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[Measurement of capillary permeability in chronic venous insufficiency using sodium fluorescein video-densitometry].

The measurement of capillary permeability in chronic venous insufficiency (CVI) requires techniques able to modify local microcirculatory hemodynamics and therefore the results. As for instance, venous occlusion in the Landis test or occlusive plethysmography. We are presenting a selective method which visualizes and quantifies capillary permeability without modifying the hemodynamics. A skin area on the lower extremity is observed on a microscope with blue filters. This optical device is linked with a camera transmitting information to a TV monitor and a video cassette recording system. When focusing is done, the patient's brachial vein is injected with an IV bolus of 1 ml if sodium fluorescein (Na flu). This dye diffuses rapidly from the intra toward the extra-capillary compartment. A densitometer connected to a graph measures the capillary permeability selected dynamics. The capillary permeability to Na flu is evaluated qualitatively on the TV screen (pericapillary halo), and quantitatively by the densitometric curve. In practice, this technique is advocated in the physiopathological study of any edema, especially in early CVI.

Capillary Permeability↗

Capillary permeability and boron distribution in ethylnitrosourea-induced rat glioma.

The vasculature and capillary permeability of gliomas induced by ethylnitrosourea in Sprague-Dawley rats were studied with horseradish peroxidase and Evans blue dye. The distribution of the boron-10 compound, Na2(10)B12H11SH, which is now in clinical use for boron neutron capture therapy (BNCT) for brain tumors, was investigated quantitatively using neutron-induced alpha-autoradiography. The vasculature and the degree of capillary permeability varied widely, depending mainly on the size of the glioma, and were often heterogeneous even in the same tumor. The distribution of boron-10 also varied, correlating to capillary permeability. The boron-10 concentration and the tumor:blood concentration ratio in large and medium-sized gliomas were adequate for successful BNCT. This study suggests that the vasculature and capillary permeability of the target brain tumor exert an important influence on the therapeutic efficacy of BNCT.

Animals↗

Increased capillary permeability mediated by a dengue virus-induced lymphokine.

The mechanism of increased capillary permeability, seen in cases of dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS), is not known. Dengue type 2 virus (DV) is known to induce production of a lymphokine, the cytotoxic factor (CF), by the T lymphocytes of mouse spleen. The data presented here show that intraperitoneal inoculation of CF in mice results in increased capillary permeability in a dose-dependent manner, as shown by leakage of intravenously injected radiolabelled iodine (125I) or Evans blue dye. Peak leakage occurred 30 min after inoculation of CF and the vascular integrity was restored by 2 hr. The increase in capillary permeability was abrogated by pretreatment of mice with anti-CF antibodies, avil (H1 receptor blocker) or ranitidine (H2 receptor blocker). The findings thus show that a DV-induced lymphokine, the CF, increases the capillary permeability via release of histamine.

Animals↗

Increased capillary permeability in guinea pigs and rats by peptidoglycan fraction extracted from Group A streptococcal cell walls.

The increased capillary permeability in the skin of guinea pigs and rats was induced by peptidoglycan fraction (PG fraction) extracted from cell walls of group A streptococcus, but not by C-carbohydrate of streptococcal cell walls nor lipopolysaccharide of Escherichia coli and Salmonella abortus. The increased capillary permeability caused by PG fraction was also observed in germ-free rats. It was suggested that the increased capillary permeability for PG fraction might be due to the biological activity of PG fraction. The pattern of the reaction of increased capillary permeability consists of two phases: the leakage of the dye in the first phase appeared immediately after the intracutaneous injection of PG fraction, and the second phase seems to depend upon vasculitis. The increasing activity of capillary permeability to PG fraction may play an important role in inducing initial change of tissue injury by streptococcal cell walls.

Animals↗

Lysophosphatidylcholine increases airway and capillary permeability in the isolated perfused rat lung.

