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脊椎动物低血容量挑战后血容量的控制:毛细血管与淋巴机制。

Control of blood volume following hypovolemic challenge in vertebrates: Transcapillary versus lymphatic mechanisms.

机构信息

Department of Biology, Portland State University, Portland, OR 97207, United States of America.

Department of Herpetology, California Academy of Sciences, San Francisco, CA 94118, United States of America.

出版信息

Comp Biochem Physiol A Mol Integr Physiol. 2021 Apr;254:110878. doi: 10.1016/j.cbpa.2020.110878. Epub 2020 Dec 20.

Abstract

Anurans have an exceptional capacity for maintaining vascular volume compared with other groups of vertebrates. They can mobilize interstitial fluids via lymphatic return at rates that are ten-fold higher than mammals. This extraordinary capacity is the result of coordination of specialized skeletal muscles and pulmonary ventilation that vary volume and pressure of subcutaneous lymph sacs, thus moving lymph to dorsally located lymph hearts that return lymph to the vascular space. Variation in the capacity to mobilize lymph within anurans varies with the degree of terrestriality, development of skeletal muscles, lung volume and lung compliance, and lymph heart pressure development. This ability enable anurans, which have the highest rates of evaporative water loss among terrestrial vertebrates, to withstand levels of dehydration far exceeding that of other vertebrates, and to successfully occupy virtually all terrestrial environments during their evolution. Maintenance of vascular fluid volume for all vertebrates can be achieved primarily by moving fluid from the interstitial space to the vascular space by transcapillary uptake and mobilization of interstitial (lymphatic) fluid. Transcapillary fluid uptake at the capillary level has been analyzed historically by Krogh and others from a Starling perspective and involves a balance of hydrostatic and oncotic forces. A complete evaluation of blood volume homeostasis also incorporates pressures and compliances of the vascular and interstitial spaces, but has been applied to only a few species. In this review we outline the current understanding of how anurans and other vertebrates maintain blood volume during hypovolemic challenges such as dehydration and hemorrhage which is crucial for maintaining cardiac output.

摘要

与其他脊椎动物相比,蛙类具有维持血管容积的非凡能力。它们可以通过淋巴回流将间质液以比哺乳动物高十倍的速度动员起来。这种非凡的能力是由专门的骨骼肌和肺通气协调产生的,它们可以改变皮下淋巴囊的体积和压力,从而将淋巴液输送到位于背部的淋巴心脏,将淋巴液回流到血管空间。蛙类动员淋巴的能力因陆地性、骨骼肌发育、肺容积和肺顺应性以及淋巴心脏压力发展的程度而异。这种能力使蛙类能够承受远远超过其他脊椎动物的脱水水平,并在其进化过程中成功占领几乎所有的陆地环境,而蛙类是陆地脊椎动物中蒸发失水率最高的动物。所有脊椎动物的血管内液体积的维持主要可以通过毛细血管摄取和动员间质(淋巴)液将液体从间质空间转移到血管空间来实现。毛细血管水平的跨毛细血管液体摄取历来从 Starling 的角度由 Krogh 等人进行了分析,涉及到静水压力和胶体渗透压的平衡。对血容量稳态的完整评估还包括血管和间质空间的压力和顺应性,但仅适用于少数几种物种。在这篇综述中,我们概述了目前对蛙类和其他脊椎动物如何在低血容量挑战(如脱水和出血)期间维持血容量的理解,这对于维持心输出量至关重要。

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