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1Departments of Anatomy and Physiology, and Kinesiology, Kansas State University, Manhattan, Kansas; 2Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; 3Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia; and 4Department of Applied Physics and Chemistry, University of Electro-Communications, Chofu, Tokyo, Japan
Submitted 20 March 2006 ; accepted in final form 5 July 2006
Microcirculatory red blood cell (RBC) hemodynamics are impaired within skeletal muscle of Type I diabetic rats (Kindig CA, Sexton WL, Fedde MR, and Poole DC. Respir Physiol 111: 163175, 1998). Whether muscle microcirculatory dysfunction occurs in Type II diabetes, the more prevalent form of the disease, is unknown. We hypothesized that Type II diabetes would reduce the proportion of capillaries supporting continuous RBC flow and RBC hemodynamics within the spinotrapezius muscle of the Goto-Kakizaki Type II diabetic rat (GK). With the use of intravital microscopy, muscle capillary diameter (dc), capillary lineal density, capillary tube hematocrit (Hctcap), RBC flux (FRBC), and velocity (VRBC) were measured in healthy male Wistar (control: n = 5, blood glucose, 105 ± 5 mg/dl) and male GK (n = 7, blood glucose, 263 ± 34 mg/dl) rats under resting conditions. Mean arterial pressure did not differ between groups (P > 0.05). Sarcomere length was set to a physiological length (
2.7 µm) to ensure that muscle stretching did not alter capillary hemodynamics; dc was not different between control and GK rats (P > 0.05), but the percentage of RBC-perfused capillaries (control: 93 ± 3; GK: 66 ± 5 %), Hctcap, VRBC, FRBC, and O2 delivery per unit of muscle were all decreased in GK rats (P < 0.05). This study indicates that Type II diabetes reduces both convective O2 delivery and diffusive O2 transport properties within muscle microcirculation. If these microcirculatory deficits are present during exercise, it may provide a basis for the reduced O2 exchange characteristic of Type II diabetic patients.
intravital microscopy; capillary network; Goto-Kakizaki rat; spinotrapezius; red blood cell flux
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