The effects of lysophosphatidylcholine (lysoPC) on airway and capillary permeability in the isolated perfused rat lung were investigated. We determined the influence of lysoPC on the passage of different-sized (326-722 dalton) polyethylene glycols (PEGs), both from the airways to the pulmonary circulation and from the pulmonary circulation into the lung. We found that 1 mM lysoPC increased the overall passage of PEGs from the airways to the pulmonary circulation, and that 80 microM lysoPC increased the overall passage from the circulation into the lung. In both cases, the passage of the larger (502-722 dalton) PEGs increased more than the passage of the smaller (326-458 dalton) PEGs. We also found that the presence of lysoPC in the circulation increased the pulmonary arterial pressure, whereas deposition of lysoPC in the trachea did not. The pressure increase was blocked by indomethacine, BW755C, and quinacrine, inhibitors of arachidonic acid metabolism. These findings suggest that higher concentrations of lysoPC increase the airway permeability to larger molecules, and that lower concentrations of lysoPC increase the capillary permeability. The increase in capillary permeability may be due to a rise in capillary pressure mediated by arachidonic acid metabolites. The possibility that formation and accumulation of lysoPC is of importance for mediating inflammatory reactions in the lung is inferred.

Animals↗

Increased capillary permeability to albumin in diabetic rat myocardium.

To clarify the mechanism for the well-known increase in microvascular permeability that occurs with diabetes mellitus, we investigated capillary permeability to albumin in diabetic rat myocardium by electron microscopy using albumin-gold (Alb-Au) complexes as a tracer. Diabetes was induced by an intravenous injection of streptozotocin. After 24-32 weeks, hearts from diabetic rats and age-matched control rats were perfused with Krebs-Henseleit bicarbonate buffer containing Alb-Au for 5 or 20 minutes and then fixed and processed for electron microscopy. The binding and transport of Alb-Au by capillary endothelium was quantitatively evaluated. In control rats, Alb-Au particles were found preferentially bound to the luminal plasmalemmal vesicles. In diabetic rats, the labeling of luminal vesicles was more extensive and more pronounced after 5 minutes of perfusion when compared with control vesicles. The plasma membrane proper was also heavily labeled in diabetic rats. After 20 minutes, Alb-Au particles were transported across the capillary endothelium via plasmalemmal vesicles, but they did not penetrate the intercellular junctions in either control or diabetic rats. The vesicular transport of Alb-Au across the capillary endothelium was significantly increased in the diabetic myocardium when compared with control myocardium (percentage of abluminal labeled vesicles, 25.9 +/- 5.5% versus 1.3 +/- 0.5%; p < 0.01). The study on food-restricted rats with body weights close to those of diabetic rats suggested that caloric deficiency alone did not have much effect on capillary permeability. The data indicate that capillary permeability to albumin is markedly increased in diabetic myocardium because of enhanced vesicular transport. This may play an important role in the pathogenesis of diabetic cardiomyopathy.

Animals↗

Sequential change of capillary permeability in the rat brain after surgical removal of an experimental brain tumor.

Experimental brain tumors were excised from rats for sequential observation of changes in local capillary permeability during the postsurgical period. Experimental brain tumor-bearing rats were prepared by stereotaxic transplantation of cultured tumor cells and the resultant tumor was delineated by administration of a dye. Following excision of the stained tumor by craniotomy, sequential changes in local capillary permeability were quantitatively followed-up by autoradiography, using 14C-amino-isobutyric acid as a tracer. Capillary permeability was enhanced following surgery, reaching a maximum both in the extent and degree on the third day. After undergoing a gradual reduction, it showed a marked increase for the second time in a very small area on the 10th postoperative day. A recurrence of the tumor was responsible for this late but marked increase. For a control group, the caudate nucleus was excised from normal rats, followed by observation of the sequential changes in the local capillary permeability. Due to surgical procedure, capillary permeability reached a maximum both in the extent and degree on the 5th postoperative day (slightly later than in the tumor group). This change in capillary permeability was less pronounced than in the tumor group. The difference in the conditions of surgery--tumor excision and partial excision of a normal brain tissue--appeared to explain this difference. The results of this study indicated that it is more desirable to give water-soluble antineoplastic agents early during the postoperative period for chemotherapy of a malignant brain tumor after surgery.

