Abstract
Objectives
We investigated the dose–effect relationship between wide changes in gravity from 0 to 2.0 Gz (Δ0.5 Gz) and cerebral blood flow (CBF), to test our hypothesis that CBF has a linear relationship with levels of gravity.
Subjects and methods
Ten healthy seated men were exposed to 0, 0.5, 1.0, 1.5, and 2.0 Gz for 21 min, by using a tilt chair and a short-arm human centrifuge. Steady-state CBF velocity (CBFV) in the middle cerebral artery by transcranial Doppler ultrasonography, mean arterial pressure (MAP) at the heart level (MAPHeart), heart rate, stroke volume, cardiac output and respiratory conditions were obtained for the last 6 min at each gravity level. Then, MAP in the middle cerebral artery (MAPMCA), reflecting cerebral perfusion pressure, was estimated.
Results
Steady-state CBFV decreased stepwise from 0.5 to 2.0 Gz. Steady-state heart rate, stroke volume, estimated MAPMCA and end-tidal carbon dioxide pressure (ETCO2) also changed stepwise from hypogravity to hypergravity. On the other hand, steady-state MAPHeart and cardiac output did not change significantly. Steady-state CBFV positively and linearly correlated with estimated MAPMCA and ETCO2 in most subjects.
Conclusion
The present study demonstrated stepwise gravity-induced changes in steady-state CBFV from 0.5 to 2.0 Gz despite unchanged steady-state MAPHeart. The combined effects of reduced MAPMCA and ETCO2 likely led to stepwise decreases in CBFV. We caution that a mild increase in gravity from 0 to 2.0 Gz reduces CBF, even if arterial blood pressure at the heart level is maintained.
Similar content being viewed by others
References
Iwasaki K, Ogawa Y, Aoki K, Yanagida R. Cerebral circulation during mild +Gz hypergravity by short-arm human centrifuge. J Appl Physiol. 2012;112:266–71.
Onizuka C, Niimi Y, Sato M, Sugenoya J. Arterial blood pressure response to head-up tilt test and orthostatic tolerance in nurses. Environ Health Prev Med. 2015;20:262–70.
Zhang R, Zuckerman JH, Pawelczyk JA, Levine BD. Effects of head-down-tilt bed rest on cerebral hemodynamics during orthostatic stress. J Appl Physiol. 1985;1997(83):2139–45.
Bondar RL, Dunphy PT, Moradshahi P, Dai H, Kassam MS, Stein F, Schneider S, Rubin M, et al. Vertical shift in cerebral autoregulation curve: a graded head-up tilt study. Can Aeronaut Space J. 1999;45:3–8.
Serrador JM, Hughson RL, Kowalchuk JM, Bondar RL, Gelb AW. Cerebral blood flow during orthostasis: role of arterial CO2. Am J Physiol Regul Integr Comp Physiol. 2006;290:R1087–93.
World Medical association. World Medical association Declaration of Helsinki: ethical principles for medical research involving human subjects. World Med J. 2013;59:199–202.
Giller CA, Giller AM. A new method for fixation of probes for transcranial Doppler ultrasound. J Neuroimag. 1997;7:103–5.
Brodie FG, Atkins ER, Robinson TG, Panerai RB. Reliability of dynamic cerebral autoregulation measurement using spontaneous fluctuations in blood pressure. Clin Sci. 2009;116:513–20.
Wesseling KH, Jansen JR, Settels JJ, Schreuder JJ. Computation of aortic flow from pressure in humans using a nonlinear, three-element model. J Appl Physiol. 1993;74:2566–73.
Paulson OB, Strandgaard S, Edvinsson L. Cerebral autoregulation. Cerebrovasc Brain Metab Rev. 1990;2:161–92.
Fortune JB, Bock D, Kupinski AM, Stratton HH, Shah DM, Feustel PJ. Human cerebrovascular response to oxygen and carbon dioxide as determined by internal carotid artery duplex scanning. J Trauma. 1992;32:618–28.
