Fetal thoracic duct lymph flow response to intravascular saline infusion

1988 ◽  
Vol 254 (6) ◽  
pp. R1007-R1010
Author(s):  
R. A. Brace
Keyword(s):  
Plasma Protein ◽  
Flow Rate ◽  
Thoracic Duct ◽  
Concentration Ratio ◽  
Protein Concentration ◽  
Isotonic Saline ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Plasma Protein Concentration ◽  
Duct Lymph

The left thoracic lymph duct was catheterized at the base of the neck in the sheep fetus at 123-136 days of gestation, and the lymphatic catheter was connected to a jugular vein catheter so that the lymph could return to the fetus. Lymph flow was studied 5 days after catheter implantation in the unanesthetized fetus. Basal fetal thoracic duct lymph flow rate per unit body weight averaged three times adult sheep values. After an infusion of 20 ml/kg of warmed isotonic saline into a fetal vein over 5 min, lymph flow rate increased significantly to 161 +/- 15% of control, with a peak at 8 min after termination of the infusion, and flow declined thereafter. The increased lymph volume above baseline values over 30 min averaged 5.7% of the infused volume and is similar to the adult response. Plasma and lymph protein concentrations decreased as did the lymph-to-plasma protein concentration ratio. The latter is opposite to what occurs in the adult under the same conditions. Thus the present study shows that even though the fetus has a much higher basal thoracic duct lymph flow rate than the adult, the responsiveness of the fetal lymphatic system to intravascularly infused saline is similar to that of the adult. The decrease in the lymph-to-plasma protein concentration ratio suggests that there may be differences between fetal and adult vascular-interstitial-lymphatic protein kinetics.

Effects of sustained lymph drainage on cardiovascular function and thoracic duct lymph in sheep

1989 ◽  
Vol 256 (4) ◽  
pp. R867-R874
Author(s):  
G. J. Valenzuela ◽  
C. W. Hewitt ◽  
G. C. Kramer ◽  
Y. Do ◽  
W. A. Hseuh
Keyword(s):  
Arterial Pressure ◽  
Plasma Protein ◽  
Thoracic Duct ◽  
Protein Concentration ◽  
Lymph Flow ◽  
Escape Rate ◽  
Thoracic Duct Lymph ◽  
Lymph Drainage ◽  
Plasma Protein Concentration ◽  
Duct Lymph

We studied the effect of lowering the plasma protein concentration on the cardiovascular function and thoracic duct lymph in awake adult sheep. Hypoproteinemia was induced in seven nonpregnant, splenectomized sheep by drainage of the thoracic duct lymph over a 5-day period. The plasma protein went from a mean of 6.4 +/- 0.2 (SE) to 4.9 +/- 0.2 g/dl on day 5, and the lymph-to-plasma protein concentration ratio decreased from 0.74 +/- 0.01 on day 1 to 0.48 +/- 0.04 on day 5. The percentage composition of the protein fractions in plasma and lymph remained unchanged. Lymph flow was 1.79 +/- 0.37 and 1.28 +/- 0.10 ml/min for days 1 and 5, respectively. Renin concentration in plasma increased 50-fold by day 5. Arterial pressure fell from 102.9 +/- 5.4 to 72.7 +/- 4.4 mmHg by day 5. Mean hematocrit was 28.9 +/- 1.7 at day 1, which was not significantly different than 24.6 +/- 2.9 at day 5 and indicated that the plasma volume did not decrease. Body weight also did not change significantly. There was a decrease in the transcapillary protein escape rate, determined as the thoracic lymph flow rate multiplied the lymph protein concentration, that suggests adaptations in the microcirculation to decrease vascular-to-interstitial protein transfer during hypoproteinemia. Hypoproteinemic animals also demonstrated greater vascular retention of a fluid volume challenge. In conclusion, the sheep adaptations to sustained hypoproteinemia produced by lymph drainage were a significant decrease in arterial pressure, large increases in vascular compliance and renin concentration, and reduced transcapillary escape rate of protein.(ABSTRACT TRUNCATED AT 250 WORDS)

