Valenzuela-Rendon J, Manning R D
Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson 39216-4505.
Am J Physiol. 1990 Dec;259(6 Pt 2):R1205-13. doi: 10.1152/ajpregu.1990.259.6.R1205.
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.
在11只清醒犬中评估了血管内液体通量和淋巴流量在血管紧张素II(ANG II)高血压期间细胞外液体积分布中的作用。同样,对调节血浆蛋白跨微血管分布的因素进行了评估。在输注ANG II的第二天,胸导管淋巴流量比对照增加了58%,跨毛细血管液体通量增加了45%,而血浆容量、硫酸盐间隙和组织间液体积仍接近对照。此外,胸导管淋巴蛋白转运增加了34%,伴随的跨毛细血管蛋白通量增加防止了血浆蛋白量的任何变化。同样,此时后肢皮下组织的淋巴流量和蛋白转运没有增加,该区域的通透表面积乘积下降了40%。第二天胸导管淋巴流量增加的来源可能是内脏床。总之,ANG II高血压期间淋巴流量增加补偿了跨毛细血管液体通量的增加,从而防止了水肿形成。