Vascular smooth muscle tone is the degree of sustained, partial contraction maintained by the smooth muscle cells that line the walls of arteries and arterioles. This tone is the primary determinant of systemic vascular resistance and plays a crucial role in regulating overall blood pressure and localized blood flow distribution. Optimal tone ensures appropriate tissue perfusion without imposing excessive cardiac afterload.
Origin
This fundamental concept is derived from circulatory physiology, where the balance between vasoconstriction and vasodilation was recognized as the key regulator of peripheral circulation. The term describes the basal contractile state of the vascular wall musculature, which is constantly modulated by systemic signals.
Mechanism
Tone is regulated by a complex neurohormonal network, including sympathetic nervous system input and circulating vasoactive substances like angiotensin II and endothelin-1. Endothelial-derived factors, such as nitric oxide and prostacyclin, promote relaxation and counterbalance constrictive signals. Sex hormones, notably testosterone and estrogen, directly modulate the sensitivity of the smooth muscle cells to these vasoactive agents, profoundly influencing systemic blood pressure regulation.
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