Skip to main content
Erschienen in: Hepatology International 3/2012

01.06.2012 | Original Article

Morphological and biomechanical remodelling of the hepatic artery in a swine model of portal hypertension

verfasst von: Xi-Ju He, Ming-Hua Yu, Wen-Chun Li, Han-Qin Wang, Jing Li, Xing-Chun Peng, Jie Tang, Na Feng, Tie-Zhu Huang

Erschienen in: Hepatology International | Ausgabe 3/2012

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To obtain the biomechanical and morphological remodelling of hepatic arteries in swine with portal hypertension.

Methods

A number of 20 white pigs was used, of which 14 were subjected to liver cirrhosis and portal hypertension (PHT) induced by carbon tetrachloride and pentobarbital; the rest were used as the control group. The biomechanical remodelling of the hepatic arteries was measured, namely, the incremental elastic modulus (E inc), pressure–strain elastic modulus (E p), volume elastic modulus (E v), the incremental compliance (C), the opening angle and the stained microstructural components of the vessels.

Results

The percentages for the microstructural components and the histologic data significantly changed in the experimental group, three incremental elastic moduli (E inc, E p, and E v) of the experimental group were significantly larger than those of the control group (P < 0.05); the compliance of hepatic arteries decreased greatly (P < 0.05) too. The opening angle (OA) was considerably larger than that of control group (P < 0.05).

