A theoretical model of oxygen delivery and metabolism for physiologic interpretation of quantitative cerebral blood flow and metabolic rate of oxygen.
The coupling of cerebral blood flow (CBF) and metabolic rate of oxygen (CMRO2) during physiologic and pathophysiologic conditions remains the subject of debate. In the present study, we have developed a theoretical model for oxygen delivery and metabolism, which describes the diffusion of oxygen at the capillary-tissue interface and the nonlinear nature of hemoglobin (Hb) affinity to oxygen, allowing a variation in simple-capillary oxygen diffusibility, termed "effective oxygen diffusibility (EOD)." The model was used to simulate the relationship between CBF and CMRO2, as well as oxygen extraction fraction (OEF), when various pathophysiologic conditions were assumed involving functional activation, ischemia, hypoxia, anemia, or hypo- and hyper-capnic CBF variations. The simulations revealed that, to maintain CMRO2 constant, a variation in CBF and Hb required active change in EOD. In contrast, unless the EOD change took place, the brain allowed small but significant nonlinear change in CMRO2 directly dependent upon oxygen delivery. Application of the present model to quantitative neuroimaging of CBF and CMRO2 enables us to evaluate the biologic response at capillary level other than Hb- and flow-dependent properties of oxygen transport and may give us another insight regarding the physiologic control of oxygen delivery in the human brain.
Department of Investigative Radiology, Research Institute of National Cardiovascular Center, Hospital of National Cardiovascular Center, Fujishirodai, Suita, Osaka, Japan. thayashi@ri.ncvc.go.jp
Takuya
T
Hayashi
Hiroshi
H
Watabe
Nobuyuki
N
Kudomi
Kyeong Min
KM
Kim
Jun-Ichiro
J
Enmi
Kohei
K
Hayashida
Hidehiro
H
Iida
D001692:Biological Transport; D002545:Brain Ischemia; D002196:Capillaries; D002560:Cerebrovascular Circulation / Q000502:physiology*; D003198:Computer Simulation; D004058:Diffusion; D005260:Female; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D008297:Male; D008955:Models, Cardiovascular; D008962:Models, Theoretical; D010100:Oxygen / Q000097:blood / Q000378:metabolism*; D012039:Regional Blood Flow / Q000502:physiology
D006454:Hemoglobins; D010100:Oxygen