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Departments of Nephrology and Physiology, University Hospital of Lund, S-221 85 Lund, Sweden
Lymph flow is
elevated in most inflammatory conditions. However, a few previous
studies have indicated that peritoneal lymph flow may actually fall
during acute peritonitis. This study was performed to explore this
issue further and to study the pathophysiology of peritoneal exchange
during peritonitis. Therefore, we wanted to assess the total peritoneal
clearance (Cl) and the clearance from peritoneum to plasma (Cl
P) of 125I-labeled albumin
(125I-albumin) as well as
plasma-to-dialysate clearance (Cl
D) of Evans blue-labeled
albumin together with peritoneal ultrafiltration (UF) profiles and mass
transfer area coefficients of
51Cr-EDTA and glucose in rats
after acute peritonitis induced by zymosan. Zymosan incubation of the
peritoneal cavity (120 mg) for 4 h generally led to a 4- to 10-fold
increase in peritoneal fluid white blood cell count, indicating that
acute peritonitis had been induced. Then 16 ml of 3.86% Dianeal and
125I-albumin were instilled
intraperitoneally, whereas Evans blue-labeled albumin and
51Cr-EDTA were given as infusions
intravenously. Compared with control, mass transfer area coefficients
for glucose and 51Cr-EDTA
increased markedly from 0.43 ± 0.06 and 0.25 ± 0.04 to 0.91 ± 0.06 and 0.59 ± 0.05 (SE) ml/min,
respectively, during peritonitis, whereas Cl and Cl
D
increased from 32.8 ± 5.6 and 8.6 ± 1.6 to 74.5 ± 7.3 and
12.9 ± 1.0 µl/min, respectively. The UF profile in peritonitis
indicated type I loss of UF (resulting from the increases in
permeability-surface area product for glucose). However, the Cl
P declined to 5.9 ± 1.0 µl/min from 7.9 ± 0.8 µl/min (P < 0.05) in control. In
conclusion, despite marked effects on peritoneal solute transport and
on UF, conceivably resulting from vasodilatation and increases in
capillary permeability, zymosan-induced peritonitis did not cause any
acute increases in direct peritoneal lymphatic absorption.
lymph flow; peritoneal transport; capillary permeability
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