Conclusions

The study suggests that the morphological and biomechanical properties of swine hepatic arteries have changed significantly during the process of portal hypertension and that from biomechanical aspects, the hepatic arteries have also suffered from extensive remodelling, which in turn deteriorates the existing portal hypertension.
Literatur
1.
Zurück zum Zitat Mathie RT, Blumgart LH. The hepatic haemodynamic response to acute portal venous blood flow reductions in the dog. Pflugers Arch 1983;399:223–227PubMedCrossRef Mathie RT, Blumgart LH. The hepatic haemodynamic response to acute portal venous blood flow reductions in the dog. Pflugers Arch 1983;399:223–227PubMedCrossRef
2.
Zurück zum Zitat Kinoshita G, Washizu M, Motoyoshi S, Breznock EM. Effects of hypovolemic shock and reperfusion on liver blood flow in the dog. J Vet Med Sci 1995;57:703–708PubMedCrossRef Kinoshita G, Washizu M, Motoyoshi S, Breznock EM. Effects of hypovolemic shock and reperfusion on liver blood flow in the dog. J Vet Med Sci 1995;57:703–708PubMedCrossRef
3.
Zurück zum Zitat Lautt WW. Relationship between hepatic blood flow and overall metabolism: the hepatic arterial buffer response. Fed Proc 1983;42:1662–1666PubMed Lautt WW. Relationship between hepatic blood flow and overall metabolism: the hepatic arterial buffer response. Fed Proc 1983;42:1662–1666PubMed
4.
Zurück zum Zitat Lautt WW, Legare DJ, Ezzat WR. Quantitation of the hepatic arterial buffer response to graded changes in portal blood flow. Gastroenterology 1990;98:1024–1028PubMedCrossRef Lautt WW, Legare DJ, Ezzat WR. Quantitation of the hepatic arterial buffer response to graded changes in portal blood flow. Gastroenterology 1990;98:1024–1028PubMedCrossRef
5.
Zurück zum Zitat Ezzat WR, Lautt WW. Hepatic arterial pressure-flow autoregulation is adenosine mediated. Am J Physiol 1987;252:H836–845PubMed Ezzat WR, Lautt WW. Hepatic arterial pressure-flow autoregulation is adenosine mediated. Am J Physiol 1987;252:H836–845PubMed
6.
Zurück zum Zitat Mathie RT, Alexander B. The role of adenosine in the hyperaemic response of the hepatic artery to portal vein occlusion (the ‘buffer response’). Br J Pharmacol 1990;100:626–630PubMed Mathie RT, Alexander B. The role of adenosine in the hyperaemic response of the hepatic artery to portal vein occlusion (the ‘buffer response’). Br J Pharmacol 1990;100:626–630PubMed
7.
Zurück zum Zitat Mathie RT, Alexander B, Ralevic V, Burnstock G. Adenosine-induced dilatation of the rabbit hepatic arterial bed is mediated by A2-purinoceptors. Br J Pharmacol 1991;103:1103–1107PubMed Mathie RT, Alexander B, Ralevic V, Burnstock G. Adenosine-induced dilatation of the rabbit hepatic arterial bed is mediated by A2-purinoceptors. Br J Pharmacol 1991;103:1103–1107PubMed
8.
Zurück zum Zitat Wang JJ, Gao GW, Gao RZ, Liu CA, Ding X, Yao ZX. Effects of tumor necrosis factor, endothelin and nitric oxide on hyperdynamic circulation of rats with acute and chronic portal hypertension. World J Gastroenterol 2004;10:689–693PubMed Wang JJ, Gao GW, Gao RZ, Liu CA, Ding X, Yao ZX. Effects of tumor necrosis factor, endothelin and nitric oxide on hyperdynamic circulation of rats with acute and chronic portal hypertension. World J Gastroenterol 2004;10:689–693PubMed
9.
Zurück zum Zitat Hennenberg M, Trebicka J, Biecker E, Schepke M, Sauerbruch T, Heller J. Vascular dysfunction in human and rat cirrhosis: role of receptor-desensitizing and calcium-sensitizing proteins. Hepatology 2007;45:495–506PubMedCrossRef Hennenberg M, Trebicka J, Biecker E, Schepke M, Sauerbruch T, Heller J. Vascular dysfunction in human and rat cirrhosis: role of receptor-desensitizing and calcium-sensitizing proteins. Hepatology 2007;45:495–506PubMedCrossRef
10.
Zurück zum Zitat Siebert N, Cantre D, Eipel C, Vollmar B. H2S contributes to the hepatic arterial buffer response and mediates vasorelaxation of the hepatic artery via activation of K (ATP) channels. Am J Physiol Gastrointest Liver Physiol 2008;295:G1266–1273PubMedCrossRef Siebert N, Cantre D, Eipel C, Vollmar B. H2S contributes to the hepatic arterial buffer response and mediates vasorelaxation of the hepatic artery via activation of K (ATP) channels. Am J Physiol Gastrointest Liver Physiol 2008;295:G1266–1273PubMedCrossRef
11.
Zurück zum Zitat Tamandl D, Jorgensen P, Gundersen Y, Fuegger R, Sautner T, Aasen AO, et al. Nitric oxide administration restores the hepatic artery buffer response during porcine endotoxemia. J Invest Surg 2008;21:183–194PubMedCrossRef Tamandl D, Jorgensen P, Gundersen Y, Fuegger R, Sautner T, Aasen AO, et al. Nitric oxide administration restores the hepatic artery buffer response during porcine endotoxemia. J Invest Surg 2008;21:183–194PubMedCrossRef