Animals↗

Alterations in capillary permeability in rhesus monkeys with Plasmodium knowlesi infection.

The transcapillary escape rate and capillary permeability to albumin were studied in 3 rhesus monkeys throughout the whole course of P. knowlesi infection. The transcapillary escape rates started to increase on the first week after infection and were significantly higher than the control values during infection. Plasma volume was found to be increased while plasma albumin concentration decreased which resulted in the increased intravascular mass, outflux and clearance of albumin from the intravascular to the extravascular compartments. Increased As/delta X and Ps during malarial infection indicated that the increased capillary permeability was due to increased capillary surface area and the increased endothelial permeability. As there was no relationship between increased plasma volume or intravascular mass of albumin and As/delta X or Ps, the increased capillary permeability in these infected monkeys could not be explained by the stretching pore phenomena. As these parameters show a close relationship to the parasitemia, therefore malarial parasites may play a role in causing increased capillary permeability.

Animals↗

Opening the blood-brain and blood-tumor barriers in experimental rat brain tumors: the effect of intracarotid hyperosmolar mannitol on capillary permeability and blood flow.

Using quantitative autoradiography, we investigated the effect of intracarotid infusions of hyperosmolar mannitol solutions on capillary permeability and blood flow. Capillary permeability, expressed in terms of a blood-to-tissue transfer constant (K), was determined in two rat brain tumor models by measuring the entry of 14C-alpha aminoisobutyric acid into brain tumor, into brain tissue adjacent to tumor, and into cortex. Cerebral blood flow was determined by measuring the uptake of 14C-iodoantipyrine in one rat brain tumor model. Blood flow was examined in the same regions as K, as well as in the corpus callosum. Before mannitol administration, K values in both Walker 256 (W256) carcinosarcoma and C6 gliomas were much higher than those in cortex. C6 gliomas were about three times more permeable than were W256 tumors. There was a direct correlation between tumor size and increased capillary permeability. Mannitol at a concentration of 1.37 M did not increase the K values for either tumor or adjacent tissue. At 1.6 M, mannitol increased the K values for both tumors (1.7-fold in C6 glioma and 13-fold in W256) as well as for adjacent tissue. At both concentrations, mannitol markedly increased cortical K values in all groups: by 48- to 72-fold at 1.37 M and by 90- to 105-fold at 1.6 M. The net effect of the mannitol was to reverse the tumor-to-cortex permeability relationship. Cortical blood flow increased modestly after intracarotid mannitol administration on both sides of the brain. These data provide little justification for using intracarotid mannitol during chemotherapy of human brain tumors.

Animals↗

A three-dimensional junction-pore-matrix model for capillary permeability.

A three-dimensional model is presented for the hydraulic conductivity and diffusive permeability of capillary endothelial clefts with a junctional strand with discrete pores and a fiber matrix in its wide parts. The model attempts to provide new insight into long-standing issues concerning the relative importance of open junction discontinuities, restricted slit regions, and matrix components in determining the permeability and selectivity of the capillary wall. The predictions drawn from the model are used to formulate new experiments to test two hypotheses concerning the molecular organization of the junction strand and the location of matrix structures in the wide part of the cleft. Using the three-dimensional theoretical approach recently developed by Tsay, Weinbaum, and Pfeffer (Chem. Eng. Comm. 82, 67-102, 1989), the model first explores the behavior of three different molecular models for the junctional strand discontinuities: (i) a more frequent circular pore of 5.5-nm radius formed by isolated missing junction proteins; (ii) a restricted rectangular slit of four to eight missing proteins and 8-nm gap height; and (iii) larger more infrequent breaks of four to eight missing proteins with a gap height of 22 nm, equal to the width of the wide part of the cleft. For the circular and 8-nm gap height pores the primary molecular sieve can be located at the level of the junction strand, whereas for the 22-nm gap height pores, matrix components must be present in at least some portion of the cleft to provide the molecular filter. The water flow through the cross-bridging fibers in the wide part of the cleft is described either by a new exact three-dimensional theory (Tsay and Weinbaum, J. Fluid Mech. 226, 125-148, 1991) for an ordered periodic array or by a new approximate theory for a random array of perpendicular fibers. Both this theory and the new approximate theory for diffusion presented herein take into account for the first time the interaction between the fibers and plasmalemma boundaries. The principal predictions of the model are that (i) infrequent larger breaks are most likely required to account for small solute permeability; (ii) these larger breaks must be accompanied by a sieving matrix, but this matrix probably occupies only a small portion of the depth of the cleft and/or its entrance at the luminal surface; (iii) neither junctional pore, restricted slit, or fiber matrix models can by themselves satisfy permeability and selectivity data; and (iv) one-dimensional models are a poor description of a cleft with infrequent larger breaks since the solute will be confined to small wakelike regions on the downstream side of the junction strand discontinuities and thus not fill the wide part of the cleft.

