首页   按字顺浏览 期刊浏览 卷期浏览 Alterations in Autoregulatory and Myogenic Function in the Cerebrovasculature of Dahl S...
Alterations in Autoregulatory and Myogenic Function in the Cerebrovasculature of Dahl Salt-Sensitive Rats

 

作者: John Smeda,   Geoffrey Payne,  

 

期刊: Stroke: Journal of the American Heart Association  (OVID Available online 2003)
卷期: Volume 34, issue 6  

页码: 1484-1490

 

ISSN:0039-2499

 

年代: 2003

 

出版商: OVID

 

关键词: blood-brain barrier;cerebral blood flow;hypertensive encephalopathy;hypertension;middle cerebral artery;muscle, smooth, vascular;stroke, hemorrhagic

 

数据来源: OVID

 

摘要:

Background and Purpose—Dahl salt-sensitive rats fed an 8.7% NaCl diet exhibited hypertensive encephalopathy and developed seizures associated with areas of blood-brain barrier (BBB) disruption without brain ischemia. The incidence of hemorrhagic stroke was low (7/47). We tested the hypothesis that a defect in cerebral blood flow (CBF) autoregulation under hypertensive conditions preceded hypertensive encephalopathy.Methods—Brain ischemia and BBB disruption were assessed with the use of tetrazolium red staining and Evans blue dye extravasation, respectively. Myogenic constriction to pressure was measured in isolated middle cerebral arteries (MCAs) with a pressure myograph. CBF autoregulation was assessed with the use of laser-Doppler techniques.Results—Asymptomatic rats fed 8.7% NaCl had MCAs that developed an age-related attenuation in their ability to constrict to pressure, which was amplified in rats exhibiting hypertensive encephalopathy. The MCAs of rats with hemorrhagic stroke lost this function and developed large degrees of basal tone. The majority (4/6) of asymptomatic rats fed high salt for longer than 3 weeks exhibited a linear relationship between CBF and blood pressure. The characteristics of CBF regulation were consistent with the possible absence of autoregulation coupled with cerebrovascular vasoconstriction.Conclusions—Both MCA pressure-dependent constriction and CBF autoregulation in the MCA perfusion domain were lost before the development of hypertensive encephalopathy or hemorrhagic stroke. These defects could contribute to the development of BBB disruption during hypertension. Cerebrovascular vasoconstriction in the absence of CBF autoregulation may protect the brain from excessive overperfusion during hypertension and could account for the low incidence of cerebral hemorrhage in this model.

 

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