Thoracic duct lymph flow responses to hemorrhage in the ovine fetus

1995 ◽  
Vol 269 (4) ◽  
pp. H1277-H1281
Author(s):  
R. A. Brace
Keyword(s):  
Flow Rate ◽  
Thoracic Duct ◽  
Plasma Proteins ◽  
Protein Concentration ◽  
Venous Pressure ◽  
Recovery Period ◽  
Lymph Flow ◽  
Late Gestation ◽  
Thoracic Duct Lymph ◽  
Plasma Protein Concentration

Blood volume returns toward normal after hemorrhage much more rapidly in the fetus than in the adult due to a rapid entry of fluid and plasma proteins into the fetal circulation. One potential source of fetal fluids and plasma proteins is the lymphatic system, since basal lymph flow rate and interstitial protein concentration are high in the fetus. Furthermore, studies in adults suggest that lymph flow rate may increase following hemorrhage. To test the hypothesis that hemorrhage induces an increase in lymph flow in the fetus, 15 late-gestation ovine fetuses underwent left thoracic duct catheterization with low-resistance catheters and were studied 5 or more days after surgery at 134 +/- 1 (SE) days gestation. The protocol included three successive 30-min periods: control, hemorrhage, and recovery. During the first 5 min of the hemorrhagic period, 61 +/- 4 ml of fetal blood were removed. The blood was reinfused over the first 5 min of the recovery period. After the hemorrhage, fetal arterial pressure, venous pressure, and heart rate decreased (analysis of variance, P < 0.001). These variables significantly increased above basal levels following blood reinfusion. Fetal hematocrit (P < 0.001) and plasma protein concentration (P < 0.05) also decreased after the hemorrhage and returned to control values after the reinfusion. Fetal lymph flow rate was 0.55 +/- 0.06 (SE) ml/min before the hemorrhage and decreased by a maximum of 30.3 +/- 6.3% (P < 0.001) at 8 min after the end of the hemorrhage. Lymph flow rate was reduced by an average of 19.1 +/- 6.6% during the hemorrhagic period and returned to prehemorrhage levels following blood reinfusion.(ABSTRACT TRUNCATED AT 250 WORDS)

Lymphatic and vascular responses to fluid infusion in castrated and noncastrated sheep

1987 ◽  
Vol 252 (6) ◽  
pp. R1114-R1118 ◽  
Author(s):  
G. J. Valenzuela ◽  
R. A. Brace ◽  
L. D. Longo
Keyword(s):  
Blood Volume ◽  
Thoracic Duct ◽  
Protein Concentration ◽  
Interstitial Fluid ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Base Line ◽  
Plasma Protein Concentration ◽  
Duct Lymph ◽  
Estrogen Withdrawal

Estrogen administration produces blood volume expansion and interstitial fluid retention. We decided to study the effect of estrogen withdrawal on blood volume and determine whether oophorectomy has an effect on lymph flow or protein concentration. The rate of left thoracic duct lymph flow averaged 0.041 +/- 0.005 (SE) and 0.071 +/- 0.008 ml X min-1 X kg-1 in castrated (n = 9) and noncastrated (n = 9) female sheep, respectively (P = 0.006). After three serial intravenous infusions of Ringer lactate solution (2% body wt/infusion) the thoracic duct lymph flow in the castrated animals increased 358, 457, and 498% over the base-line rate, compared with increase of 200, 235, and 353% in the nonpregnant ewes. However, with the lower control values in the castrated animals, the lymph flow rate reached the same absolute values as those seen in the noncastrated ewes. Lymph protein concentration and the lymph-to-plasma protein concentration ratio, as well as arterial and venous pressures, were unaltered by oophorectomy. Base-line whole blood volumes were 58.2 +/- 1.9 (n = 9) and 64.8 +/- 2.6 ml/kg (n = 9) in the castrated and noncastrated ewes, respectively (P less than 0.05). Systemic vascular compliance averaged 4.5 +/- 0.7 and 7.1 +/- 1.7 ml X kg-1 X mmHg-1 in the castrated and noncastrated ewes, respectively (P less than 0.05), whereas interstitial fluid compliance values were 12 and 32 ml X kg-1 X mmHg-1, respectively. The capillary filtration coefficients were not different in the two groups.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of hypotonic, isotonic, and hypertonic fluids on thoracic duct lymph flow

