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Am J Physiol Heart Circ Physiol (April 1, 2004). doi:10.1152/ajpheart.01052.2003
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Submitted on December 4, 2003
Accepted on March 17, 2004

EFFECTS OF THE TAXANES PACLITAXEL AND DOCETAXEL ON EDEMA FORMATION AND INTERSTITIAL FLUID PRESSURE

Aurora Bronstad1*, Ansgar Berg1, and Rolf K. Reed1

1 Department of Physiology, University of Bergen, Bergen, Norway

* To whom correspondence should be addressed. E-mail: aurora.bronstad{at}fys.uib.no.

The interstitial fluid pressure (Pif) is important for maintaining constant interstitial fluid volume. In several acute inflammatory reactions a dramatic lowering of Pif has been observed, increasing the transcapillary filtration pressure and favoring the initial and rapid edema formation. This lowering of Pif seems to involve dynamic {beta}1-integrin mediated interactions between connective tissue cells and the extracellular matrix fibers (ECM). {beta}1-integrins are adhesion receptors responsible for the attachment of connective tissue cells to the ECM providing a force-transmitting physical link between the ECM and the cytoskeleton. Disruption of the actin filaments leads to lowering of Pif and edema formation, suggesting a role for the actin filaments. The aim of this study was to further investigate the role of the cytoskeleton in control of Pif by studying the effect of microtubuli fixation using paclitaxel and docetaxel. Pif was measured with the micropuncture technique. Albumin extravasation (Ealb) was measured using 125I-labeled albumin. Paclitaxel and docetaxel were tested locally on foot skin in female Wistar rats. Paclitaxel (6 mg/ml) reduced Pif from -1.5±1.0 mmHg in controls to -4.9±2.6 mmHg after 30 min (p<0.05) in a dose-dependent manner (p<0.05). Docetaxel caused a similar lowering of Pif. Both paclitaxel and docetaxel increased Ealb compared to Cremophor-El® and saline control (p<0.05). Pretreatment with phalloidin prior to paclitaxel, causing fixation of the actin filaments abolished the lowering of Pif caused by paclitaxel. This study confirms several previous studies demonstrating that connective tissue cells influence Pif and edema formation.




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