Interstitial plasma protein concentration profiles and transport mechanisms

1991 ◽  
Vol 42 (2) ◽  
pp. 209-216 ◽  
Author(s):  
D.G. Taylor ◽  
J.L. Bert ◽  
B.D. Bowen
1998 ◽  
Vol 274 (3) ◽  
pp. H937-H944 ◽  
Author(s):  
M. Miyamoto ◽  
D. E. McClure ◽  
E. R. Schertel ◽  
P. J. Andrews ◽  
G. A. Jones ◽  
...  

In previous studies, we observed left ventricular (LV) systolic and diastolic dysfunction in association with interstitial myocardial edema (IME) induced by either coronary venous hypertension (CVH) or lymphatic obstruction. In the present study, we examined the effects of myocardial edema induced by acute hypoproteinemia (HP) on LV systolic and diastolic function. We also combined the methods of HP and CVH (HP-CVH) to determine their combined effects on LV function and myocardial water content (MWC). We used a cell-saving device to lower plasma protein concentration in HP and HP-CVH groups. CVH was induced by inflating the balloon in the coronary sinus. Six control dogs were treated to sham HP. Conductance and micromanometer catheters were used to assess LV function. Contractility, as measured by preload recruitable stroke work, did not change in control or HP groups but declined significantly (14.5%) in the HP-CVH group. The time constant of isovolumic LV pressure decline (τ) increased significantly from baseline by 3 h in the HP (24.8%) and HP-CVH (27.1%) groups. The end-diastolic pressure-volume relationship (stiffness) also increased significantly from baseline by 3 h in the HP (78.6%) and HP-CVH (42.6%) groups. Total plasma protein concentration decreased from 5.2 ± 0.2 g/dl at baseline to 2.5 ± 0.0 g/dl by 3 h in the HP and HP-CVH groups. MWC of the HP (79.8 ± 0.25%) and HP-CVH groups (79.8 ±0.2%) were significantly greater than that of the control group (77.8 ± 0.3%) but not different from one another. In conclusion, hypoproteinemia-induced myocardial edema was associated with diastolic LV dysfunction but not systolic dysfunction. The edema caused by hypoproteinemia was more than twice that produced by our previous models, yet it was not associated with systolic dysfunction. CVH had a negative inotropic effect and no significant influence on MWC. IME may not have the inverse causal relationship with LV contractility that has been previously postulated but appears to have a direct causal association with diastolic stiffness as has been previously demonstrated.


1981 ◽  
Vol 53 (12) ◽  
pp. 1281-1284 ◽  
Author(s):  
G. TORRI ◽  
L. STELLA ◽  
G. PRADELLA ◽  
E. MAESTRONE ◽  
C. MARTANI

1986 ◽  
Vol 6 (2) ◽  
pp. 93-98 ◽  
Author(s):  
Claudio Ronco ◽  
Alessandra Brendolan ◽  
Luisa Bragantini Stefano ◽  
Chiaramonte Mariano ◽  
Feriani Aldo Fabris ◽  
...  

This study has evaluated the influence of peritoneal blood flow and plasma protein concentration on the peritoneal ultrafiltration rate. In vitro and in vivo experiments were done to assess the effective peritoneal capillary blood flow. Based on the assumption that one can compare the behavior of an hollow fiber hemofilter with the peritoneal dialysis system, we have compared the opera tional characteristics of the two systems. After demonstrating that there was filtration pressure equilibrium in the filter, the plasma protein concentration was measured in the venous site of the filter at different applied transmembrane pressures. The nomogram, so obtained, was used to calculate the plasma-protein concentration in the blood leaving the peritoneal capillary during exchanges with an established glucose concentration (and therefore at a given transmembrane pressure), and to calculate the filtration fraction. Once that fraction had been calculated, based on the value of the ultrafiltration rate, one can calculate the importance of the plasma flow and then the blood flow. In this study the filtration fraction ranged between 45 and 55% and the blood flow ranged between 21 and 27 ml/min. It was concluded that the blood flow may be very low and hence may limit ultrafiltration.


