis that altered oxygen distribution across the retina and choroid could be involved in the vascular changes seen in this retinopathy. We compared measurements of vitreal, intraretinal, and choroidal oxygen tension (PO2) distribution in anesthetized and ventilated control and urethan-treated rats at 8 and 16 wk of age with the use of oxygen-sensitive microelectrodes. Striking differences were observed in both choroidal and intraretinal PO2 distribution in urethan-treated rats compared with controls. At both ages, intrachoroidal PO2 was much lower in the urethan-treated rats. In addition, the intraretinal PO2 distribution across the inner retinal layers was more uniform than normal. A small elevation in PO2 was present at 8 wk in the inner nuclear layer where subsequent vascular regression occurred, and a small reduction in PO2 was present at the RPE, which recovered to normal values by 16 wk in regions where RPE vessel networks were first evident. Although the retinal arteries were considerably thinner at both ages in the urethan-treated rats, the vitreal PO2 profiles and superficial retinal PO2 remained normal. The unexpected and large reduction in the oxygen delivery from the choroid found in the urethan-treated rats may account for the lack of major hyperoxia within the pathological retina and the lower oxygen tension in the RPE before the vascular proliferation in this region. We propose that tissue PO2 is an important determinant of the vascular remodeling, which is seen in this model of neural degeneration and that the PO2 distribution changes described in this study help provide a new view of the pathogenesis of this model.
本研究旨在探讨慢性神经退行性变与随后的血管重塑之间的相互作用。从出生起每周给大鼠注射乌拉坦可产生一种视网膜病变模型,其特征为光感受器退化、视网膜血管消退和视网膜色素上皮(RPE)新生血管形成。我们研究了这样一种假说,即视网膜和脉络膜氧分布的改变可能与该视网膜病变中所见的血管变化有关。我们使用氧敏感微电极,比较了8周龄和16周龄麻醉通气的对照大鼠和乌拉坦处理大鼠的玻璃体内、视网膜内和脉络膜氧张力(PO2)分布测量值。与对照相比,乌拉坦处理大鼠的脉络膜和视网膜内PO2分布均观察到显著差异。在两个年龄组中,乌拉坦处理大鼠的脉络膜内PO2均低得多。此外,视网膜内PO2在视网膜内层的分布比正常情况更均匀。在随后发生血管消退的内核层,8周龄时PO2有小幅升高,而在RPE处PO2有小幅降低,在RPE血管网络最初出现的区域,到16周龄时恢复到正常值。尽管乌拉坦处理大鼠在两个年龄组的视网膜动脉都明显更细,但玻璃体内PO2曲线和视网膜浅层PO2仍保持正常。在乌拉坦处理大鼠中发现的脉络膜氧输送意外大幅降低,可能解释了病理性视网膜内缺乏主要的高氧以及该区域血管增殖前RPE中较低的氧张力。我们提出组织PO2是血管重塑的一个重要决定因素,在这种神经退行性变模型中可见,并且本研究中描述的PO2分布变化有助于为该模型的发病机制提供新的观点。