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Autoregulation of the Human Cerebrovasculature by Neurovascular Coupling

Functional hyperaemia is an important mechanism by which increased neuronal activity is
matched by a rapid and regional increase in blood supply. This mechanism is facilitated by a
process known as “neurovascular coupling” – the orchestrated communication system involving
the cells that comprise the neurovascular unit (neurons, astrocytes and the smooth muscle
and endothelial cells lining arterioles). Blood flow regulation and neurovascular coupling are
altered in several pathological states including hypertension, diabetes, Alzheimer’s disease,
cortical spreading depression and stroke.
By adapting and extending other models found in the literature, we create, for the first
time, a mathematical model of the entire neurovascular unit that is capable of simulating two
separate neurovascular coupling mechanisms: a potassium- and EET-based and a NO-based
mechanism. These models successfully account for several observations seen in experiment.
The potassium/EET-based mechanism can achieve arteriolar dilations similar in magnitude
(3%) to those observed during a 60-second neuronal activation (modelled as a release of potassium
and glutamate into the synaptic cleft). This model also successfully emulates the paradoxical
experimental finding that vasoconstriction follows vasodilation when the astrocytic calcium
concentration (or perivascular potassium concentration) is increased further. We suggest
that the interaction of the changing smooth muscle cell membrane potential and the changing
potassium-dependent resting potential of the inwardly rectifying potassium channel are responsible
for this effect. Furthermore, our simulations demonstrate that the arteriolar behaviour is
profoundly affected by depolarization of the astrocytic cell membrane, and by changes in the
rate of perivascular potassium clearance or the volume ratio between the perivascular space and
astrocyte.
In the modelled NO-based neurovascular coupling mechanism, NO exerts its vasodilatory
effects via neuronal and endothelial cell sources. With both sources included, the model
achieves a 1% dilation due to a 60-second neuronal activation. When the endothelial contribution
to NO production is omitted, the arteriole is more constricted at baseline. Without
the endothelial NO contribution, the arteriolar change in diameter during neuronal activity is
greater (6%). We hypothesize that NO has a dual purpose in neurovascular coupling: 1) it dixxxvi
rectly mediates neurovascular coupling through release by neuronal sources, and 2) it indirectly
modulates the size of the neurovascular coupling response by determining the baseline tone.
Our physiological models of neurovascular coupling have allowed us to replicate, and explain,
some of the phenomena seen in both neurovascular coupling-oriented and clinicallyoriented
experimental research. This project highlights the fact that physiological modelling
can be used as a tool to understand biological processes in a way that physical experiment cannot
always do, and most importantly, can help to elucidate the cellular processes that induce or
accompany our most debilitating diseases.

Identiferoai:union.ndltd.org:canterbury.ac.nz/oai:ir.canterbury.ac.nz:10092/8037
Date January 2013
CreatorsFarr, Hannah Abigail
PublisherUniversity of Canterbury. Mechanical Engineering
Source SetsUniversity of Canterbury
LanguageEnglish
Detected LanguageEnglish
TypeElectronic thesis or dissertation, Text
RightsCopyright Hannah Abigail Farr, http://library.canterbury.ac.nz/thesis/etheses_copyright.shtml
RelationNZCU

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