Stroke, Vol 23, 1494-1498, Copyright © 1992 by American Heart Association
K Fujii, DD Heistad and FM Faraci
BACKGROUND AND PURPOSE: Diabetes mellitus may impair endothelium- dependent
responses in cerebral arterioles. The basilar artery dilates in response to
increases in blood flow. The goal of this study was to examine effects of
diabetes mellitus on "flow-mediated" and endothelium- dependent dilatation
of the basilar artery. METHODS: Diabetes was induced in rats with 50 mg/kg
streptozotocin. Six months later, vessel diameter and velocity of blood
flow through the basilar artery were measured using a cranial window in
anesthetized rats under baseline conditions and during occlusion of the
carotid arteries. Changes in vessel diameter were also measured during
topical application of acetylcholine and sodium nitroprusside. RESULTS:
With aortic pressure maintained at baseline levels, blood flow velocity
through the basilar artery increased similarly in control and diabetic rats
during unilateral common carotid artery occlusion and during bilateral
occlusion. In control and diabetic rats, diameter of the basilar artery
increased by 10 +/- 2% and 10 +/- 4% during unilateral occlusion and by 27
+/- 5% and 31 +/- 4% during bilateral occlusion, respectively. Thus,
diabetes did not impair flow-mediated dilatation of the basilar artery. In
contrast, dilatation in response to 10(-5) M topical acetylcholine was less
in diabetic rats (13 +/- 2%) than in control rats (45 +/- 8%) (p less than
0.05). Dilator responses to nitroprusside were not impaired by diabetes.
CONCLUSIONS: The findings suggest that diabetes produces impairment of
endothelium-dependent responses to acetylcholine, but not flow-mediated
dilatation, in the basilar artery.
ARTICLES
Effect of diabetes mellitus on flow-mediated and endothelium-dependent dilatation of the rat basilar artery
Department of Internal Medicine, Veterans Administration Medical Center Iowa City, Iowa.
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