Abstract
Acute hypertension induced by various vasoactive substances can damage the blood-brain barrier (BBB) to protein in experimental animals. Thus, the brains from 27 out of 30 cats showed areas of extravasation of Evans blue-albumin after a systolic blood pressure increase exceeding 80 mm Hg induced by intravenous injection of metaraminol28. Similar lesions are seen in acute hypertension induced by angiotensin and noradrenaline. Approximately 70 per cent of rats developed BBB lesions after angiotension-provoked rise of the mean arterial blood pressure of 50–80 mm Hg 25 whereas a lower incidence has been reported in rabbits with the same vasoactive substance 6. The incidence of BBB lesions can be modified by several factors as will be discussed later. This might help to explain that some studies have failed to show permeability increase in acute hypertension (for a review of the literature see Johansson 197422.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Baylis, W.M., On the local reactions of the arterial wall to changes of internal pressure, J. Physiol., 28 (1902) 220–231.
Brightman, M.W., and Reese, T.S., Junctions between intimately apposed cell membranes in the vertebrate brain, J. Cell Biol., 40 (1969) 648–677.
Broman, T., Supravital analysis of disorders in the cerebral vascular permeability in man, Acta med, scand., 118 (1944) 79–83.
Byrom, F.B., The pathogensis of hypertensive encephalopathy and its relation to the malignant phase of hypertension: experimental evidence from the hypertensive rat. Lancet, 2 (1954) 201–211.
Byrom, F.B., The hypertensive vascular crisis. An experimental study, Heinemann, London, 1969.
Dinsdale, H.B., Robertson, D.M., Chiang, T.Y., and Mukherjee, S.K., Hypertensive cerebral microinfarction and cerebrovascular reactivity, Europ. Neurol., 6 (1971/72) 29–33.
Dinsdale, H.B., Robertson, D.M., and Haas, R.A., Cerebral blood flow in acute hypertension. Arch. Neurol., 31 (1974) 80–87.
Ekstrom-Jodal, B., Haggendal, E., Linder, L.-E., and Nilsson, N.J., Cerebral blood flow autoregulation at high arterial pressures and different levels of carbon dioxide tension in dogs, Europ. Neurol., 6 (1971/72) 6–10.
Ekstrom-Jodal, B., Haggendal, E., Johansson, B., Linder, L.-E., and Nilsson, N.J., Acute arterial hypertension and the blood- brain barrier. An experimental study in dogs. In, T.W. Langfitt, L.C. McHenry Jr., M. Reivich, H. Wollman, (Eds.) Cerebral Circulation and Metabolism, Springer-Verlag, New York (1975) pp. 7–9.
Eto, T., Omae, T., and Yamamoto, T., An electron microscope study of hypertensive encephalopathy in the rat with renal hypertension, Arch, histol. jap., 33 (1971) 133–143.
Fog, M., Cerebral circulation. II. Reaction of pial arteries to increase in blood pressure. Arch. Neurol. Psychiat., 41 (1939) 260–268.
Folkow, B., Hallback, M., Lundgren, Y., Sivertsson, R., and Weiss, L., Importance of adaptive changes in vascular design for establishment of primary hypertension, studied in man and in soontaneously hypertensive rats, Circulat. Res., 32–33: Suppl. 1 (1973) 2–13.
Folkow, B., and Neil, E., Circulation Oxford University Press, New York, London, Toronto (1971) p. 46 ff.
Frank, O., Die Elastizität der Flutgefasse, Z. Biol., 71 (1920) 255–272.
Gannushkina, I.V., Shafranova, V.P., Dadiany, L.N., and Galayda, T.V., Mechanisms related to decrease of CBF during acute increase of arterial pressure in hypertensive animals. In, J.S. Meyer, H. Lechner, M. Reivich and O. Eichhorn (Eds.) Cerebral Vascular Disease, 6th International Conference, Saltzburg, 1972, George Thieme Publishers, Stuttgart (1973) pp. 84–86.
Gannushkina, I.V., and Shafranova, V.P., Some aspects of pathogenesis and pathomorphology of the hypertensive encephalopathy. Abstract. VIIth International Congress of Neuropathology, Budapest (1974) p. 100.
Giese, J., The pathogenesis of hypertensive vascular disease, Munksgaard, Copenhagen (1966).
Giacomelli, F., Wiener, J., and Spiro, D., The cellular pathology of experimental hypertension. V. Increased permeability of cerebral arterial vessels, Amer. J. Path., 59 (1970 133–159.
Hansson, H.A., Johansson, B., and Blomstrand, C., Ultrastructural studies on cerebrovascular permeability in acute hhpertension. Acta neuropath. (Berl.), 32 (1975) 187–198.
Hossmann, K.-A., and Olsson, Y., Influence of ischemia on the passage of protein tracers across capillaries in certain blood- brain barrier injuries. Acta neuropath. (Berl.), 18 (1971) 113–122.
