The present study provides convincing evidence that
pressure-induced myogenic tone develops in isolated bovine retinal
arteries. This myogenic tone is elicited when intraluminal pressure
exceeds 10 mm Hg and is most pronounced at pressures between 10 and 60
mm Hg. At pressures lower than 10 mm Hg and at pressures exceeding 60
mm Hg, vascular diameter tends to increase with increasing pressure.
The changes in diameter and corresponding gain values therefore suggest
a myogenic regulatory pressure range from 10 to 60 mm Hg.
This autoregulatory range compares relatively well with the range
reported in several in vivo studies. In cats, retinal blood flow showed
autoregulation until the perfusion pressure was reduced to 25 mm
Hg.
5 The lowest perfusion pressure at which the retina of
17 normal subjects was able to maintain normal blood flow corresponded
to an average perfusion pressure of 27 mm Hg.
6 In healthy
volunteers there was no detectable change in retinal blood flow until
mean brachial blood pressure (i.e., mean arterial pressure [MAP]) was
increased to 115 mm Hg
7 (representing an increase of MAP
of 41% and a retinal perfusion pressure of approximately 60 mm Hg).
Similarly, Rassam et al.
8 found that autoregulation began
to breakdown during a 40% increase in MAP in normal subjects. Based on
all these studies the autoregulatory range of the retinal circulation
can be estimated between perfusion pressures of 25 and 60 mm Hg.
Although these in vivo studies provide results that are generally of
high physiological relevance, they cannot distinguish between the
various mechanisms that may participate in the regulation of retinal
blood flow (such as myogenic tone, local metabolic factors, circulating
hormones, and neurotransmitters). The gain calculations in the present
in vitro study suggest that myogenic mechanisms are only in part
responsible for flow autoregulation and that they are supplemented by
other mechanisms (positive-gain values <1). The influence of
circulating hormones and neurotransmitters on retinal arterial
resistance is, however, generally assumed to be negligible due to the
blood–retinal barrier and the absence of retinal blood flow responses
to electrical stimulation of the ocular sympathetic and parasympathetic
nerves. By contrast, there is strong evidence for metabolic
autoregulation. Our data therefore support the view that both metabolic
and myogenic autoregulatory mechanisms may operate in vivo.
Most contractile stimuli induce arterial smooth muscle contraction by
increasing the concentration of cytosolic calcium
([Ca
2+]
i).[
Ca
2+]
i may increase by
an influx of extracellular Ca
2+ or by the release
of Ca
2+ from intracellular stores. In our
experiments, a pressure elevation failed to induce a myogenic
contraction of the retinal artery in a calcium-free solution. The
presence of extracellular calcium therefore seems to be a prerequisite
for the development of myogenic response. The experiments performed in
the presence of nifedipine (1 μM) suggest that extracellular calcium
enters the cell through L-type voltage-operated
Ca
2+-channels (VOCs). Besides activation of VOCs,
a depolarization-independent mechanism also seems to contribute, albeit
to a much smaller extent, to the pressure-induced contraction in bovine
retinal arteries. This is suggested by the pressure–response curves
performed in 120-mM K
+ medium.
K
+ at 120 mM depolarized the vascular smooth
muscle cell, which resulted in a maximal stimulation of the VOCs and
contraction. Nevertheless, a small pressure-induced contraction could
still be observed in a 120-mM K
+ solution,
indicating the involvement of additional mechanisms besides stimulation
of VOCs. This depolarization-independent contraction could be due
simply to a rearrangement of the active contractile filaments in the
smooth muscle cells in response to a rapid pressure increase, but it
may also be due to an increase in myofilament
Ca
2+ sensitivity. In rat cerebral arteries
pressurization has been shown to activate phospholipase C
9 resulting in activation of protein kinase C (PKC). Pharmacologic
activation of PKC produces constriction at otherwise subthreshold[
Ca
2+]
i.
10 This suggests that PKC activation can increase the sensitivity of the
contractile machinery to calcium. Pressure-induced activation of PKC
could therefore be responsible for the small component of the myogenic
response observed in 120 mM K
+ solution.
In summary, isolated bovine retinal arteries show a myogenic response
in vitro. This response depends on extracellular calcium, which enters
the vascular smooth muscle cell mainly through VOCs. In addition, a
small depolarization-independent component seems to contribute to the
pressure-induced myogenic contraction.