We measured the internal diameters of small muscular pulmonary arteries in the right and left lower lobes of lungs rapidly frozen in the anesthetized, open-thorax cat. In every cat the right lower lobe was ventilated with the test gas and all other lobes were ventilated with O 2 . In 4 cats, the test gas supplied to the right lower lobe was also O 2 (control experiments); in 6, it was 100% N 2 and in 6 it was 90% N 2 -10% CO 2 . In the 4 controls, there was no difference between the internal diameters of corresponding arteries in the right and left lower lobes. In the other 12 cats, there was a highly significant decrease in the diameter of arteries in the right lower lobe that correlated well with a large decrease in blood flow to that lobe, calculated using a shunt equation. Ventilation of the right lower lobe with 10% CO 2 in air (4 cats) did not affect the diameter of arteries and ligation of the pulmonary artery to the right lower lobe resulted in only a slight decrease in arterial dimensions in 3 of 4 cats.These data show that in regional alveolar hypoxia without systemic hypoxia the muscular pulmonary arteries of the terminal respiratory units in the hypoxic region actively constrict. The constriction occurs with or without alveolar hypercapnia.
ADDITIONAL KEY WORDS altitudecarbon dioxide lung oxygen pulmonary artery pulmonary circulation respiration local regulation of pulmonary circulation pulmonary vasoconstriction hypoxia hypercapnia pulmonary artery occlusion anesthetized cats• Most investigators now agree that reduced partial pressure of oxygen in alveolar air leads to an acute increase in pulmonary vascular resistance in several species of mammal, including man.1 -2 The vasoconstriction occurs both when decreased oxygen is not associated with increased carbon dioxide concentration, as at high altitude, 8 and when the two occur together, as during hypoventilation at sea level. 4 The most recent evidence indicates a positive correlation between the vasoconstrictor response and the presence of This work was supported in part by U. S. Public Health Service Grants HE-06285 and HE-5251, the California Tuberculosis and Health Association and Nonr Contract 222(55).Dr. Kato was a Trainee of the National Heart Institute.Accepted for publication April 11, 1966. both alveolar hypoxia and mixed venous blood (tissue) acidosis.
5A constrictor response can be mediated entirely within the lung, for it can be induced in isolated perfused lungs.6 ' 7i 8 In intact animals, when one lung breathes air low in oxygen but systemic hypoxia is prevented by having the other lung breathe a mixture rich in oxygen, the constriction is confined to the hypoxic lung. 9 ' 10 As to the location of the change in resistance, the major pulmonary vascular resistance normally 11 ' 12 and during alveolar hypoxia is in vessels beyond the tip of any catheter.8 ' 18 The control site must be somewhere in the small muscular pulmonary arteries, 14 "18 the capillaries 17 or small veins.
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18~21All of these vessels are exposed to t...