Haggendal, E., and Johansson, B., Pathophysiology aspects of the blood brain barrier change in acute arterial hypertension, Europ. Neurol., 6 (1971/72) 24–28.
Johansson, B., Blood-brain barrier dysfunction in acute arterial hypertension. Thesis (1974) University of Goteborg.
Johansson, B., Regional cerebral blood flow in acute experimental hypertension. Acta neurol. scand., 50 (1974) 366–372.
Johansson, B., Blood-brain barrier dysfunction in acute arterial hypertension after papaverine-induced vasodilation, Acta neurol. scand., 50 (1974) 573–580.
Johansson, B., Cerebrovascular permeability after angiotensin- induced blood pressure increase in normotensive and spontaneously hypertensive rats. In, M. Harper, B. Jennett, D. Miller and J. Rowan, Blood Flow and Metabolism in the Brain. Churchill Livingstone, Edinburgh (1975) p. 53–57.
Johansson, B., and Borenstein, P., BBB lesions in acute hypertension after unilateral ligation of the carotid artery in rats (to be published).
Johansson, B., and Henning, M., The clinical effect of acute blood pressure increase in awake rats. A comparison between normotensive and spontaneously hypertensive rats, (to be published).
Johansson, B., Li, C.-L., Olsson, Y., and Klatzo, I., The effect of acute arterial hypertension on the blood-brain barrier to protein tracers, Acta neuropath (Berl.) 16 (1970) 117–124.
Johansson, B., and Linder, L.-E., Blood brain barrier dysfunction in acute arterial hypertension induced by clamping of the thoracic aorta. Acta neurol. scand. 50 (1974) 360–365.
Mathew, N.T., Meyer, J.S., and Hrastnik, F., Vasospasm versue “breakthrough” in the pathogenesis of hypertensive encephalopathy, In, M. Harper, B. Jennett, D. Miller and J. Rowan, Blood Flow and Metabolism in the Brain. Churchill Livingstone, Edinburgh (1975) p. 517–521.
Okamoto, K., and Aoki, K., Development of a strain of spontaneously hypertensive rats, Jap. Circulat. J., 27 (1963) 282–293.
Okamoto, K., Yamori, Y., and Nagaoka, A., Establishment of the stroke-prone spontaneously hypertensive rat (SHR), Circulat. Res. Suppl. 1 34 (1974) 143–153.
Reese, T.S., and Karnovsky, M.J., Fine structural localization of a blood-brain barrier to exogenous peroxidase, J. Cell Biol., 34 (1967) 207–217.
Robertson, A.L., and Khairallah, P.A., Effects of angiotensin II and some analogues on vascular permeability in the rabbit, Circulat. Res. 31 (1972) 923–931.
Rodda, R., and Denny-Brown, D., The cerebral arerioles in experimental hypertension. II. The development of arteriolo- necrosis, Amer. J. Path. 49 (1966) 365–381.
Skinhoj, E., and Strandgaard, S., Pathogenesis of hypertensive encephalopathy. Lancet, I (1973) 461–462.
Smirk, F.H., and Hall, W.H., Inherited hypertension in rats, Nature (London), 182 (1958) 727–728.
Steinwall, O., and Klatzo, I., Selective vulnerability of the blood brain barrier in chemically induced lesion, J. Neuropath, exp. Neurol., 25 (1966) 542–559.
Strandgaard, S., Giesen, J., Skinhoj, E., and Lassen, N.A., Autoregulation of brain circulation in severe arterial hypertension, Brit, med. J. 1(1973) 507–510.
Strandgaard, S., MacKenzie, E.T., Sengupta, D., Rowan, J.O., Lassen, N.A., and Harper, A.M., The upper limit for autoregulation of cerebral blood flow in the baboon, Circulato Res., 34 (1974) 435–440.
Westergaard, E., Brightman, M.S., Transport of proteins across normal cerebral arterioles, J. comp. Neurol. 152 (1973) 17–44.
Westergaard, E., and Brøndsted, H.E., The effect of acute hyper- gension on the vesicular transport of proteins in cerebral vessels. Abstract. VIIth International Congress of Neuropathology, Budapest (1974) p. 322.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1976 Plenum Press, New York
About this chapter
Cite this chapter
Johansson, B. (1976). Brain Barrier Pathology in Acute Arterial Hypertension. In: Levi, G., Battistin, L., Lajtha, A. (eds) Transport Phenomena in the Nervous System. Advances in Experimental Medicine and Biology, vol 69. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-3264-0_38
Download citation
DOI: https://doi.org/10.1007/978-1-4684-3264-0_38
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4684-3266-4
Online ISBN: 978-1-4684-3264-0
eBook Packages: Springer Book Archive