AJP - Heart pressure measurements
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol (December 2, 2004). doi:10.1152/ajpheart.00998.2004
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
288/4/H1730    most recent
00998.2004v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (47)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tsai, A. G
Right arrow Articles by Intaglietta, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tsai, A. G
Right arrow Articles by Intaglietta, M.
Submitted on September 29, 2004
Accepted on November 29, 2004

ELEVATED PLASMA VISCOSITY IN EXTREME HEMODILUTION INCREASES PERIVASCULAR NITRIC OXIDE CONCENTRATION AND MICROVASCULAR PERFUSION

Amy G Tsai1*, Cesar Acero2, Patricia R Nance2, Pedro Cabrales1, John A Frangos3, Donald G Buerk4, and Marcos Intaglietta1

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.




This article has been cited by other articles:


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
O. Yalcin, P. Ulker, U. Yavuzer, H. J. Meiselman, and O. K. Baskurt
Nitric oxide generation by endothelial cells exposed to shear stress in glass tubes perfused with red blood cell suspensions: role of aggregation
Am J Physiol Heart Circ Physiol, May 1, 2008; 294(5): H2098 - H2105.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
B. Y. Salazar Vazquez, P. Cabrales, A. G. Tsai, P. C. Johnson, and M. Intaglietta
Lowering of Blood Pressure by Increasing Hematocrit with Non Nitric Oxide Scavenging Red Blood Cells
Am. J. Respir. Cell Mol. Biol., February 1, 2008; 38(2): 135 - 142.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
P. Cabrales
Effects of erythrocyte flexibility on microvascular perfusion and oxygenation during acute anemia
Am J Physiol Heart Circ Physiol, August 1, 2007; 293(2): H1206 - H1215.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
A. T. McLaren, P. A. Marsden, C. D. Mazer, A. J. Baker, D. J. Stewart, A. K. Y. Tsui, X. Li, Y. Yucel, M. Robb, S. R. Boyd, et al.
Increased expression of HIF-1{alpha}, nNOS, and VEGF in the cerebral cortex of anemic rats
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2007; 292(1): R403 - R414.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
A. G. Tsai, P. Cabrales, B. N. Manjula, S. A. Acharya, R. M. Winslow, and M. Intaglietta
Dissociation of local nitric oxide concentration and vasoconstriction in the presence of cell-free hemoglobin oxygen carriers
Blood, November 15, 2006; 108(10): 3603 - 3610.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
P. Cabrales and A. G. Tsai
Plasma viscosity regulates systemic and microvascular perfusion during acute extreme anemic conditions
Am J Physiol Heart Circ Physiol, November 1, 2006; 291(5): H2445 - H2452.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
P. Cabrales, J. Martini, M. Intaglietta, and A. G. Tsai
Blood viscosity maintains microvascular conditions during normovolemic anemia independent of blood oxygen-carrying capacity
Am J Physiol Heart Circ Physiol, August 1, 2006; 291(2): H581 - H590.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
D. B. Kim-Shapiro, A. N. Schechter, and M. T. Gladwin
Unraveling the Reactions of Nitric Oxide, Nitrite, and Hemoglobin in Physiology and Therapeutics
Arterioscler Thromb Vasc Biol, April 1, 2006; 26(4): 697 - 705.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
M. Kavdia and A. S. Popel
Venular endothelium-derived NO can affect paired arteriole: a computational model
Am J Physiol Heart Circ Physiol, February 1, 2006; 290(2): H716 - H723.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
O. Yalcin, F. Aydin, P. Ulker, M. Uyuklu, F. Gungor, J. K. Armstrong, H. J. Meiselman, and O. K. Baskurt
Effects of red blood cell aggregation on myocardial hematocrit gradient using two approaches to increase aggregation
Am J Physiol Heart Circ Physiol, February 1, 2006; 290(2): H765 - H771.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
P. Cabrales, A. G. Tsai, R. M. Winslow, and M. Intaglietta
Extreme hemodilution with PEG-hemoglobin vs. PEG-albumin
Am J Physiol Heart Circ Physiol, December 1, 2005; 289(6): H2392 - H2400.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1977 by the American Physiological Society.