Vascular control in humans: focus on the coronary microcirculation.

作者: Yanping Liu , David D. Gutterman

DOI: 10.1007/S00395-009-0775-Y

关键词: Coronary artery diseaseMyogenic contractionCardiovascular Physiological PhenomenaPerfusionMicrocirculationCoronary circulationInternal medicineDiseaseVasomotorMedicineCardiology

摘要: Myocardial perfusion is regulated by a variety of factors that influence arteriolar vasomotor tone. An understanding the physiological and pathophysiological modulate coronary blood flow provides basis for judicious use medications treatment patients with artery disease. Vasomotor properties circulation vary among species. This review highlights results recent studies examine mechanisms which human microcirculation in normal disease states, focusing on diabetes. Multiple pathways responsible myogenic constriction flow-mediated dilation arterioles are addressed. The important role endothelium-derived hyperpolarizing factors, their interactions mediating dilation, as well speculation regarding clinical significance emphasized. Unique vs. other species discussed.

参考文章(159)
Dietrich Baumgart, Michael Haude, Günter Görge, Fengqi Liu, Junbo Ge, Claudia Große-Eggebrecht, Raimund Erbel, Gerd Heusch, Augmented α-Adrenergic Constriction of Atherosclerotic Human Coronary Arteries Circulation. ,vol. 99, pp. 2090- 2097 ,(1999) , 10.1161/01.CIR.99.16.2090
Lillybeth Feliciano, Robert J. Henning, Coronary artery blood how: Physiologic and pathophysiologic regulation Clinical Cardiology. ,vol. 22, pp. 775- 786 ,(1999) , 10.1002/CLC.4960221205
William B. Campbell, Debebe Gebremedhin, Phillip F. Pratt, David R. Harder, Identification of Epoxyeicosatrienoic Acids as Endothelium-Derived Hyperpolarizing Factors Circulation Research. ,vol. 78, pp. 415- 423 ,(1996) , 10.1161/01.RES.78.3.415
Willa A Hsueh, Manuel J Quiñones, Role of endothelial dysfunction in insulin resistance The American Journal of Cardiology. ,vol. 92, pp. 10- 17 ,(2003) , 10.1016/S0002-9149(03)00611-8
F. C. Tanner, B. Loo, S. Shaw, H. Greutert, M. M. Bachschmid, M. Berrozpe, I. Rozenberg, N. Blau, R. Siebenmann, J. Schmidli, P. Meyer, T. F. Lüscher, Inactivity of nitric oxide synthase gene in the atherosclerotic human carotid artery. Basic Research in Cardiology. ,vol. 102, pp. 308- 317 ,(2007) , 10.1007/S00395-007-0650-7
M Ueeda, S K Silvia, R A Olsson, Nitric oxide modulates coronary autoregulation in the guinea pig. Circulation Research. ,vol. 70, pp. 1296- 1303 ,(1992) , 10.1161/01.RES.70.6.1296
Debebe Gebremedhin, David R. Harder, Phillip F. Pratt, William B. Campbell, Bioassay of an endothelium-derived hyperpolarizing factor from bovine coronary arteries: role of a cytochrome P450 metabolite. Journal of Vascular Research. ,vol. 35, pp. 274- 284 ,(1998) , 10.1159/000025594
Mir H. Ali, Paul T. Schumacker, Endothelial responses to mechanical stress: where is the mechanosensor? Critical Care Medicine. ,vol. 30, ,(2002) , 10.1097/00003246-200205001-00005
Hironori Murakami, Kazuyuki Urabe, Mitsuhiro Nishimura, Inappropriate microvascular constriction produced transient ST-segment elevation in patients with syndrome X Journal of the American College of Cardiology. ,vol. 32, pp. 1287- 1294 ,(1998) , 10.1016/S0735-1097(98)00402-1