Journal of Applied Physiology Journal of Applied Physiology
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J Appl Physiol 90: 638-648, 2001;
8750-7587/01 $5.00
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Vol. 90, Issue 2, 638-648, February 2001

Effect of high transcapillary pressures on capillary ultrastructure and permeability coefficients in dog lung

Michael B. Maron1, Zhenxing Fu2, Odile Mathieu-Costello2, and John B. West2

1 Department of Physiology, Northeastern Ohio Universities College of Medicine, Rootstown, Ohio 44272-0095; and 2 Department of Medicine, University of California, San Diego, La Jolla, California 92093-0623

To determine the correlation between ultrastructural and physiological changes in blood-gas barrier function in lungs transiently exposed to very high vascular pressures, we increased capillary transmural pressure (Ptm) of 6 canine isolated perfused left lower lung lobe preparations (high-pressure group) to 80.3 Torr for 3.8 min and then determined the capillary filtration (Kfc) and osmotic reflection (sigma d) coefficients at a Ptm of 19.1 Torr in the ventilated lung lobes. This was followed by perfusion fixation of the lobes at a Ptm of 20.5 Torr for ultrastructural analysis. These data were compared with those obtained in six lobes in which Ptm was not transiently elevated before Kfc, sigma d, and ultrastructural evaluation. Kfc was higher [0.249 ± 0.042 (SE) vs. 0.054 ± 0.009 g · min-1 · Torr-1 · 100 g-1; P < 0.01] and sigma d was lower (0.52 ± 0.07 vs. 0.85 ± 0.08; P < 0.01) in the high-pressure group. In contrast, although endothelial and epithelial breaks were occasionally observed in some experiments, their incidence was not increased in the high-pressure group. These data suggest that the increased transvascular water and protein flux occurred through pathways of a size not resolvable by electron microscopy after vascular perfusion-fixation at a Ptm of 20.5 Torr.

blood-gas barrier; capillary wall stress; increased permeability edema; capillary filtration coefficient; osmotic reflection coefficient; barotrauma


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