Alberding Jonathan P, Baldwin Ann L, Barton Jennifer K, Wiley Elizabeth
Biomedical Engineering Program, Arizona Health Sciences Center, Tucson 85724-5084, USA.
Am J Physiol Heart Circ Physiol. 2004 May;286(5):H1827-35. doi: 10.1152/ajpheart.01059.2003. Epub 2004 Jan 15.
Convective fluid motion through artery walls aids in the transvascular transport of macromolecules. Although many measurements of convective filtration have been reported, they were all obtained under constant transmural pressure. However, arterial pressure in vivo is pulsatile. Therefore, experiments were designed to compare filtration under steady and pulsatile pressure conditions. Rabbit carotid arteries were cannulated and excised from male New Zealand White rabbits anesthetized with pentobarbitol sodium (30 mg/kg i.v. administered). Hydraulic conductance was measured in cannulated excised rabbit carotid arteries at steady pressure. Next, pulsatile pressure trains were applied within the same vessels, and, simultaneously, arterial distension was monitored using Optical coherence tomography (OCT). For each pulse train, the volume of fluid lost through filtration was measured (subtracting volume change due to residual distension) and compared with that predicted from steady pressure measurements. At 60- and 80-mmHg baseline pressures, the experimental filtration volumes were significantly increased compared with those predicted for steady pressure (P < 0.05). OCT demonstrated that the excess fluid volume loss was significantly greater than the volume that would be lost through residual distension (P < 0.05). After 30 s, the magnitude of the excess of fluid loss was reduced. These results suggest that sudden onset of pulsatile pressure may cause changes in arterial interstitial hydration.
通过动脉壁的对流性流体运动有助于大分子的跨血管运输。尽管已经报道了许多对流过滤的测量结果,但它们都是在恒定跨壁压力下获得的。然而,体内动脉压是脉动的。因此,设计实验来比较稳定压力和脉动压力条件下的过滤情况。从用戊巴比妥钠(静脉注射30mg/kg)麻醉的雄性新西兰白兔身上插管并切除兔颈动脉。在插管的离体兔颈动脉中测量稳定压力下的水力传导率。接下来,在同一血管内施加脉动压力序列,同时使用光学相干断层扫描(OCT)监测动脉扩张情况。对于每个脉冲序列,测量通过过滤损失的液体体积(减去由于残余扩张引起的体积变化),并与根据稳定压力测量预测的体积进行比较。在60和80mmHg的基线压力下,实验过滤体积比稳定压力预测的体积显著增加(P<0.05)。OCT表明,多余的液体体积损失明显大于通过残余扩张损失的体积(P<0.05)。30秒后,多余液体损失的幅度减小。这些结果表明,脉动压力的突然出现可能会导致动脉间质水化的变化。