1990 ◽  
Vol 259 (5) ◽  
pp. H1317-H1324
Author(s):  
R. D. Manning

Studies were performed in 14 conscious, anephric dogs to clarify the role of blood volume in the genesis of hypertension. The dogs were splenectomized and had plasma protein concentration (PPC) reduced to 2.7 g/dl by daily plasmapheresis for 9 days. This hypoproteinemia resulted in a 20% decrease in both blood volume and mean arterial pressure. On the 10th day the dogs were nephrectomized. On the 11th day after a 3-h control period with plasmapheresis, lactated Ringer equivalent to 10 or 20% of body weight was intravenously infused. By 25 h postinfusion blood volume had not increased, and the dogs were still hypotensive. At 25 h plasma protein mass was returned to normal by intravenous infusion of autologous plasma, the average blood volume of the three low PPC groups increased approximately 50%, and the arterial pressure increased greater than 60%. The decrease in PPC shifted the regression of blood volume on sodium space down the blood volume axis. In conclusion, the dependence of arterial pressure on blood volume was demonstrated by the decrease in both blood volume and arterial pressure after PPC reduction, the constancy of blood volume and pressure during Ringer infusion, and the increase in both volume and pressure after plasma infusion.


1987 ◽  
Vol 62 (6) ◽  
pp. 2252-2257 ◽  
Author(s):  
M. B. Maron ◽  
C. F. Pilati ◽  
K. C. Maender

The osmotic reflection coefficient (sigma) can be estimated from the increases in hematocrit and plasma protein concentration that result from fluid filtration occurring in an isolated perfused organ. We determined what effect perfusion pump-induced hemolysis has on the value of sigma determined by this technique in both the isolated canine left lower lung lobe (LLL) and forelimb by comparing estimates of sigma obtained before and after correction for hemolysis. Hemolysis was corrected by using the slopes of the relationships between hematocrit and plasma hemoglobin concentration and between the plasma protein and hemoglobin concentrations to correct hematocrit and protein concentration to a state of zero hemolysis. Uncorrected estimates of sigma in the LLL were 1.19 +/- 0.14 (SE) at a venous pressure (Pv) of 12 Torr (n = 7) and 0.90 +/- 0.02 at a Pv of 19 Torr (n = 6). Both sets of LLL's yielded sigma values of 0.77 +/- 0.03 after hemolysis correction. In the forelimb (n = 5), uncorrected and corrected estimates of sigma of 0.99 +/- 0.03 and 0.85 +/- 0.01, respectively, were obtained. The latter values were similar to sigma's (0.88 +/- 0.01) determined by lymph analysis in five additional forelimbs. We conclude that hemolysis results in overestimates of sigma. After hemolysis correction, this technique yields similar results to those obtained from lymph analysis for the forelimb and from published values for the LLL.


1997 ◽  
Vol 82 (1) ◽  
pp. 348-353 ◽  
Author(s):  
John D. Grimme ◽  
Susan M. Lane ◽  
Michael B. Maron

Grimme, John D., Susan M. Lane, and Michael B. Maron.Alveolar liquid clearance in multiple nonperfused canine lung lobes. J. Appl. Physiol. 82(1): 348–353, 1997.—We evaluated the ability of canine isolated nonperfused lung lobes to absorb fluid from their air spaces by simultaneously measuring alveolar liquid clearance (ALC) in three lobes removed from the same dog. Autologous plasma was instilled in the air spaces of each lobe, and the increase in plasma protein concentration resulting from fluid reabsorption was used to calculate ALC. ALC after 4 h was 16.5 ± 0.6% (SE) of the instilled fluid volume under baseline conditions and was 30.2 ± 1.3% after terbutaline (10−5 M) administration. These values were similar to those previously reported for intact dogs. Propranolol (10−4 M) and ouabain (10−3 M) reduced ALC in terbutaline-stimulated lobes to 20.4 ± 0.8 and 3.9 ± 1.4%, respectively. There was no significant difference in ALC among the three lobes under either baseline conditions or after terbutaline administration. These data indicate that the sodium and water transport mechanisms of the canine alveolar epithelium remain viable during 4 h of nonperfusion and that there are no intrinsic differences in the transport properties of individual lung lobes. The ability to study several lobes simultaneously without the need for perfusion will allow for the design of experiments in which multiple interventions can be studied by using lung lobes from the same animal.


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