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当异常细胞被困时,猫脾脏内是否会形成不利于红细胞的代谢环境?

Does an unfavorable metabolic environment for red cells develop within the cat spleen when abnormal cells become trapped?

作者信息

Groom A C, Levesque M J, Nealon S, Basrur S

出版信息

J Lab Clin Med. 1985 Feb;105(2):209-13.

PMID:3973459
Abstract

Intrasplenic pH, blood gas tensions, and glucose concentration were deduced from measurements of blood drained from cat spleen during contraction with the inflow occluded. During this procedure the hematocrit of the outflow rises gradually from 35% to 40% (arterial) to 75% to 80%, the last fraction representing a pure sample of blood from the splenic pulp. In normoxic animals no evidence was found of an unfavorable metabolic environment for red cells within the spleen on account of low pH, low O2 tension, and substrate deprivation, as is generally believed. However, red cell flow through the red pulp can be impeded rheologically after sequestration of 10(9) heat-treated (HT) autologous red cells, and we have tested the hypothesis that under these conditions the availability of O2 and glucose might be reduced and a decline in pH might occur. One hour after injection of the HT cells into the splenic artery, splenic contraction was induced with the arterial inflow occluded; the blood expelled from the splenic vein was collected anaerobically as successive 1 ml fractions. Values of pH, O2 tension, and glucose concentration in the final samples expelled were not significantly different from those in corresponding samples from control spleens. Thus, even when stasis of 50% of intrasplenic red cells occurs, caused by the sequestration of 10(9) abnormal cells, no hostile metabolic environment develops within the red pulp. Presumably the residual plasma flow through the pulp is sufficient to maintain a normal metabolic environment.

摘要

通过测量在流入被阻断的情况下猫脾脏收缩时排出的血液,推导出脾内pH值、血气张力和葡萄糖浓度。在此过程中,流出液的血细胞比容从35%(动脉血)逐渐升至75%至80%,最后一部分代表脾髓的纯血样本。在常氧动物中,未发现如通常所认为的那样,由于低pH值、低氧张力和底物缺乏,脾脏内存在不利于红细胞的代谢环境。然而,在滞留10⁹个热处理(HT)自体红细胞后,红细胞在红髓中的流动在流变学上可能会受到阻碍,并且我们已经检验了这样一个假设,即在这些条件下,氧气和葡萄糖的可用性可能会降低,pH值可能会下降。将HT细胞注入脾动脉一小时后,在阻断动脉流入的情况下诱导脾脏收缩;从脾静脉排出的血液以连续1毫升的部分进行厌氧收集。最终排出样本中的pH值、氧张力和葡萄糖浓度与对照脾脏相应样本中的值没有显著差异。因此,即使由于滞留10⁹个异常细胞导致脾内50%的红细胞发生淤滞,红髓内也不会形成有害的代谢环境。据推测,通过髓质的残余血浆流量足以维持正常的代谢环境。

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