Peebles K, Celi L, McGrattan K, Murrell C, Thomas K, Ainslie PN. Human cerebrovascular and ventilatory CO2 reactivity to end-tidal, arterial and internal jugular vein PCO2. J Physiol. 2007;584:347–57.
Gisolf J, Wilders R, Immink RV, van Lieshout JJ, Karemaker JM. Tidal volume, cardiac output and functional residual capacity determine end-tidal CO2 transient during standing up in humans. J Physiol. 2004;15:579–90.
Yanagida R, Ogawa Y, Aoki K, Ueda K, Iwasaki K. Sustained mild hypergravity reduces spontaneous cardiac baroreflex sensitivity. Auton Neurosci. 2014;185:123–8.
Ogoh S, Brothers RM, Barnes Q, Eubank WL, Hawkins MN, Purkayastha S, et al. The effect of changes in cardiac output on middle cerebral artery mean blood velocity at rest and during exercise. J Physiol. 2005;569:697–704.
Lucas SJ, Tzeng YC, Galvin SD, Thomas KN, Ogoh S, Ainslie PN. Influence of changes in blood pressure on cerebral perfusion and oxygenation. Hypertension. 2010;55:698–705.
Suzuki M, Hori S, Nakamura I, Soejima K, Aikawa N. Long-term survival of Japanese patients transported to an emergency department because of syncope. Ann Emerg Med. 2004;44:215–21.
Blanc JJ, L’her C, Gosselin G, Cornily JC, Fatemi M. Prospective evaluation of an educational programme for physicians involved in the management of syncope. Europace. 2005;7:400–6.
Savage DD, Corwin L, McGee DL, Kannel WB, Wolf PA. Epidemiologic features of isolated syncope. the Framingham Study. Stroke. 1985;16:626–9.
Alshekhlee A, Shen WK, Mackall J, Chelimsky TC. Incidence and mortality of syncope in the United States. Am J Med. 2009;122:181–8.
Zhang R, Zuckerman JH, Levine BD. Deterioration of cerebral autoregulation during orthostatic stress: insights from the frequency domain. J Appl Physiol. 1985;1998(85):1113–22.
Toole JF. Applied anatomy of the brain arteries. In: Muizelaar JP, editor. Cerebrovasucular disorders. 3rd ed. New York: Raven; 1984. p. 1–18.
Azuma K, Uchiyama I, Tanigawa M, Bamba I, Azuma M, Takano H, et al. Assessment of cerebral blood flow in patients with multiple chemical sensitivity using near-infrared spectroscopy–recovery after olfactory stimulation: a case-control study. Environ Health Prev Med. 2015;20:185–94.
Coverdale NS, Gati JS, Opalevych O, Perrotta A, Shoemaker JK. Cerebral blood flow velocity underestimates cerebral blood flow during modest hypercapnia and hypocapnia. J Appl Physiol. 1985;2014(117):1090–6.
Andresen M, Juhler M. Intracranial pressure following complete removal of a small demarcated brain tumor: a model for normal intracranial pressure in humans. J Neurosurg. 2014;121:797–801.
Brodie FG, Atkins ER, Robinson TG, Panerai RB. Reliability of dynamic cerebral autoregulation measurement using spontaneous fluctuations in blood pressure. Clin Sci (Lond). 2009;116:513–20.
Iwasaki K, Levine BD, Zhang R, Zuckerman JH, Pawelczyk JA, Diedrich A, et al. Human cerebral autoregulation before, during and after spaceflight. J Physiol. 2007;579:799–810.
Acknowledgments
This study was supported by The Uehara Memorial Foundation on conducting the experiments, and by JSPS KAKENHI Grant Number 15H05939 on editing the manuscript. This report was previously presented, in part, at “The 85th Annual Meeting of The Japanese Society for Hygiene”.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Disclosures
No conflicts of interest, financial or otherwise, are declared by the authors.
Rights and permissions
About this article
Cite this article
Ogawa, Y., Yanagida, R., Ueda, K. et al. The relationship between widespread changes in gravity and cerebral blood flow. Environ Health Prev Med 21, 186–192 (2016). https://doi.org/10.1007/s12199-016-0513-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12199-016-0513-7