Vasomotion: the case for chaos

摘要

Fluctuations in vascular calibre, a phenomenon known as vasomotion, are ubiquitous in the microcirculation and represent emergent behaviour that involves synchronisation of Ca2+ oscillations in individual vascular cells. Ideally, coordinated interactions between locally generated vasomotion and neuro-humoral control mechanisms will allow optimal sensing of flow and pressure within vascular networks and thereby facilitate synergistic readjustments in local vascular conductance and flow under conditions of dynamically changing metabolic demand. Indeed, many studies have reported that vasomotion becomes more prominent under pathophysiological conditions, suggesting that it may serve as an adaptive homeodynamic response that maintains or re-establishes flow when perfusion is compromised. We here summarise evidence that the apparent irregular nature of vasomotion reflects deterministic interactions between a small number of dominant control variables, rather than random events, and may therefore be formally classified as chaotic. We also discuss the potential physiological benefits of chaos in the microcirculation and the key roles of signalling via gap junctions and nitric oxide.