Hepatic microvascular regulatory mechanisms. XI. Effects of serotonin on intralobular perfusion and volumetric flowrates at the inlet of periportal and outlet of centrivenous sinusoids.

L L Blankenship, E V Cilento, F D Reilly
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Abstract

A normotensive (1.0 microgram per 100 g b.w.) or hypotensive (10.0 micrograms per 100 g b.w.) dose of serotonin (5-HT) was administered endoportally while changes in microcirculation at the inlet and outlet regions of hepatic lobules were measured on-line using quantitative in vivo microscopy. The number of sinusoids with decreased (cellular) flow also was counted to index intralobular perfusion in video recordings of microvasculature examined off-line. The normotensive and hypotensive doses of 5-HT elicited decreases in intralobular perfusion within periportal and centrivenous sinusoids. Hypoperfusion was accompanied by a transient decrease in volumetric flowrate (Q) at the outlet of centrivenous sinusoids in 40% of normotensive and in 100% of hypotensive rats. At the inlet of periportal sinusoids, Q was depressed in 75% of hypotensive and in 27% of normotensive rats. The remainder of these segments had either an increase or no change in Q at the inlet and outlet. These results suggested that during conditions of 5-HT induced (lobular) hypoperfusion: (a) Q at the inlet is maintained in 73% of normotensive rats by redistribution of intralobular blood flow, and decreased in all but 25% of hypotensive rats as a function of transient reductions in total hepatic (arterial) and/or portal (venous) blood flow(s), and (b) Q at the outlet is depressed in 40% of normotensive rats by apparent increases in flow redistribution and resistance to flow generated during sinusoidal constriction, whereas in all hypotensive rats this mechanism is aggravated by decreased total hepatic (arterial) and/or portal (venous) inflow(s). Therefore, although the initial time course for microvascular responses tended to be similar for normo- and hypo-tensive doses of 5-HT, quantitative differences in regional flow distribution and Q emphasize (a) the importance of intra- and extra-hepatic determinants in the regulation of blood flow within hepatic (unit) lobules, and (b) the presence of microvascular heterogeneity within these lobular units.

肝脏微血管调节机制。西5 -羟色胺对小叶灌注及门静脉周围窦入口处和向静脉窦出口处容量流量的影响。
正常(1.0微克/ 100克体重)或低血压(10.0微克/ 100克体重)剂量的5-羟色胺(5-HT)经腹腔注射,同时使用体内定量显微镜在线测量肝小叶入口和出口区域微循环的变化。在离线检查的微血管录像中,还计算了血流减少(细胞)的窦状窦的数量,以指示小叶内灌注。正常和低血压剂量的5-HT引起门静脉周围和向静脉窦内小叶内灌注减少。在40%的正常血压大鼠和100%的低血压大鼠中,低灌注伴随着向静脉窦出口处体积流速(Q)的短暂下降。75%的低血压大鼠和27%的正常血压大鼠门静脉窦入口处Q值降低。其余部分在进口和出口处的Q值要么增加,要么没有变化。这些结果表明,在5-HT诱导(小叶)灌注不足的情况下:(a) 73%的正常血压大鼠通过小叶内血流的再分配维持入口处的Q值,除了25%的低血压大鼠外,其他所有大鼠由于肝(动脉)和/或门静脉(静脉)血流的短暂减少而降低;(b) 40%的正常血压大鼠由于血流再分配的明显增加和正弦收缩过程中产生的血流阻力而降低出口处的Q值。然而,在所有低血压大鼠中,这种机制因肝(动脉)和/或门(静脉)总流入减少而加重。因此,尽管在正常剂量和低剂量5-HT下微血管反应的初始时间过程趋向相似,但区域血流分布和Q的定量差异强调了(a)肝内和肝外决定因素在调节肝(单位)小叶内血流中的重要性,以及(b)这些小叶单位内微血管异质性的存在。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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