INTRODUCTION

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

ALTHOUGH RESEARCHERS HAVE KNOWN for over 100 years that one of the principal functions of the microcirculation is O₂ delivery to tissues (19, 20, 28), our understanding of the processes involved in the transport of O₂ from blood to tissue is incomplete (6, 9, 14). A major problem is that we do not know how PO₂ levels in microvessels and tissues vary, particularly in the vicinity of blood vessels and around individual cells. Several methods have been utilized in efforts to measure these parameters. Recent progress in O₂ microelectrodes (17, 30), which are currently the most widely used and successful method, has produced many advantages in numerous physiological studies because of the rapid time response and wide range of PO₂ measurements these microelectrodes make possible (1, 40, 41). However, the microelectrodes must be inserted into the tissue, disturbing the local environment. Optical methods using spectrophotometry and O₂ indicators, such as hemoglobin or myoglobin, have also been utilized (3, 4, 7, 24, 37). These methods allow noninvasive and reliable measurements to be performed, but only when the signals of interest have a homogeneous distribution. In addition, these methods cannot simultaneously measure the PO₂ of blood and tissue, and these parameters are probably necessary for complete analysis of O₂ delivery to tissues surrounding the microvessels.

In the last decade, methods involving the O₂-dependent quenching of fluorescence or phosphorescence (2, 23, 27, 38, 46) have undergone considerable improvement, and several successful measurements of microvascular and interstitial PO₂ values in normal tissues (15, 16, 32, 44) and tumors (34, 43) have been made. In addition, this technique has been used to measure microvascular and interstitial PO₂ gradients in rat mesentery (35, 45) and hamster skin (33) to clarify the distribution of O₂ on the order of a micrometer. However, these measurements have only been performed in thin tissues, and only a few reports have been made of microvascular and interstitial PO₂ measurements in thick tissues like skeletal muscle (46). The reason for this is that, with incident light using a conventional excitation like a xenon flash lamp, it is difficult to excite the phosphorescent probe in a limited volume. Thus the light cannot penetrate deeper tissues because it is absorbed and scattered.

In a previous study (29), we reported on the development of a fluorescence intravital microscope equipped with a laser illuminator. The use of the laser illuminator allows deeper tissues to be penetrated, enabling tomographic observations of the microcirculation in thicker tissues. Herein, we report the development of a new phosphorescence quenching microscope based on the laser illuminator technique that allows noninvasive and regional determination of intravascular and interstitial PO₂ values in skeletal muscle.

	MATERIALS AND METHODS

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

Animal preparation. Adult male Wistar rats weighing between 150 and 180 g were anesthetized with urethane intramuscularly (1 g/kg body wt), and a tracheotomy was performed to facilitate spontaneous breathing. The carotid artery was cannulated so that the arterial blood pressure could be measured. The jugular vein was also cannulated, facilitating injection of the intravascular phosphorescence probes and supplementary doses of anesthetic. The cremaster muscle, having a thickness of 200-400 µm, was spread out in a special bath chamber with an optical port for transillumination, and the surface of the cremaster muscle was suffused with a 37°C Krebs solution with 5% CO₂ in 95% N₂, adjusted to pH 7.3-7.4. After a 30-min equilibration period, the suffusion was stopped and a coverslip was placed on the cremaster muscle to prevent dehydration and hyperoxia. Under these conditions, tissue PO₂ levels might be less than those in the physiological range because the tissue PO₂ falls to 10 Torr during suffusion with 0% solution (10, 22). All animals in which the mean arterial pressure fell to <70 mmHg during the experiment were excluded.

View larger version (145K): [in this window] [in a new window]   Fig. 1.   Classification of vessel order in rat cremaster muscle. Branches from the central cremasteric artery were designated as first-order (A1), branches from A1 as second-order (A2), and branches from A2 as third-order (A3) arterioles. The large venules entering the central cremasteric vein were designated as first order (V1), branches from V1 as second order (V2), and branches from V2 as third order (V3). The diameter of each vessel is indicated in parentheses (in µm).

