Hogan M C, Bebout D E, Wagner P D
Department of Medicine, University of California, San Diego, La Jolla 92093-0623.
J Appl Physiol (1985). 1991 Jun;70(6):2656-62. doi: 10.1152/jappl.1991.70.6.2656.
We investigated the effect of increasing hemoglobin- (Hb) O2 affinity on muscle maximal O2 uptake (VO2max) while muscle blood flow, [Hb], HbO2 saturation, and thus O2 delivery (muscle blood flow X arterial O2 content) to the working muscle were kept unchanged from control. VO2max was measured in isolated in situ canine gastrocnemius working maximally (isometric tetanic contractions). The muscles were pump perfused, in alternating order, with either normal blood [O2 half-saturation pressure of hemoglobin (P50) = 32.1 +/- 0.5 (SE) Torr] or blood from dogs that had been fed sodium cyanate (150 mg.kg-1.day-1) for 3-4 wk (P50 = 23.2 +/- 0.9). In both conditions (n = 8) arterial PO2 was set at approximately 200 Torr to fully saturate arterial blood, which thereby produced the same arterial O2 contents, and muscle blood flow was set at 106 ml.100 g-1.min-1, so that O2 delivery in both conditions was the same. VO2max was 11.8 +/- 1.0 ml.min-1.100 g-1 when perfused with the normal blood (control) and was reduced by 17% to 9.8 +/- 0.7 ml.min-1.100 g-1 when perfused with the low-P50 blood (P less than 0.01). Mean muscle effluent venous PO2 was also significantly less (26 +/- 3 vs. 30 +/- 2 Torr; P less than 0.01) in the low-P50 condition, as was an estimate of the capillary driving pressure for O2 diffusion, the mean capillary PO2 (45 +/- 3 vs. 51 +/- 2 Torr). However, the estimated muscle O2 diffusing capacity was not different between conditions.(ABSTRACT TRUNCATED AT 250 WORDS)
我们研究了增加血红蛋白(Hb)与氧气(O₂)的亲和力对肌肉最大摄氧量(VO₂max)的影响,同时使肌肉血流量、血红蛋白浓度([Hb])、HbO₂饱和度以及因此向工作肌肉的氧气输送量(肌肉血流量×动脉血氧含量)保持与对照组相同。VO₂max是在离体的原位犬腓肠肌进行最大程度工作(等长强直收缩)时测量的。肌肉通过泵交替灌注正常血液(血红蛋白的氧半饱和压力(P50)= 32.1±0.5(标准误)托)或来自喂食氰酸钠(150毫克·千克⁻¹·天⁻¹)3 - 4周的犬的血液(P50 = 23.2±0.9)。在两种情况下(n = 8),动脉血氧分压(PO₂)设定为约200托以使动脉血完全饱和,从而产生相同的动脉血氧含量,并且肌肉血流量设定为106毫升·100克⁻¹·分钟⁻¹,以便两种情况下的氧气输送量相同。用正常血液灌注时(对照组),VO₂max为11.8±1.0毫升·分钟⁻¹·100克⁻¹,而用低P50血液灌注时降低了17%,降至9.8±0.7毫升·分钟⁻¹·100克⁻¹(P < 0.01)。在低P50情况下,平均肌肉流出静脉血PO₂也显著更低(26±3对30±2托;P < 0.01),作为氧气扩散的毛细血管驱动压力估计值的平均毛细血管PO₂也是如此(45±3对51±2托)。然而,两种情况下估计的肌肉氧气扩散能力并无差异。(摘要截断于250字)