Capillary Permeability↗

Pulmonary capillary permeability - a transfusion lesion.

Massive transfusion of bank blood has been implicated as a major etiologic factor in the evolution of pulmonary insufficiency after injury. In spite of the demonstration of significant debris, including aggregates, in stored blood, a precise and reproducible pulmonary effect of transfusion has not previously been demonstrated. Since clinical pulmonary insufficiency is frequently accompanied by increased lung water, these experiments were designed to measure pulmonary capillary permeability and its response to transfusion of blood and blood components in rats. These experiments demonstrate that: 1) the rat lung is a target organ with regard to blood transfusion; 2) the lung lesion with transfusion is attributable, at least in part, to a selective and acute increase in pulmonary capillary permeability; 3) pulmonary capillary permeability is highly responsive to viable platelets; 4) prolonged storage of blood in polyvinyl chloride containers may enhance its ability to induce pulmonary capillary permeability; 5) increased capillary permeability with transfusion is largely eliminated when platelets and buffy coat are eliminated.

Animals↗

Human malignant gliomas secrete a factor that increases brain capillary permeability: role in peritumoural brain oedema.

The effect of conditioned media obtained from two human malignant gliomas and normal human glia on rat brain capillary permeability was investigated by measuring the entry of 14C-aminoisobutyric acid by a quantitative autoradiographic method. Conditioned media were concentrated 50-fold to create SUP-C. The SUP-C contained proteins with a molecular weight greater than 10 kD. The SUP-C from glioma cells markedly increased brain capillary permeability, whereas that from normal glial cells did not. The activity of capillary permeability factor in the SUP-C was significantly inhibited by pretreatment of animals with dexamethasone or BW755C (lipoxygenase inhibitor), but not with indomethacin. On the other hand, coincubation of glioma cells with dexamethasone produced SUP-C whose capillary permeability activity was about one and a half times greater than that without dexamethasone. These results indicate that human malignant glioma cells secrete a protein factor that increases brain capillary permeability. Glucocorticoids inhibit the effect of the factor by directly acting on capillary endothelial cells, possibly through the inhibition of phospholipase A2 activity, resulting in a decrease of lipoxygenase rather than cyclo-oxygenase products.

Aminoisobutyric Acids↗

Capillary permeability and extracellular fluid volumes in pregnancy-induced hypertension.