1983 ◽  
Vol 245 (6) ◽  
pp. R785-R791
Author(s):  
R. A. Brace ◽  
G. G. Power
Keyword(s):  
Thoracic Duct ◽  
Protein Concentration ◽  
Plasma Osmolality ◽  
Ringer Solution ◽  
Lymph Flow ◽  
Whole Body ◽  
Thoracic Duct Lymph ◽  
Plasma Protein Concentration ◽  
Interstitial Fluid Volume ◽  
Duct Lymph

To test whether whole-body lymph flow responses to vascular volume loading depend on osmolality, we measured left thoracic duct lymph flow rate and protein concentration, plasma protein concentration, plasma osmolality, hematocrit, and arterial and venous pressures in pentobarbital-anesthetized, acutely nephrectomized dogs. Hypo- (100 mosmol), iso- (309 mosmol), and hypertonic (600 mosmol) saline, isotonic lactated Ringer solution, and 5% glucose in lactated Ringer solution (580 mosmol) were infused into the jugular vein (20 ml/kg per infusion over 5 min at 30-min intervals). Changes in blood, interstitial, and cellular volumes were calculated from the infused volume and from the hematocrit and plasma osmolality. The hypotonic fluid increased lymph flow about half as much as the isotonic fluid, whereas the hypertonic fluids increased lymph flow about twice as much as the isotonic infusions. Responses appeared independent of the osmotic agent, because hypertonic NaCl was as effective as hypertonic glucose in increasing lymph flow. Responses were not altered appreciably after lowering arterial pressure by 25 mmHg. The major finding of this study is that for every condition we explored, the excess lymph flow over 30 min (ELF in ml X kg-1 X 30 min-1) correlated with the change in interstitial fluid volume (delta ISFV in ml/kg); ELF = 0.076 delta ISFV (r = 0.909). These data suggest that cellular fluid that enters the interstitium is equally effective in increasing thoracic duct lymph flow as is vascular fluid that filters into the interstitium.

Blood volume response to drainage of left thoracic duct lymph in the ovine fetus

1994 ◽  
Vol 266 (3) ◽  
pp. R709-R713
Author(s):  
R. A. Brace
Keyword(s):  
Blood Volume ◽  
Flow Rate ◽  
Thoracic Duct ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Fetal Blood ◽  
Plasma Protein Concentration ◽  
Duct Lymph ◽  
Volume Response ◽  
Ovine Fetus

Although it is known that left thoracic duct lymph flow rate in the ovine fetus is several times that in the adult relative to body weight, the role of the lymphatic system in maintaining fetal blood volume has not been explored. In the present study, the left thoracic lymph duct was drained without return to the fetal circulation in 10 chronically catheterized animals for 7 h. Four experiments in which the lymph was returned to the circulation served as control. During the 7-h drainage, the total volume drained was 174.4 +/- 19.6 ml. Thoracic duct lymph flow rate decreased gradually and averaged 22.2 +/- 3.4% (SE) below control at 6-7 h compared with a small increase in the control experiments (analysis of variance: P = 0.0013 comparing 2 groups). Fetal blood volume decreased (P < 0.0001) by 8.2 +/- 1.1% at 3 h because of a decrease in plasma volume with a further small decrease in blood volume to 9.7 +/- 0.9% below normal at 7 h. The decreases in blood volume at 1, 3, 5, and 7 h were 49.5, 40.2, 24.6, and 21.7%, respectively, of the volume of lymph that was drained. Fetal vascular pressures and heart rate did not change significantly. Although protein concentrations in plasma (-6.8 +/- 1.3%) and lymph (-7.5 +/- 2.1%) decreased, the lymph-to-plasma protein concentration ratio remained constant at 0.72 +/- 0.01.(ABSTRACT TRUNCATED AT 250 WORDS)

Thoracic duct lymph flow and its measurement in chronically catheterized sheep fetus

1989 ◽  
Vol 256 (1) ◽  
pp. H16-H20 ◽  
Author(s):  
R. A. Brace
Keyword(s):  
Flow Rate ◽  
Thoracic Duct ◽  
Lymphatic Vessels ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Computer Technique ◽  
Venous Circulation ◽  
Duct Lymph ◽  
Unit Body Weight ◽  
Sheep Fetus

