ABSTRACT
Arterial stiffness is an established cardiovascular risk factor influencing haemodynamic properties in the microcirculation. We tested the hypothesis that increased arterial stiffness is associated with an increase in cerebrovascular resistance in the elderly. Brachial-ankle pulse wave velocity (baPWV), using arterial tonometry, and anterior cerebral blood flow (aCBF), using extracranial ultrasound, were measured in 26 participants (67-92 years). Non-parametric statistics examined relationships between age, blood pressure, baPWV, cerebrovascular resistance (CVRi) and aCBF. Bivariate analysis suggested that baPWV was the only vascular characteristic associated with CVRi (r(s)=0.59; P=0.002). CVRi was strongly correlated with aCBF (r(s)=-0.89; P<0.001). Furthermore, compared with participants in the lower three quartiles of baPWV (LO), those in the upper quartile (HI) had elevated CVRi (median (interquartile range); HI: 0.240 (0.143) mm Hg ml(-1) min(-1); LO: 0.197 (0.072) mm Hg ml(-1) min(-1); P=0.02), and tended to have lower aCBF (HI: 394 (155) ml min(-1); LO: 459 (154) ml min(-1); P=0.09). This study found a positive correlation between baPWV and CVRi in the elderly, suggesting that haemodynamic characteristics associated with arterial aging influence cerebral circulation.
Subject(s)
Aging/physiology , Cerebrovascular Disorders/epidemiology , Cerebrovascular Disorders/physiopathology , Hypertension/epidemiology , Hypertension/physiopathology , Vascular Resistance , Age Distribution , Aged , Aged, 80 and over , Ankle Brachial Index , Blood Flow Velocity , Cerebrovascular Circulation , Cerebrovascular Disorders/diagnostic imaging , Female , Humans , Hypertension/diagnostic imaging , Male , Middle Aged , Pulsatile Flow , Risk Factors , UltrasonographySubject(s)
Copper/blood , Hodgkin Disease/blood , Adolescent , Adult , Contraceptives, Oral , Female , Humans , Male , Pregnancy , Time FactorsSubject(s)
Copper/blood , Lymphoma/blood , Adolescent , Adult , Aged , Female , Humans , Lymphoma/pathology , Lymphoma/therapy , Male , Middle Aged , Neoplasm Metastasis , Remission, SpontaneousSubject(s)
Copper/blood , Black or African American , Age Factors , Child , Ethnicity , Female , Humans , Male , Mathematics , Mexico , School Health Services , Texas , White PeopleSubject(s)
Copper/blood , Leukemia/blood , Lymphoma/blood , Adolescent , Adult , Child , Female , Humans , MaleSubject(s)
Bone Marrow Cells , Bone Marrow , Copper/blood , Leukemia/diagnosis , Adult , Age Factors , Bone Marrow Examination , Child , Female , Humans , Leukemia, Lymphoid/diagnosis , Leukemia, Lymphoid/metabolism , Leukemia, Monocytic, Acute/diagnosis , Leukemia, Monocytic, Acute/metabolism , Leukemia, Myeloid, Acute/diagnosis , Leukemia, Myeloid, Acute/metabolism , Male , Models, BiologicalABSTRACT
Immunoglobulin-producing cells undergo a series of morphological transitions; each configuration displays specific functional attributes. The life cycle of immunocytes may be visualized as a series of functional compartments expressed by morphological sequences.