1. Capillary permeability was determined by the disappearance rate of Evans Blue dye from plasma in healthy non-pregnant women, normal third-trimester primigravidae and primigravidae with pregnancy-induced hypertension. 2. Extracellular fluid volume was determined from the disappearance curves of injected mannitol in the same subjects and the plasma volume was measured by the Evans Blue dye dilution technique. 3. In normal pregnancy capillary permeability was not altered from that of non-pregnant subjects. Although extracellular fluid volume and plasma volume were increased in normal pregnant compared with non-pregnant women, the distribution of fluid between plasma volume and interstitial fluid volume was unaltered. 4. Women with established pregnancy-induced hypertension had a more rapid Evans Blue disappearance rate and a lower plasma volume than normal pregnant women, independent of the presence of proteinuria. Maternal plasma volume correlated positively and significantly with fetal birth weight in women with pregnancy-induced hypertension, emphasizing the important relationship between maternal plasma volume and fetal outcome. 5. The increased capillary permeability in women with pregnancy-induced hypertension was associated with a reduction in the plasma volume/interstitial fluid volume ratio but a normal extracellular fluid volume, suggesting that the reduced plasma volume did not result from sodium loss but rather from a redistribution of the total extracellular fluid volume. These changes did not differ significantly in subgroups with and without oedema.

Adult↗

[Capillary permeability factor produced by C 6 glioma cells: role in peritumoral brain edema and possible mechanism of glucocorticoid action].

We studied whether C6 glioma cells produce a diffusible factor that increases capillary permeability of rat brains. Culture supernatant after 4 hours' incubation of C6 glioma cells in serum-free medium was obtained (SUP-N). SUP-N was concentrated 80-fold by dialysis-concentration (MW cut off was 10 kd) (SUP-C). These two supernatant fractions were tested for capillary permeability activity by their infusion into normal rat brains (right caudate-putamen). Control materials (MEM or concentrated MEM) were also infused into the left caudate-putamen as well as supernatants. Capillary permeability was measured by a quantitative autoradiographic method with 14C-aminoisobutyric acid (AIB) and expressed as an unidirectional blood-to-brain transfer constant (K). Effects of infusates were quantitatively estimated by two parameters, i.e., the highest K value (Kmax) (microliter/g/min) and the spatial extent (D1/2) (mm). The protein concentration of SUP-N and SUP-C was 15 and 950 micrograms/ml, respectively. SUP-N showed a slight increase of capillary permeability, particularly, around the needle track (infusion site) in the brain, but it was not significantly different from the control on the value of Kmax. On the other hand, SUP-C markedly increased capillary permeability (Kmax; SUP-C: 10.83 +/- 0.99, control: 2.53 +/- 0.22, p less than .001) and the effect was much more extensive than that of SUP-N (D1/2; SUP-C: 2.23 +/- 0.26, SUP-N: 0.83 +/- 0.07). A factor in SUP-C increased capillary permeability after a lag phase of 1.5 hours reaching the maximum after 6 hours of infusion, and 24 hours later the effect declined to 30% of Kmax at 6 hours.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

In vivo effects of tumor necrosis factor-alpha on capillary permeability and vascular tone in a skeletal muscle.

BACKGROUND: The present study aims at analysing short-term effects of TNF alpha on capillary permeability, on transcapillary fluid fluxes, and on vascular tone in a whole organ cat skeletal muscle in vivo preparation. METHODS: The denervated muscle was isolated from the body but with intact vascular supply. The experimental setup allowed continuous recording of vascular tone, of hydrostatic capillary pressure and tissue volume variations. The capillary filtration coefficient (CFC), which represents the net effect for transcapillary fluid exchange of capillary permeability and number of open capillaries, was calculated before and during intra-arterial TNF infusion. RESULTS: We found that TNF had a minor effect on vascular tone in terms of a small vasodilation, and that no effect on hydrostatic capillary pressure could be recorded. CFC increased by 64% during the TNF infusion and this increase must be attributed to an increase in capillary permeability rather than an increase in the number of capillaries available for fluid exchange since the TNF effect on vascular tone is small. This was also supported by TNF-induced transcapillary filtration. CONCLUSIONS: TNF is a potent drug for increasing capillary permeability causing transcapillary filtration in vivo. Its release, e.g. during sepsis, may therefore contribute to the capillary leakage often seen in this clinical situation.

Animals↗

[Syndrome of increased idiopathic capillary permeability (Clarkson's syndrome)].