A method was developed for chronic catheterization of the left thoracic lymph duct at the base of the neck in the sheep fetus, which did not disrupt the other major lymphatic vessels that join the venous circulation at the same location. The lymphatic catheter was connected to a catheter in a jugular vein when lymph flow was not being recorded, so that the lymph continuously returned to the fetal circulation. Special consideration of catheter size to minimize flow resistance and treatment to prevent clotting were required. Individual animals were maintained up to 17 days with lymph flow continuing. In 13 fetuses averaging 128 days gestation (term = 147 days) at the time of catheterization, lymph flow rate was measured for 1 h each day for the first 7 postsurgical days with an on-line computer technique that continuously calculated lymph flow rate. Lymph flow averaged 0.64 +/- 0.17 (SD) ml/min in fetuses weighing 2.3-4 kg and tended to undergo a nonsignificant increase with time. Lymph and plasma protein concentrations did not change with time. In individual fetuses, large spontaneous variations in lymph flow rate occurred over periods of several seconds to a few minutes. Analysis showed that these variations in flow rate were not associated with fetal breathing movements. Thus the present study describes a technique for studying the dynamics of lymph flow in the unanesthetized sheep fetus in utero over a time period limited primarily by the length of gestation. In addition, it appears that thoracic duct lymph flow rate in the fetus per unit body weight averages three to four times that in the adult.

Chronic lymph flow and transcapillary fluid flux during angiotensin II hypertension

1990 ◽  
Vol 259 (6) ◽  
pp. R1205-R1213 ◽  
Author(s):  
J. Valenzuela-Rendon ◽  
R. D. Manning
Keyword(s):  
Angiotensin Ii ◽  
Plasma Protein ◽  
Thoracic Duct ◽  
Protein Transport ◽  
Lymph Flow ◽  
Fluid Volume ◽  
Thoracic Duct Lymph ◽  
Ang Ii ◽  
Fluid Flux ◽  
Duct Lymph

The roles of the transvascular fluid flux and lymph flow in the distribution of extracellular fluid volume during angiotensin II (ANG II) hypertension were evaluated in 11 conscious dogs. Similarly, the factors regulating the distribution of plasma protein across the microvasculature were assessed. By the second day of ANG II infusion, the thoracic duct lymph flow had increased 58% above control, transcapillary fluid flux had increased 45%, and plasma volume, sulfate space, and interstitial fluid volume remained close to control. In addition, the thoracic duct lymph protein transport had increased 34%, and the accompanying increase in transcapillary protein flux prevented any change in plasma protein mass. Also, at this time, the lymph flow and protein transport from subcutaneous tissue in the hind limb were not increased, and the permeability-surface area product of this region decreased 40%. The origin of the increased thoracic duct lymph flow on day 2 probably was from the splanchnic bed. In conclusion, the increased lymph flow during ANG II hypertension compensated for the increase in transcapillary fluid flux, thus preventing edema formation.

Plasma volume, red cell volume, and thoracic duct lymph flow in hypothermia

1977 ◽  
Vol 233 (5) ◽  
pp. H605-H612 ◽  
Author(s):  
R. Y. Chen ◽  
S. Chien
Keyword(s):  
Blood Cell ◽  
Cell Volume ◽  
Plasma Volume ◽  
Red Blood Cell ◽  
Thoracic Duct ◽  
Protein Concentration ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Circulating Blood Volume ◽  
Duct Lymph

The effects of hypothermia on plasma volume (125I-albumin), red blood cell volume (51 Cr-RBC), and capillary permeability (thoracic duct lymph flow and protein concentration) were determined on dogs anesthetized with pentobarbital, paralyzed with succinylcholine, and mechanically ventilated. Red blood cell volume and plasma protein concentration did not change significantly after cooling. Reductions in plasma volume and total plasma proteins indicate that whole plasma was excluded from the effective circulating blood volume. Except for a lesser increase in hematocrit, chronically splenectomized dogs showed essentially the same changes as normal dogs in response to hypothermia. Following application of ice bags, there was a biphasic response in lymph flow. The early increase in lymph flow accompanying a slight decrease in plasma volume was attributable to transcapillary fluid loss into interstitial space, probably due to cold-induced sympathetic activity. The later decrease in lymph flow in hypothermia resulted from a decrease of lymph production secondary to a decrease in available capillary diffusion area. This decrease in lymph flows and the continued reduction in plasma volume suggest an intravascular sequestration of whole plasma.

