Age-related blood flow and capillary changes in the rat utricular macula: a quantitative stereological and microsphere study.

Vascular change may contribute to age-related vestibular dysfunction. Previously, we reported a significant age-related decrease in blood flow (BF) and mean capillary diameter (D(cap)) in the rat posterior canal crista. The purpose of this study was to examine an otolith organ, the utricle, for similar changes. Old male Fischer 344 rats (O; 28-31 mos) were anesthetized, and the left cardiac ventricle was transcutaneously injected with radioactive microspheres to determine BF. The temporal bones were removed, fixed, and decalcified. The utricles were dissected free and placed into a gamma counter with the reference samples. The specimens were then plastic embedded and serially sectioned at 1 microm according to the vertical section technique. Microsphere surface counts were made and neuroepithelial BF calculated. A systematic random set of sections was sampled and analyzed using stereological techniques for estimates of D(cap), capillary surface area/unit volume (S(v,cap)), capillary length/ unit volume (L(v,cap)), and volume of utricular neuroepithelium (V(ut)). Using these data, total capillary surface (S(cap)) and total length (L(cap)) were calculated. Statistical comparisons were made with data from our previous study of young animals (Y; 3-6 mos). Results indicate a significant age-related decrease in BF (Y = 0.125 microL/min, O = 0.062 microL/min; P = 0.003), D(cap) (Y = 5.95 micro, O = 4.57 microm; P = 0.0002), S(vcap) (Y = 12.33 mm2/mm3, = 9.87 mm2/mm3, P = 0.016), S(cap) (Y = 0.178 mm2, O = 0.129 mm2; p = 0.01), and V(ut) (Y = 0.014 mm3, O = 0.013 mm3; P = 0.04) with no significant change in L(v,cap) (Y = 655 mm/mm3, O = 686 mm/mm3, P = 0.41) or L(cap) (Y = 9.47 mm, O = 8.96 mm; P = 0.49). These age-related vascular changes are likely to have a significant impact on utricular physiological and thus, dysequilibrium.

Rat utricular macula: blood flow and stereological assessment of capillary morphology.

Vascular compromise has long been proposed as a cause of inner ear disorders. However, the examination of blood flow and its control mechanisms in the vestibular system has been very limited. Combining stereological techniques with the microsphere injection technique, capillary morphology and regional blood flow were determined for the rat utricular macula. Results are as follows: total utricular blood flow 0.158 +/- 0.078 microL/min; blood flow to the neuroepithelium (excluding nerve) 0.0995 +/- 0.046 microL/min; blood flow per unit volume 7.71 +/- 4.31 microL/min per cubic millimeter, neuroepithelial volume 0.01344 +/- 0.0018 mm3; absolute capillary surface area 0.159 +/- 0.039 mm2; mean capillary diameter 5.84 +/- 0.56 microns; absolute capillary length 8.45 +/- 1.6 mm; and capillary lumen volume fraction 0.0175 +/- 0.004. Comparisons to previous data for the posterior canal ampulla indicate that the capillary diameter in the rat utricular macula is smaller; the capillary length is greater; and the end organs are similar with respect to neuroepithelial volume, capillary surface area, and blood flow. The size of the microsphere used in the present study (9.21 microns), in comparison to the mean capillary diameter (5.84 microns) of the utricular neuroepithelium, would indicate that the blood flow data likely represent a minimum value. These findings indirectly indicate that the utricular macula metabolic rate is greater than that of the posterior canal crista, and that there is variation from end organ to end organ in mean capillary diameter.

Vein of the vestibular aqueduct.

The vein of the vestibular aqueduct (VVA) was investigated in a series of 40 human temporal bones. The processing included vascular injection with a colored medium, decalcification and cutting in serial, thick sections, which were put in a clear fluid and studied with a stereo-microscope. The labyrinthine roots of the VVA are the single veins of the ampulla and simple limbs of the semicircular canals and of the posterior wall of the utricle. They drain the rich capillary bed of the simple endolymphatic walls of the canals and the utricle, as well as a small peripheral area of the cristae and the utricular macula. The VVA leaves the vestibule through an individual bone canal running parallel to the vestibular aqueduct up to the dura of the posterior side of the petrosa in the area of the endolymphatic sac. It then opens in the inferior petrosal sinus or the jugular bulb. The vein receives other branches from the bone, dura and sac. Correct information on the course of this vein appears to be lacking in contemporary textbooks and articles, although it has been correctly described since the last century.