Idiopathic systemic capillary leak syndrome (Clarkson's disease) is characterized by recurring attacks or increased capillary permeability, resulting in severe hypovolemic shock due to plasma extravasation from the intravascular compartment. Additional laboratory features include association with a monoclonal gammopathy, extreme hemoconcentration and hypoalbuminemia. The underlying cause is not known and there have been fewer than 40 cases reported. It affects people aged 30-40 years and has a high mortality, with only six of 25 patients surviving for more than 5 years. Marked thirst is noted early in the attack and profound muscle weakness, anorexia; nausea, and vomiting are present in all patients, especially so during the course of an attack. Generally, oedema appeared several hours or days before the onset of shock. The total duration of illness varied from six months to seven years. An unknown trigger causes a temporary increase in the macromolecular permeability in the capillary bed of skeletal muscle and connective tissue. The syndrome of rhabdomyolysis includes myalgia, swelling and weakness of the involved muscle groups, pigmenturia, and leakage of myoglobin and CK into the serum. Different treatments have been tried, including plasmapheresis, steroids, epoprostenol, salbutamol and Gingko biloba extract with success in some cases. Treatment with corticosteroids should be considered for prevention of attacks in the systemic capillary leak syndrome.

Capillary Leak Syndrome↗

Calcium dependence of histamine-induced increases in capillary permeability in isolated perfused rat hindquarters.

Experiments were performed on isolated maximally vasodilated perfused rat hindquarters to evaluate the role of calcium and magnesium for the capillary permeability increase(s) elicited by histamine. Changes in capillary permeability were quantified by determinations of capillary filtration coefficient (CFC) with gravimetric technique, and capillary diffusion capacity (PS) for vitamin B12 (MW = 1,355) with a single injection indicator dilution technique. During control, vascular resistance was 2.2 PRU100 at a flow of 9.4 ml min-1 per 100 g, and PS for B12 was 3.7 +/- 0.1 ml min-1 per 100 g, while CFC was 0.0377 +/- 0.0004 ml min-1 mmHg-1 per 100 g. Perfusion with 'Mg-free' solution for 1 h caused a 24% increase in CFC, while neither 'Ca-free' perfusion nor perfusion with verapamil (5 X 10(-5) M) nor felodipine (1 X 10(-6) M) induced any changes in CFC. Histamine (100-200 microM) caused in all preparations a 150-200% increase in CFC with only small changes in PS for B12. This histamine effect was absent after 1 h of 'Ca-free' perfusion and was partially blocked after 1 h of perfusion with 0.1 mM calcium, while the calcium antagonists verapamil and felodipine had no effects on the histamine-induced changes. The results imply that histamine exerts its action on the endothelial cells through a calcium-dependent process, probably involving low affinity calcium sites but this process could not be inhibited by the calcium antagonists used. Thus, endothelial cell contractility, which probably is responsible for the histamine-induced increase in capillary permeability, exhibits unique characteristics, differing from those of vascular smooth muscle.

Animals↗

Measurement of local capillary permeability in skeletal muscle by microscopic clearance method.

To measure local capillary permeability to lipid-insoluble substances, we developed a microscopic tissue clearance method. It has been theoretically predicted that, when a tissue is stained with a dye by suffusing its solution around the tissue, subsequent concentration changes of the dye in the tissue due to adequate capillary flow washout takes a monoexponential time course of which decay constant is equal to the local capillary permeability surface area product (PS) per unit tissue volume. Therefore, when the capillary surface area (S) is calculated from the open capillary density in the adjacent tissue, it is possible to estimate the local permeability (P). This method was applied to the rabbit tenuissimus muscle under maximum vasodilatation, using Cr-EDTA (M.W. = 341) as a tracer. The correlation coefficient of the obtained clearance curves to the monoexponential decay was averaged to be 0.958 +/- 0.029 in 12 curves. The calculated values of Cr-EDTA permeability, 6.0 +/- 0.7 x 10(-6) cm/s, fairly well agreed with those reported for sucrose (M.W. = 342). It was concluded that this method is useful to measure local capillary permeability of small lipid-insoluble tracers.

Animals↗