Pulmonary capillary recruitment during airway hypoxia in the dog.

To study the effect of hypoxia on the pulmonary capillaries, windows were inserted in the chest wall of 9 pentobarbital-anesthetized dogs. A microscope with an image-superimposing device was used to make drawings of the perfused capillaries. Summed lengths of individual perfused capillaries in the drawing were determined with a map-measuring tool. Total capillary length was constant between PaO2 of 160 and 70 Torr. As PaO2 fell below 70 Torr, recruitment of previously unperfused capillaries occurred in every case; at PaO2 of 40 Torr, the total length of perfused capillaries was about 4 times greater than during normoxia. There was no correlation between the recruitment of capillaries and alterations in left atrial pressure, only a weak correlation with cardiac output changes, but a very strong correlation with increased pulmonary artery pressure. This implies that recruitment was probably caused by vasoconstriction within the lung.     

Use of norepinephrine uptake to measure lung capillary recruitment with exercise

We used the multiple indicator-dilution technique with norepinephrine, a vascular endothelium surface marker, to study the pulmonary vascular changes in awake exercising dogs. The vascular space tracers, labeled erythrocytes and albumin, and a water space tracer, 1,8-octanediol, were injected with the norepinephrine, and right atrium-aortic root dilution curves were obtained in nine dogs, at rest and at two increasing levels of exercise. Extravascular lung water multiple tracer dilutional estimates increased with flow and rapidly approached a maximal asymptotic value representing 75% of the postmortem lung weight. The ratio of the extravascular lung water measured in this way to that measured gravimetrically also increased, to reach an asymptotic proportion of close to 100%. The transit time-defined central vascular space increased linearly with flow; the ratio of lung tissue space to lung vascular space, therefore, decreased with increasing flow. The mean tracer upslope norepinephrine extractions at rest and at the two levels of exercise were 17 +/- 1.2, 14 +/- 0.8, and 15 +/- 0.8% (SE). With the use of the Crone approximation, we computed permeability-surface area products for norepinephrine; these increased linearly with flow. If permeability does not change, the increase in the permeability-surface area product with flow can be attributed to capillary recruitment. We conclude that when all lung tissue has become accessible to 1,8-octanediol delivered via the perfused vascular space, there is nevertheless further recruitment, with increase in flow, of vascular surface that can extract norepinephrine.     

Cell recruitment during glial repair: the role of exogenous cells

Summary Selective disruption of the neuroglia in penultimate abdominal connectives of the cockroach nerve is followed by a rapid accumulation of cells in the perineurial layer of the lesion. Subsequently, there is an abrupt, secondary, rise in cell numbers in the undamaged perineurial tissues, anterior to the lesion and adjacent to the 4th abdominal ganglia. By 7 days the increased cell numbers are again effectively confined to the original lesion zone. The initial rise in cell numbers is postulated to result from an invasion by blood-borne haemocytes and the subsequent increase, in undamaged perineurial tissues, from the mobilization of endogenous reactive cells. Recruitment of the endogenous cells is inhibited if the haemocytes are excluded from the lesion. There is a slower mobilization of sub-perineurial cells, which, again, is inhibited following exclusion of haemocytes from the lesion zone. It is postulated that the recruitment of the endogenous reactive cells is initiated by the invading haemocytes which transform to granule-containing cells and release diffusible morphogenic and/or mitogenic factors.     

Model analyses of capillary growth and tissue oxygenation during hypoxia

Theoretical analyses were used to determine whether capillary growth is an adaptive response to hypoxia. Parameter values were obtained from models of transverse sections of muscles in which individual fibers were distributed in square-ordered arrays and capillaries were added to the perimeters of individual fibers in the arrays. Increasing the number of capillaries up to 2.0 per fiber increased hypoxic tolerance by 157% above that expected for a Krogh cylinder. However, increasing the number of capillaries from 2.0 to 4.0 per fiber increased hypoxic tolerance by only 18% and, assuming the entire perimeter of each fiber was perfused with blood, increased hypoxic tolerance by only 11% over the value obtained when capillary-to-fiber ratio was 4.0. Capillary growth during normal maturation may result in capillary-to-fiber ratios around 2.0, near the upper limit for producing marked changes in hypoxic tolerance. Therefore, capillary growth may not be an adaptive response to ambient hypoxia because there is little or no gas transport benefit derived from the additional capillaries.     

Considering the role of pyruvate in tumor cells during hypoxia

Impairment of oxygen supply occurs in many pathological situations. In the case of cancer, both chronic and acute hypoxic areas are found in the tumor. Tumor hypoxia is associated with poor clinical prognoses and is correlated with tumor growth and metastasis development.     

Dynamics of lung collapse and recruitment during prolonged breathing in porcine lung injury

Oleic acid (OA)injection, lung lavage, and endotoxin infusion are three commonly usedmethods to induce experimental lung injury. The dynamics of lungcollapse and recruitment in these models have not been studied,although knowledge of this is desirable to establish ventilatorytechniques that keep the lungs open. We measured lung density bycomputed tomography during breath-holding procedures. Lung injury wasinduced with OA, lung lavage, or endotoxin in groups of sixmechanically ventilated pigs. After a stabilization period, repetitivecomputed tomography scans of the same slice were obtained duringprolonged expirations with and without positive end-expiratory pressureand during prolonged inspirations after 5 and 30 s of expiration. Lungcollapse and recruitment occurred mainly within the first 4 s ofbreath-holding procedures in all three lung injury models, and somecollapse and recruitment occurred even within 0.6 s. OA-injured lungswere significantly more unstable than lungs injured by bronchoalveolarlavage or endotoxin infusion. In this experimental setting, expirationtimes <0.6 s are required to avoid cyclic alveolar collapse duringmechanical ventilation without extrinsic positive end-expiratorypressure.