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Nephrology Unit, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642
Previously, we demonstrated that
immunoglobulin G (IgG), dissolved in an isotonic solution in the
peritoneal cavity, transported rapidly into the abdominal wall when the
intraperitoneal (ip) pressure was >2
cmH2O. We hypothesized that this
was chiefly caused by convection and that diffusion of IgG was
negligible. To investigate the role of diffusion, we dialyzed rats with
no pressure gradient across the abdominal wall muscle for 2 or 6 h with
an ip isotonic solution containing
125I-labeled IgG. At the end of
the experiment, the animal was euthanized and frozen and abdominal wall
tissue was processed to produce cross-sectional autoradiograms.
Quantitative densitometric analysis resulted in IgG concentration
profiles with far lower magnitude than profiles from experiments in
which convection dominated. In other in vivo experiments, we determined
the lymph flow rate to be 0.8 × 10
4
ml · min
1 · g
1
and the fraction of extravascular tissue
(
s) available to the IgG to
be 0.041 ± 0.001. An in vitro binding assay was used to determine
the time-dependent, nonsaturable binding constant: 0.0065 min
1 × duration of
exposure. A non-steady-state diffusion model that included effects of
s, time-dependent binding, and
lymph flow was fitted to the diffusion profile data, and the IgG
diffusivity within the tissue void was estimated to be 2 × 10
7
cm2/s, a value much higher than
that published by other groups. We also demonstrate from our previous
data that convection of IgG through tissue dominates over diffusion at
ip pressures >2 cmH2O, but
diffusion may not be negligible. Furthermore, nonsaturable binding must
be accounted for in the interpretation of tissue protein concentration
profiles.
interstitium; transport; peritoneum; protein; mathematical model
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