大脑皮层微血管内皮细胞可能是脑内血液缘流保护性屏障
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广东省重点科技项目基金(200044)资助


The Endothelium of Vessel and Protected Barrier from Edge-blood Flow in the Cerebral Cortex
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    摘要:

    因发现儿童大脑皮层内的微血管内皮是粗糙的,象树皮样,故提出血液缘流保护性屏障假说。为验证这一假说,在18例经1∶6福尔马林与碳素墨水混合液灌注的儿童尸头的大脑半球光学切片上观察了大脑皮层微血管的形态特征,发现大脑皮层内存在着4种微血管:大脑皮层浅动脉、中动脉、深动脉和皮质髓质动脉。在扫描电镜下观察了10例经甲基丙烯酸甲酯灌注的儿童尸头的大脑皮层微血管构筑腐蚀筑型,发现儿童大脑皮层内的微血管内皮是粗糙的,形态就象树皮。激光扫描共聚焦显微镜下观察家兔大脑皮层内微循环,血浆被用荧光素标记后,镜下可无损伤动态观察大脑皮层下30 0 μm的大脑皮层内微循环。在给予川芎嗪和去甲基肾上腺素引起大脑皮层内血管口径变化的血管内的血液轴流和缘流的荧光灰度被图象分析系统采取,并绘出荧光灰度曲线。在正常状态下,显示口径为12 1.5 6 μm大脑皮层内血管在舒缩运动时血液缘流的厚度没有减少(P>0 .0 5 ) ;口径为6 0 .0 0 μm大脑皮层内血管在舒缩运动时血液缘流的厚度没有减少(P>0 .0 5 ) ;在休克状态下口径为6 0 .15 μm大脑皮层内血管在舒缩运动时血液缘流的厚度没有减少(P>0 .0 5 ) ;口径为4 8.84 μm大脑皮层内血管在舒缩运动时血液缘流的厚度没有减少(P>0 .0 5 )。大脑皮层内血管运动的微血管内存在着稳定的血液缘流对血管内皮有保护性屏障作用,这一血液缘流保护性屏障能够覆盖大脑皮层内血管的内皮,使血管内皮不受损伤,避免了脑血管疾病的发生。

    Abstract:

    Aim To furnish evidence of the protective barrier formed by the edge-flowing blood in vessels within cerebral cortex. Methods The corrosion casts of the microvasculature of cerebral cortex were studied by scanning electron microscopy on ten dead China children’s heads perfused with methylemthacrylate to discover the shape of endothelium of the microvessel within cerebral cortex. The characteristics of microvessel cerebral cortex were studied with microscope on 18 sides children’s cerebral hemisphere perfused with the mixture liquid of formaldehyde (formalin) and carbon black ink,the proportion was 1:6. Confocal laser scanning microscopy was used in a rabbit opening cranial window preparation in order to study optical section on the microcirculation within the cerebral cortex in vivo. The plasma was labeled by fluorescein in capillaries was visualized up to 300 μm beneath the rabbit brain surface in noninvasive optical sections. The diameter of capillaries and the thickness of edge-flowing blood in vessels were measured. The gray scale display of axial blood flow and edge-blood flow in varying vessels was measured by image analytical system, and drew a curve of gray scale display. The normal microcirculation within cerebral cortex of rabbit, the microcirculation within cerebral cortex of normal rabbit treated with the Ligustrazine (or Tetramethylpyrazine) for moving the vessel, the microcirculation within cerebral cortex of shock rabbit treated with the Ligustrazine for moving the vessel was studied by Confocal laser scanning microscopy in vivid. Results There are four kinds of microvessel within the cerebral cortex, including the superficial, middle, deep cortical artery and cortical-medullar artery. The shape of endothelium of the microvessel within the cerebral cortex in children is crude, and it’s morphology is similar to the bark of poplar or willow and pine tree. The endothelium of blood vessels within cerebral cortex in human change from roughness to smoothness as the internal diameter of the blood vessels change from large to small. Under the normal state in vivid, the edge-flowing blood in vessels within cerebral cortex was stable when the diameter of capiuaries was 121.56 μm (P=0.0262) and 60.00 μm (P=0.0539) respectirely under the shock state, the edge-flowing blovd was stable when the diameter was 60.15 μm (P=0.9358) and 48.84 μm (P=0.0053) respectinely. Conclusions There is a protective barrier formed by the edge-flowing blood in vessels within cerebral cortex, which can cover and protect the endothelium of vessels within cerebral cortex, and avoid the cerebraovascular disease.

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庄明华,白晔,黄集前,张尔强,常立功,姜树学,杨国瑞,宋今丹,李吉.大脑皮层微血管内皮细胞可能是脑内血液缘流保护性屏障[J].中国动脉硬化杂志,2004,12(6):651~655.

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  • 收稿日期:2003-11-19
  • 最后修改日期:2004-10-19
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