PO₂ determination. Microvascular and interstitial PO₂ were measured using the O₂-dependent quenching of phosphorescence decay technique (23, 38, 42). Pd-meso-tetra(4-carboxyphenyl)porphyrin (Pd-porphyrin, Porphyrin Products, Logan, UT) bound to bovine serum albumin was used as the phosphorescent probe for the O₂-dependent quenching. The basis of this technique is a well-known reaction in which Pd-porphyrin is excited to its triplet state by exposure to pulsed light, after which phosphorescence intensity is reduced by emission and energy transfer to O₂. The quenching of the phosphorescence by the O₂ is diffusion limited. Thus, if the PO₂ distribution is homogeneous, it can be described as

(1)

where I(t) is the light intensity at time t, and I₀ is the initial value of light intensity at t = 0. The Stern-Volmer equation can be written as

(2)

where ₀ and  are the phosphorescence lifetimes in the absence of O₂ and in the area being measured, respectively, and K_q is the quenching constant. The PO₂ values can be obtained from the measurement of , because K_q and ₀ are substance specific. However, Golub et al. (11) pointed out that the rectangular distribution model should be used to analyze the data when the PO₂ distribution is heterogeneous in the measuring area. The fitting equation they proposed is

(3)

By using this equation to calculate the PO₂ values, the accuracy of the curve fitting was improved compared with a conventional curve fitting, especially at the initial segment of the decay curve.

Phosphorescence quenching laser microscope. Figure 2 shows a schematic diagram of the system used in this study. The bath chamber containing the cremaster muscle was placed on a three-way movable stage equipped with a 20-W halogen lamp for transillumination. A general observation of the microcirculation was performed using a modified Nikon microscope with a ×20 long-working-distance dry objective (CF Plan 20×/0.40 EPI ELWD, Nikon, Tokyo). The microcirculation was filmed using a charge-coupled device (CCD) camera (DXC-107A, Sony, Tokyo) connected to a videotimer (VTG-33, For-A, Tokyo, Japan) and videocassette recorder (SLV-RS1, Sony), and the image was displayed on a 14-in. high-resolution television monitor (PVM-1442Q, Sony) at a final magnification of approximately ×800. The Pd-porphyrin phosphorescent probe was excited by epi-illumination using a N₂-dye pulse laser (LN120C, Laser Photonics) with a 535-nm line at 20 Hz via the objective lens. The average optical power and pulsewidth of the laser were 1.2 mW and 300 ps, respectively. The area of the epi-illuminated tissue was 10 µm in diameter on the surface. The phosphorescent emissions from the tissue were captured by a photomultiplier (C6700, Hamamatsu Photonics, Hamamatsu, Japan) through a long-pass filter at 610 nm. Signals from the photomultiplier were converted to 10-bit digital signals at intervals of 3 µs. The averaged 20-40 data were calculated by mathematically fitting the decay of the phosphorescence to the rectangular model equation (11) using online computer analysis. Intravascular PO₂ measurements were carried out immediately, whereas interstitial PO₂ measurements were started 30 min after injection of the Pd-porphyrin solution (~25 mg/kg body wt) into the cannulated jugular vein. In the measurements of interstitial PO₂, Pd-porphyrin solution injection was adjusted to the magnitude of the photomultiplier signal and equivalent in changing the sensitivity of the photomultiplier at three to four times.

View larger version (22K): [in this window] [in a new window]   Fig. 2.   Arrangement of the intravital laser microscope using O2-dependent phosphorescence quenching. A general observation of the microcirculation was performed using a modified Nikon microscope with a charge-coupled device camera. Pd-porphyrin was excited by epi-illumination with a N2-dye pulse laser with 535-nm line at 20 Hz via the objective. The epi-illuminated tissue area was 10 µm in diameter. Phosphorescence emission was captured by a photomultiplier through a long-pass filter at 610 nm, and signals from the photomultiplier were converted to 10-bit digital signals at intervals of 3 µs. ADC, analog-to-digital signal converter; PMT, photomultiplier tube.