Effects of outflow pressure and vascular volume loading on thoracic duct lymph flow in adult sheep

1990 ◽  
Vol 258 (1) ◽  
pp. R240-R244 ◽  
Author(s):  
R. A. Brace ◽  
G. J. Valenzuela
Keyword(s):  
Flow Rate ◽  
Thoracic Duct ◽  
Venous Pressure ◽  
Ringer Solution ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Volume Loading ◽  
Vascular Volume ◽  
Duct Lymph ◽  
Lymph Duct

Studies have shown that lymph flow rate from several tissues depends on the pressure at the outflow end of the lymphatics. The left thoracic lymph duct is the largest lymphatic vessel and it transports a majority of the body's lymph. We varied outflow pressure for the left thoracic lymph duct independent of venous pressure in six unanesthetized, nonpregnant adult ewes with chronic lymphatic and venous catheters. When outflow pressure was negative, the thoracic duct lymph flow rate was independent of outflow pressure and averaged 0.040 +/- 0.004 (SE) ml.min-1.kg body wt-1. Lymph flow began to decrease with increasing outflow pressure only when outflow pressure was significantly greater than venous pressure. Above this breakpoint, lymph flow decreased linearly with outflow pressure and ceased at an outflow pressure of 25.6 +/- 4.2 mmHg. After vascular volume loading with lactated Ringer solution, steady-state thoracic duct lymph flow increased to 351 +/- 54% of control and was independent of outflow pressure when outflow pressure was negative. As outflow pressure was elevated, lymph flow began to decrease at the same breakpoint as before volume loading, and lymph flow ceased at the same outflow pressure as before volume loading. Thus this study shows that there is a plateau where thoracic duct lymph flow rate is independent of outflow pressure. In addition venous pressure under normal or volume-loaded conditions is not an impediment to thoracic duct lymph flow in unanesthetized sheep. Large increases in venous pressure are required to totally block thoracic duct lymph flow.

Effects of interleukin-2 on the pulmonary microvasculature in anesthetized sheep

1994 ◽  
Vol 76 (2) ◽  
pp. 909-915 ◽  
Author(s):  
D. Lei ◽  
E. H. Jerome ◽  
D. Douguet ◽  
G. J. Jesmok ◽  
D. P. Schuster ◽  
...  
Keyword(s):  
Thoracic Duct ◽  
Interleukin 2 ◽  
Lymph Flow ◽  
Thoracic Duct Lymph ◽  
Final Dose ◽  
Lung Water ◽  
Plasma Protein Concentration ◽  
Mediastinal Node ◽  
Positron Emission ◽  
Duct Lymph

Interleukin-2 (IL-2) is reputed to cause pulmonary microvascular injury. We studied the pulmonary and splanchnic microcirculation of anesthetized sheep after one dose (1.8 x 10(6) IU/kg) of IL-2 (n = 9) and after six doses (1.8 x 10(6) IU.kg-1.dose-1) of IL-2 over 3 days (n = 9). Seven control sheep received only 5% dextrose diluent. We measured hemodynamics and lymph dynamics in anesthetized sheep after the final dose of IL-2 or diluent. After one dose of IL-2, caudal mediastinal node (mainly pulmonary) lymph flow was stable, whereas thoracic duct lymph flow increased from a baseline of 54 +/- 6 to 124 +/- 22 ml/h. After 3 days of IL-2, the caudal mediastinal node lymph flow increased from 7.7 +/- 5.5 to 19.0 +/- 14.8 ml/h 5–6 h after the final dose of IL-2, and thoracic duct lymph flow increased from 84 +/- 43 to 143 +/- 42 ml/h. The lymph-to-plasma protein concentration ratio increased after IL-2 for thoracic duct but not for caudal mediastinal node lymph. The equilibration rate of 125I-albumin from plasma to caudal mediastinal node lymph did not change, whereas plasma-to-thoracic duct lymph equilibration was faster after both one dose and 3 days of IL-2. Positron emission tomography showed no increase in the pulmonary transcapillary escape rate for 68Ga-labeled transferrin or in extravascular lung water (n = 4). We conclude that IL-2 at doses two to three times those used clinically does not significantly injure the pulmonary microcirculation of sheep.

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