Although cerebral hemorrhage is a widely occurring neurologic disorder
thought to be caused by fluctuating blood flow, the response to flow
in the neonatal cerebrovasculature has not been characterized. In the
present study, we examined the effect of changing flow on middle cereb
ral artery diameter and pathways by which flow modulates cerebrovascul
ar tone. Arteries from 2-14-d-old piglets were mounted on cannulas and
bathed in and perfused with physiologic saline solution. An electroni
c system controlled pressure and a syringe pump provided constant how.
The transmural pressure was held constant at 20 mm Hg, and changes in
vessel diameter were measured as flow was increased in steps from 0 t
o 1.60 mL/min (flow/diameter curves). Increasing flow at constant pres
sure resulted in constriction at flows from 0.077 to 0.152 mL/min and
dilation at flows from 0.212 to 1.60 mL/min. The flow/diameter curves
were repeated in arteries bathed in Na+-reduced or Ca2+-free physiolog
ic saline solution; denervated with 6-hydroxydopamine; or treated with
indomethacin, N-nitro-L-arginine methyl ester, N-omega-nitro-L-argini
ne (NLA), and L-arginine), ryanodine, or glutaraldehyde. In Na+-reduce
d and in Ca2+-free physiologic saline solution, flow constriction was
eliminated. Neither indomethacin nor S-hydroxydopamine affected the bi
phasic response. N-Nitro-L-arginineL, NLA, and ryanodine blocked dilat
ion, whereas L-arginine restored dilation in NLA-treated arteries. The
se data suggest that neither prostaglandins nor adrenergic nerve endin
gs participate in flow-induced responses in piglet cerebral arteries.
Elimination of flow-constriction by Na+ reduction or Ca2+ removal is c
onsistent with findings in other artery types, The elimination of dila
tion by N-nitro-L-arginine methyl ester, NLA, and ryanodine suggests t
hat dilation is mediated by nitric oxide and intracellular Ca2+ Wherea
s the contractile and dilatory responses to agonists remained intact a
fter glutaraldehyde perfusion, both flow-induced constriction and dila
tion were eliminated, indicating that both types of how responses resu
lt from endothelial cell deformation.