In vitro and in vivo calibration. The  values of the phosphorescent probe at various PO₂ levels were measured in vitro to obtain ₀ and K_q for the present system because these values depend on pH and temperature. In vitro calibration was carried out to keep the temperature of the phosphorescent probe at 37°C and the pH at 7.3-7.4, at which the probe solution was stationary during measurement. The in vitro  value of the phosphorescent probe as a function of PO₂ is shown in Fig. 3. The values of ₀ and K_q calculated from this result were 545 µs and 362 Torr¹ · s¹, respectively. These values were used for all PO₂ calculations in this study.

View larger version (11K): [in this window] [in a new window]   Fig. 3.   In vitro calibration of PO2 measurements. Pd-meso-tetra(4-carboxyphenyl)porphyrin bounded to bovine serum albumin was dissolved in Krebs solution to achieve a concentration of ~500 µmol/l and adjusted to a pH of 7.3-7.4 and a temperature of 37°C. 0, Phosphorescense lifetime in the absense of O2; Kq, quenching constant.

View larger version (17K): [in this window] [in a new window]   Fig. 4.   In vivo calibration of PO2 measurements. PO2 was measured simultaneously by the O2 microelectrodes and the present method in rat mesentery. The measurement area of the microelectrodes was ~20 µm in diameter, and the PO2 level in the mesentery varied with the inhalation of O2 or N2.

Statistics. All data are means ± SD. Order-related differences were analyzed using a one-way ANOVA and multiple comparisons test. For all statistical tests, a P value of <0.05 was considered significant.

	RESULTS

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

Systemic arterial PO₂, PCO₂, and pH were measured using a blood analysis system (Series 2000, Diametrics Medical, St. Paul, MN) in samples from the carotid arteries of four rats. Arterial PO₂ averaged 98.1 ± 12.9 Torr, whereas arterial PCO₂ and pH averaged 48.7 ± 9.2 Torr and 7.32 ± 0.05, respectively.

A typical example of a digitized phosphorescence decay curve measured in the interstitial space of the rat cremaster muscle is shown in Fig. 5. The symbols indicate the original data, whereas the solid line represents the theoretical curve fitted to the original data. This curve was obtained from the average of 20 curves. These results show clearly that the phosphorescence decay curve is virtually equal to the theoretical curve. In addition, the application of the pulse laser illuminator enables the phosphorescence quenching curve to be quickly detected in the initial segment by excluding the afterglow produced by incidental light. In this example, the calculated values of  and PO₂ were 87 µs and 26.7 Torr, respectively.

View larger version (11K): [in this window] [in a new window]   Fig. 5.   A typical example of a digitized phosphorescence decay curve measured in the interstitial space of rat cremaster muscle. The symbols indicate the original data, whereas the solid line represents the theoretical curve fitted to the original data. This curve was obtained from the average of 20 curves. The calculated values of  and PO2 from this curve are 87 µs and 26.7 Torr, respectively.

Table 1 summarizes the results of the statistical analysis on data from four animal experiments. The mean arteriolar PO₂ values of the different arteriole orders decreased significantly after branching, but the venular PO₂ showed no dependency on vessel order. Mean PO₂ values in the interstitial spaces adjacent to the arterioles of different orders were significantly lower than intravascular PO₂ values. In addition, PO₂ values measured in the interstitial spaces at a distance of more than 100 µm from the arterioles showed no significant differences with respect to vessel order, although their values were significantly lower than the PO₂ values at locations adjacent to the arterioles. Figure 6 shows the PO₂ profile for the data in Table 1. The systemic arterial PO₂ value, which is significantly higher than that of the A1 arteriole, is also indicated in Fig. 6. A large drop in PO₂ across the blood-tissue interface followed by a gentle decrease is clearly demonstrated for every order of arteriole.

