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1 Laboratoire de Pharmacologie
Cardiovasculaire,
Because melatonin is a cerebral vasoconstrictor
agent, we tested whether it could shift the lower limit of cerebral
blood flow autoregulation to a lower pressure level, by improving the cerebrovascular dilatory reserve, and thus widen the security margin.
Cerebral blood flow and cerebrovascular resistance were measured by
hydrogen clearance in the frontal cortex of adult male Wistar rats. The
cerebrovasodilatory reserve was evaluated from the increase in the
cerebral blood flow under hypercapnia. The lower limit of cerebral
blood flow autoregulation was evaluated from the fall in cerebral blood
flow following hypotensive hemorrhage. Rats received melatonin
infusions of 60, 600, or 60,000 ng · kg
1 · h
1,
a vehicle infusion, or no infusion (n = 9 rats per group). Melatonin induced concentration-dependent cerebral
vasoconstriction (up to 25% of the value for cerebrovascular
resistance of the vehicle group). The increase in vasoconstrictor tone
was accompanied by an improvement in the vasodilatory response to
hypercapnia (+50 to +100% vs. vehicle) and by a shift in the lower
limit of cerebral blood flow autoregulation to a lower mean arterial
blood pressure level (from 90 to 50 mmHg). Because melatonin had no
effect on baseline mean arterial blood pressure, the decrease in the
lower limit of cerebral blood flow autoregulation led to an improvement in the cerebrovascular security margin (from 17% in vehicle to 30, 55, and 55% in the low-, medium-, and high-dose melatonin groups,
respectively). This improvement in the security margin suggests that
melatonin could play an important role in the regulation of cerebral
blood flow and may diminish the risk of hypoperfusion-induced cerebral
ischemia.
cerebral blood flow autoregulation; cerebral vasoconstriction; cerebrovascular resistance
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