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1 Bioengineering, University of California, San Diego, La Jolla, CA, USA; La Jolla Bioengineering Institute, La Jolla, CA, USA
2 Bioengineering, University of California, San Diego, La Jolla, CA, USA
3 La Jolla Bioengineering Institute, La Jolla, CA, USA
4 Departments of Physiology, Bioengineering, and the Institute of Environmental Medicine, University of Pennsylvania, Philadelphia, PA, USA
* To whom correspondence should be addressed. E-mail: agtsai{at}ucsd.edu.
We tested the hypothesis that high viscosity plasma (HV) in extreme hemodilution causes wall shear stress to be greater than low viscosity plasma (LV), leading to enhanced production of NO. Perivascular concentration of nitric oxide (NO) was measured in arterioles and venules and the tissue of the hamster chamber window model, subjected to acute extreme hemodilution, hematocrit (HCT) of 11% using dextran 500 kDa (n=6) or dextran 70 kDa (n=5) with final plasma viscosities of 1.99 ± 0.11 cp and 1.33 ± 0.04 cp respectively. HV significantly increased periarteriolar, perivenular and tissue NO concentration by 2.0, 1.9 and 1.4 times the control (n = 7). NO concentration with LV was not statistically different from control. Arteriolar shear stress was significantly increased in HV relative to LV in arteriolar, but not in venules. Aortic endothelial nitric oxide synthase (eNOS) protein expression was increased with HV, but not with LV. There was a weak correlation between perivascular NO concentration and the locally calculated shear stress induced by the procedures, when blood viscosity was corrected according to HCT values previously determined in studies of microvascular HCT distribution. The finding that periarteriolar and venular NO concentration in HV was the same although arteriolar shear stress was significantly greater than venular shear stress maybe be due to differences in vessel wall metabolism between arterioles and venules and the presence of transport of NO through the blood stream in the microcirculation. Results support the concept that in extreme hemodilution high viscosity plasma maintains functional capillary density (FCD) through a NO-mediated vasodilatation.
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