View larger version (16K): [in this window] [in a new window]   Fig. 6.   Average PO2 profiles for the first-, second-, and third-order arterioles and their surrounding interstitial spaces in the cremaster muscles of 4 rats. The systemic arterial PO2 value (98.1 ± 12.9 Torr) is also shown. The zero-micrometer position on the transverse axis (gray bar) corresponds to the vessel wall.

	DISCUSSION

TOP ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES

O₂-dependent quenching of phosphorescence has proven to be a powerful method for measuring the PO₂ of tissues in living animals because it allows rapid and noninvasive measurements to be performed. However, to determine PO₂ values using in vivo measurements obtained by the phosphorescence quenching technique, the heterogeneous distribution of PO₂ in the measuring area always becomes a large problem (8, 21). In an effort to resolve this problem, many researchers have proposed an effective algorithm for analyzing a heterogeneous system (39, 46). These investigations generally encourage the use of multiexponential analysis because the phosphorescence decay curve in a heterogeneous system consists of several exponents. On the other hand, Golub et al. (11) proposed the continuous distribution model, in which the fitting procedure based on this model can result in more accurate values than other methods, for determining PO₂ values in a heterogeneous system. However, both investigations suggested that measurement accuracy depends on the volume of the detection area. In this study, a 535-nm N₂-dye pulse laser was used to excite the phosphorescent probe through a long-working-distance objective lens. This optical arrangement enabled the phosphor in a limited volume to be excited for short time (1-2 s).

Buerk et al. (2) reported direct comparison of tissue PO₂ measurement in hamster skinfold preparations using the phosphorescence quenching technique with microelectrodes. The major difference in the optical arrangement between their system and ours is the lighting source. They used a xenon strobe lamp with an optical window for detecting the phosphorescence emission in a limited area (10 × 10 µm), whereas our system was equipped with a N₂-dye pulse laser. They found that there was no significant difference between the optical and microelectrode tissue PO₂ measurements and that there was no significant depletion of O₂ during excitation of the phosphor (3 s). Consequently, our measurements, made under similar conditions, suggest that, even though the fluid movement in the interstitial space was slow, the photoactivated consumption of O₂ might have had a minimal effect on our data.

In the last decade, the phosphorescence quenching technique has been substantially improved and applied to in vivo measurements by several investigators (38, 44). Torres Filho et al. (33) reported on the intravascular PO₂ gradients in arterioles and venules of different orders in a hamster skin preparation. In addition, Tsai et al. (35) reported on the distribution of PO₂ in the microvessels and interstitial spaces of a rat mesentery preparation. However, both of these investigations used thin preparations. Only a few reports have been made of intravascular and interstitial PO₂ measurements in skeletal muscle using the phosphorescence technique (46) because skeletal muscle is generally too thick for the phosphorescent probe to be excited by the xenon flash lamp that is usually used in this method. In this study, a 535-nm N₂-dye pulse laser was used to excite the phosphorescent probe through a long-working-distance objective lens. This optical arrangement might anticipate the application of the PO₂ measurement in the deeper tissue.

In a previous study from our laboratory (29), we evaluated the divergence of the incident light in tissue as a result of light scattering and absorption when a laser illuminator was used to excite a fluorescent probe in rabbit tenuissimus muscle. Our results indicated that, at tissue depths of 100 and 200 µm below the surface, the intensity of the incident light was at least 50 and 30%, respectively. Moreover, each augmentation was no more than 1.7-2.5 times wider. Pulse laser can also be used to excite the phosphorescent probe in regions where the PO₂ is higher than 100 Torr and the lifetime of Pd-porphyrin is shorter than 30 µs. With a xenon flash lamp, the decay in the light from the xenon flash remains for the first 30 µs of the phosphorescence decay curve (32). Thus high PO₂ values cannot be measured.