12.
Zurück zum Zitat Bryan PT, Marshall JM. Adenosine receptor subtypes and vasodilatation in rat skeletal muscle during systemic hypoxia: a role for A1 receptors. J Physiol 1999;514(Pt 1):151–162PubMedCrossRef Bryan PT, Marshall JM. Adenosine receptor subtypes and vasodilatation in rat skeletal muscle during systemic hypoxia: a role for A1 receptors. J Physiol 1999;514(Pt 1):151–162PubMedCrossRef
13.
Zurück zum Zitat Richter S, Mucke I, Menger MD, Vollmar B. Impact of intrinsic blood flow regulation in cirrhosis: maintenance of hepatic arterial buffer response. Am J Physiol Gastrointest Liver Physiol 2000;279:G454–462PubMed Richter S, Mucke I, Menger MD, Vollmar B. Impact of intrinsic blood flow regulation in cirrhosis: maintenance of hepatic arterial buffer response. Am J Physiol Gastrointest Liver Physiol 2000;279:G454–462PubMed
14.
Zurück zum Zitat Fernandez-Varo G, Ros J, Morales-Ruiz M, Cejudo-Martin P, Arroyo V, Sole M, et al. Nitric oxide synthase 3-dependent vascular remodeling and circulatory dysfunction in cirrhosis. Am J Pathol 2003;162:1985–1993PubMedCrossRef Fernandez-Varo G, Ros J, Morales-Ruiz M, Cejudo-Martin P, Arroyo V, Sole M, et al. Nitric oxide synthase 3-dependent vascular remodeling and circulatory dysfunction in cirrhosis. Am J Pathol 2003;162:1985–1993PubMedCrossRef
15.
Zurück zum Zitat Imamura M, Luo B, Limbird J, Vitello A, Oka M, Ivy DD, et al. Hypoxic pulmonary hypertension is prevented in rats with common bile duct ligation. J Appl Physiol 2005;98:739–747PubMedCrossRef Imamura M, Luo B, Limbird J, Vitello A, Oka M, Ivy DD, et al. Hypoxic pulmonary hypertension is prevented in rats with common bile duct ligation. J Appl Physiol 2005;98:739–747PubMedCrossRef
16.
Zurück zum Zitat Zipprich A, Mehal WZ, Ripoll C, Groszmann RJ. A distinct nitric oxide and adenosine A1 receptor dependent hepatic artery vasodilatatory response in the CCl-cirrhotic liver Liver Int 30:988–994 Zipprich A, Mehal WZ, Ripoll C, Groszmann RJ. A distinct nitric oxide and adenosine A1 receptor dependent hepatic artery vasodilatatory response in the CCl-cirrhotic liver Liver Int 30:988–994
17.
Zurück zum Zitat Zipprich A, Loureiro-Silva MR, Jain D, D’Silva I, Groszmann RJ. Nitric oxide and vascular remodeling modulate hepatic arterial vascular resistance in the isolated perfused cirrhotic rat liver. J Hepatol 2008;49:739–745PubMedCrossRef Zipprich A, Loureiro-Silva MR, Jain D, D’Silva I, Groszmann RJ. Nitric oxide and vascular remodeling modulate hepatic arterial vascular resistance in the isolated perfused cirrhotic rat liver. J Hepatol 2008;49:739–745PubMedCrossRef
18.
Zurück zum Zitat Brandao CG, Ferreira HH, Piovesana H, Polimeno NC, Ferraz JG, de Nucci G, et al. Development of an experimental model of liver cirrhosis in rabbits. Clin Exp Pharmacol Physiol 2000;27:987–990PubMedCrossRef Brandao CG, Ferreira HH, Piovesana H, Polimeno NC, Ferraz JG, de Nucci G, et al. Development of an experimental model of liver cirrhosis in rabbits. Clin Exp Pharmacol Physiol 2000;27:987–990PubMedCrossRef
19.
Zurück zum Zitat Van de Casteele M, Sagesser H, Zimmermann H, Reichen J. Characterisation of portal hypertension models by microspheres in anaesthetised rats: a comparison of liver flow. Pharmacol Ther 2001;90:35–43PubMedCrossRef Van de Casteele M, Sagesser H, Zimmermann H, Reichen J. Characterisation of portal hypertension models by microspheres in anaesthetised rats: a comparison of liver flow. Pharmacol Ther 2001;90:35–43PubMedCrossRef
20.
Zurück zum Zitat Wang PJ, He F, Liao DH, Zhang J, Li WC, Zhang YF, et al. The impact of age on incremental elastic modulus and incremental compliance of pig hepatic portal vein for liver xenotransplantation. Xenotransplantation 2009;16:5–10PubMedCrossRef Wang PJ, He F, Liao DH, Zhang J, Li WC, Zhang YF, et al. The impact of age on incremental elastic modulus and incremental compliance of pig hepatic portal vein for liver xenotransplantation. Xenotransplantation 2009;16:5–10PubMedCrossRef
21.
Zurück zum Zitat Li WC, Ruan XZ, Zhang HM, Zeng YJ. Biomechanical properties of different segments of human umbilical cord vein and its value for clinical application. J Biomed Mater Res B Appl Biomater 2006;76:93–97PubMed Li WC, Ruan XZ, Zhang HM, Zeng YJ. Biomechanical properties of different segments of human umbilical cord vein and its value for clinical application. J Biomed Mater Res B Appl Biomater 2006;76:93–97PubMed
