The effects of hypothermia and hyperthermia on the cerebral microcirculation were studied using isolated perfused intracerebral (parenchymal) arterioles obtained from rats. In a temperature-dependent manner, hypothermia (20.0° to 35.0°C) dilated the spontaneous tone developed by the arterioles and also diminished their contractile response to potassium and prostaglandin F(2α). In contrast, hyperthermia (40.0° to 45.0°C) induced a biphasic response consisting of initial vasoconstriction and secondary vasodilation. Exposure of the vessels to 45.0°C for 30 minutes irreversibly abolished the spontaneous tone and responsiveness of the arterioles when the temperature of the preparation was returned to 37.5°C. In calcium-free solutions, however, the arteriolar diameter was not affected within a temperature range of 20.0° to 45°C. Furthermore, arterioles that had been in a calcium-free solution during exposure to 45°C temperature recovered their viability at 37.5°C. These results suggest that changes in ambient temperature alter calcium-induced contraction in arteriolar smooth muscle, and that the irreversible effects of hyperthermia on the arterioles are dependent upon extracellular calcium. These studies indicate that alterations in brain temperature may affect the pathogenesis of cerebral ischemia by mechanisms that are in part independent of parenchymal metabolism.
- cerebral blood flow
- vascular-smooth muscle