Rahbar Elaheh, Akl Tony, Coté Gerard L, Moore James E, Zawieja David C
Center for Translational Injury Research, Department of Surgery, University of Texas Health Science Center, Houston, Texas, USA.
Microcirculation. 2014 Jul;21(5):359-67. doi: 10.1111/micc.12112.
To assess lymphatic flow adaptations to edema, we evaluated lymph transport function in rat mesenteric lymphatics under normal and increased fluid volume (edemagenic) conditions in situ.
Twelve rats were infused with saline (intravenous infusion, 0.2 mL/min/100 g body weight) to induce edema. We intravitally measured mesenteric lymphatic diameter and contraction frequency, as well as lymphocyte velocity and density before, during, and after infusion.
A 10-fold increase in lymphocyte velocity (0.1-1 mm/s) and a sixfold increase in flow rate (0.1-0.6 μL/min), were observed post infusion, respectively. There were also increases in contraction frequency and fractional pump flow one minute post infusion. Time-averaged wall shear stress increased 10 fold post infusion to nearly 1.5 dynes/cm(2) . Similarly, maximum shear stress rose from 5 to 40 dynes/cm(2) .
Lymphatic vessels adapted to edemagenic stress by increasing lymph transport. Specifically, the increases in lymphatic contraction frequency, lymphocyte velocity, and shear stress were significant. Lymph pumping increased post infusion, though changes in lymphatic diameter were not statistically significant. These results indicate that edemagenic conditions stimulate lymph transport via increases in lymphatic contraction frequency, lymphocyte velocity, and flow. These changes, consequently, resulted in large increases in wall shear stress, which could then activate NO pathways and modulate lymphatic transport function.
为评估淋巴管对水肿的适应性,我们在正常和液体量增加(致水肿)的原位条件下,评估了大鼠肠系膜淋巴管的淋巴运输功能。
给12只大鼠静脉输注生理盐水(0.2 mL/分钟/100克体重)以诱导水肿。我们在输注前、输注期间和输注后活体测量肠系膜淋巴管直径、收缩频率以及淋巴细胞速度和密度。
输注后,观察到淋巴细胞速度增加了10倍(从0.1毫米/秒增至1毫米/秒),流速增加了6倍(从0.1微升/分钟增至0.6微升/分钟)。输注后1分钟,收缩频率和部分泵流量也有所增加。时间平均壁面剪应力在输注后增加了10倍,达到近1.5达因/平方厘米。同样,最大剪应力从5达因/平方厘米升至40达因/平方厘米。
淋巴管通过增加淋巴运输来适应致水肿应激。具体而言,淋巴收缩频率、淋巴细胞速度和剪应力的增加显著。输注后淋巴泵血增加,尽管淋巴管直径的变化无统计学意义。这些结果表明,致水肿条件通过增加淋巴收缩频率、淋巴细胞速度和流量来刺激淋巴运输。因此,这些变化导致壁面剪应力大幅增加,进而可激活一氧化氮途径并调节淋巴运输功能。