22.
Zurück zum Zitat Cox RH. Three-dimensional mechanics of arterial segments in vitro: methods. J Appl Physiol 1974;36:381–384PubMed Cox RH. Three-dimensional mechanics of arterial segments in vitro: methods. J Appl Physiol 1974;36:381–384PubMed
23.
Zurück zum Zitat Fung YC. Biomechanics: Mechanical Properties of Living Tissue. 2nd edn. New York: Springer; 1993. p. 242–251 Fung YC. Biomechanics: Mechanical Properties of Living Tissue. 2nd edn. New York: Springer; 1993. p. 242–251
24.
Zurück zum Zitat Seidel CL, Schildmeyer LA. Vascular smooth muscle adaptation to increased load. Annu Rev Physiol 1987;49:489–499PubMedCrossRef Seidel CL, Schildmeyer LA. Vascular smooth muscle adaptation to increased load. Annu Rev Physiol 1987;49:489–499PubMedCrossRef
25.
Zurück zum Zitat Fazlioglu M, Senturk T, Kumbay E, Kaderli AA, Yilmaz Y, Ozdemir B, et al. Small arterial elasticity predicts the extent of coronary artery disease: relationship with serum uric acid. Atherosclerosis 2009;202:200–204PubMedCrossRef Fazlioglu M, Senturk T, Kumbay E, Kaderli AA, Yilmaz Y, Ozdemir B, et al. Small arterial elasticity predicts the extent of coronary artery disease: relationship with serum uric acid. Atherosclerosis 2009;202:200–204PubMedCrossRef
26.
Zurück zum Zitat Legedz L, Rial MO, Lantelme P, Champomier P, Cerutti C, Vincent M, et al. Markers of cardiovascular remodeling in hypertension. Arch Mal Coeur Vaiss 2003;96:729–733PubMed Legedz L, Rial MO, Lantelme P, Champomier P, Cerutti C, Vincent M, et al. Markers of cardiovascular remodeling in hypertension. Arch Mal Coeur Vaiss 2003;96:729–733PubMed
27.
Zurück zum Zitat Fung YC. Biomechanics: Motion, Flow, Stress, and Growth. New York: Springer; 1990. p. 499–533 Fung YC. Biomechanics: Motion, Flow, Stress, and Growth. New York: Springer; 1990. p. 499–533
29.
Zurück zum Zitat Liu SQ, Fung YC. Changes in the rheological properties of blood vessel tissue remodeling in the course of development of diabetes. Biorheology 1992;29:443–457PubMed Liu SQ, Fung YC. Changes in the rheological properties of blood vessel tissue remodeling in the course of development of diabetes. Biorheology 1992;29:443–457PubMed
30.
Zurück zum Zitat Buntin CM, Silver FH. Noninvasive assessment of mechanical properties of peripheral arteries. Ann Biomed Eng 1990;18:549–566PubMedCrossRef Buntin CM, Silver FH. Noninvasive assessment of mechanical properties of peripheral arteries. Ann Biomed Eng 1990;18:549–566PubMedCrossRef
31.
Zurück zum Zitat Fung YC, Liu SQ. Change of residual strains in arteries due to hypertrophy caused by aortic constriction. Circ Res 1989;65:1340–1349PubMed Fung YC, Liu SQ. Change of residual strains in arteries due to hypertrophy caused by aortic constriction. Circ Res 1989;65:1340–1349PubMed
32.
Zurück zum Zitat Liu SQ, Fung YC. Influence of STZ-induced diabetes on zero-stress states of rat pulmonary and systemic arteries. Diabetes 1992;41:136–146PubMedCrossRef Liu SQ, Fung YC. Influence of STZ-induced diabetes on zero-stress states of rat pulmonary and systemic arteries. Diabetes 1992;41:136–146PubMedCrossRef
33.
Zurück zum Zitat Liu SQ, Fung YC. Relationship between hypertension, hypertrophy, and opening angle of zero-stress state of arteries following aortic constriction. J Biomech Eng 1989;111:325–335PubMedCrossRef Liu SQ, Fung YC. Relationship between hypertension, hypertrophy, and opening angle of zero-stress state of arteries following aortic constriction. J Biomech Eng 1989;111:325–335PubMedCrossRef
34.
Zurück zum Zitat Lu X, Zhao JB, Wang GR, Gregersen H, Kassab GS. Remodeling of the zero-stress state of femoral arteries in response to flow overload. Am J Physiol Heart Circ Physiol 2001;280:H1547–1559PubMed Lu X, Zhao JB, Wang GR, Gregersen H, Kassab GS. Remodeling of the zero-stress state of femoral arteries in response to flow overload. Am J Physiol Heart Circ Physiol 2001;280:H1547–1559PubMed
Metadaten
Titel
Morphological and biomechanical remodelling of the hepatic artery in a swine model of portal hypertension
verfasst von
Xi-Ju He
Ming-Hua Yu
Wen-Chun Li
Han-Qin Wang
Jing Li
Xing-Chun Peng
Jie Tang
Na Feng
Tie-Zhu Huang
Publikationsdatum
01.06.2012
Verlag
Springer-Verlag
Erschienen in
Hepatology International / Ausgabe 3/2012
Print ISSN: 1936-0533
Elektronische ISSN: 1936-0541
DOI
https://doi.org/10.1007/s12072-011-9302-y

Weitere Artikel der Ausgabe 3/2012

Hepatology International 3/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.