Kalaidjieva V, Iliev Z
Department of Physiology, Faculty of Medicine, Thracian University, Stara Zagora.
Folia Med (Plovdiv). 1999;41(3):56-61.
The object of the present study was to evaluate the physiologic mechanisms regulating erythropoiesis by monitoring the changes in reticulocyte count in the circulation and the formation of erythroblastic islands in the bone marrow following hypertransfusion and dehydration. Forty-eight male Wistar rats (110-130 grams) were transfused with 70% isogenic suspension of washed and packed red cells at a dose of 2.5 ml/100 g body weight intravenously on two consecutive days (absolute erythrocytosis) or deprived of water for three days to produce relative erythrocytosis and then injected i.v. with saline at a dose of 2.5 ml/100 g body weight with water provided at libitum. Hematocrit was measured using the microhematocrit method. Reticulocytes were enumerated using the new methylene blue stain. Plasma EPO levels were measured radioimmunologically and a bone marrow suspension was prepared for morphological examination and absolute erythroblastic islands determination. We observed a marked suppression of erythropoiesis following the transfusion as evidenced by the elevation in hematocrit values up to 0.64 +/- 0.04, a decrease in reticulocyte count and plasma EPO reduction--13.5 +/- 3.4 mU/ml (P < 0.05) and a suppression of EO formation in the bone marrow (P < 0.01). The hematocrit of the dehydrated rats was elevated during the first 24 hours (P < 0.001). Reticulocytes, as well as EO, decreased on day 3 down do 53.6 x 10(9)/l +/- 9.8 x 10(9)/l (P < 0.001) and 153.6 x 10(3) +/- 21.5 x 10(3)/femur (P < 0.001), respectively. The EPO level was measured simultaneously--16.3 +/- 4.2 mU/ml versus 24.6 +/- 5.3 mU/ml at day 1 (P < 0.001). Following rehydration, a fast increase in the hematocrit value with a concomitant increase in EO and the reticulocyte counts was observed. Our results show that the absolute and relative changes in hematocrit values are paramount in the feedback mechanism for erythroid homeostasis.
本研究的目的是通过监测超量输血和脱水后循环中网织红细胞计数的变化以及骨髓中红细胞生成岛的形成,来评估调节红细胞生成的生理机制。48只雄性Wistar大鼠(体重110 - 130克)连续两天静脉注射剂量为2.5毫升/100克体重的70%同基因洗涤并浓缩的红细胞悬液(绝对红细胞增多症),或禁食三天以产生相对性红细胞增多症,然后静脉注射剂量为2.5毫升/100克体重的生理盐水,并随意提供饮水。采用微量血细胞比容法测量血细胞比容。使用新亚甲蓝染色法计数网织红细胞。采用放射免疫法测量血浆促红细胞生成素(EPO)水平,并制备骨髓悬液用于形态学检查和确定绝对红细胞生成岛。我们观察到输血后红细胞生成受到明显抑制,表现为血细胞比容值升高至0.64±0.04,网织红细胞计数减少,血浆EPO降低至13.5±3.4毫国际单位/毫升(P<0.05),以及骨髓中红细胞生成岛形成受到抑制(P<0.01)。脱水大鼠的血细胞比容在最初24小时内升高(P<0.001)。第3天,网织红细胞以及红细胞生成岛分别降至53.6×10⁹/升±9.8×10⁹/升(P<0.001)和153.6×10³±21.5×10³/股骨(P<0.001)。同时测量的EPO水平为16.3±4.2毫国际单位/毫升,而第1天为24.6±5.3毫国际单位/毫升(P<0.001)。补液后,观察到血细胞比容值快速升高,同时红细胞生成岛和网织红细胞计数增加。我们的结果表明,血细胞比容值的绝对和相对变化在红细胞内环境稳定的反馈机制中至关重要。