A significant drop in the PO₂ levels of different order arterioles was found (see Table 1). Similar levels of decrease in PO₂, including the longitudinal PO₂ gradient in arterioles, were also found by many investigators (6, 9, 21, 31). For instance, in hamster skin arterioles, a similar tendency was reported by Torres Filho et al. (33), although the arterioles in their study were smaller than those in the present study. The PO₂ values of A1, A2, and A3 in our results were 74.6, 54.4, and 46.6 Torr, respectively. These values are higher than the data for skin (A1, 51.8; A2, 44.1; A3, 39.9 Torr). However, the systemic arterial PO₂ value in our preparation (98.1 Torr) was also much higher than that of the skin preparation (71.1 Torr). These differences may be due to the poorer respiratory gas exchange of hamsters relative to that of rats and/or the organ specificity. When arteriolar PO₂ values for vessels with a similar diameter were compared, our A2 and A3 PO₂ values were consistent with the A1 and A2 PO₂ values in the skin. In addition, the PO₂ value of the venules (31.3 Torr) was consistent with the venular PO₂ value in the skin (30.8 Torr).

In this study, a significant reduction in the PO₂ level was found at the interface between the blood vessels and the tissue as shown in Fig. 6. A similar PO₂ gradient has been reported for rat mesenteric arterioles (35). The interstitial PO₂ values adjacent to the A1, A2, and A3 arterioles were 50.7, 39.4, and 28.8 Torr, respectively. These values are 15-20 Torr lower than the PO₂ values in each arteriole. These findings, and a significant drop in the PO₂ levels of different order arterioles as was stated previously, strongly support the view that capillaries are not the sole source of O₂ supply to surrounding tissue. These phenomena are with the hypothesis that the intravascular O₂ flux is facilitated by a high diffusion constant (26) and/or they are due to high O₂ solubility in tissue (25). In contrast, a possibility remains that there is a high rate of O₂ consumption in the vessel walls (14) because O₂ consumption decreased by 34% when the endothelium was removed from the hindlimb of a dog (5). More recently, Vadapalli et al. (36) predicted that some other extramitochondrial pathways are associated with O₂ utilization. Further study is necessary to clarify these phenomena.

PO₂ levels in the interstitial spaces at points near and far from the arterioles were significantly different (see Table 1). The interstitial PO₂ values adjacent to the A1, A2, and A3 arterioles were significantly higher than the interstitial PO₂ values located farther away (10-13 Torr). It is difficult to compare these values with those of other reports using different preparations and measurement techniques because the area of measurement depends on the microvascular arrangement. For instance, in the hamster skin preparation in which the photoquenching technique was used to obtain measurements, interstitial PO₂ values were between 11 and 36 Torr (33). However, in the hamster cremaster muscle measurement using microelectrodes, the tissue PO₂ values were between 14 and 17 Torr (12). In addition, using the same preparation and the same technique, the mean tissue PO₂ value was lowered still further (11-15 Torr) under superfusion with a low PO₂ solution (18). In our experiment, the muscle surface was suffused with 0% O₂ solution before PO₂ measurement, and then the suffusion was stopped and a coverslip was placed on the muscle surface during PO₂ measurement. Consequently, no O₂ supply from room air through the coverslip may be one of the causes of low interstitial PO₂ values. In addition, the relatively high temperature of suffusate (37°C) in our experiment may have induced high metabolic activity in the tissue. Otherwise, the differences between our values and those reported before are likely due to the differences in tissue metabolism between rats and hamsters.

This study has shown that the phosphorescence quenching laser microscope can be used to clarify the transport of O₂ across microvessels and the distribution of O₂ in tissues, although more regional data on PO₂ values in tissues are required at the present. The use of lasers to excite phosphorescent probes enables a smaller area of tissue to be illuminated (<10 µm) if the potential for tissue damage is clarified in detail. In addition, intracellular measurements of PO₂ will require the phosphorescent probe to penetrate the cell membrane.

In conclusion, a new intravital microscope has been designed that utilizes O₂-dependent phosphorescence quenching. This microscope may feasibly be applied to studies for O₂ transport across microvessels and the distribution of O₂ in skeletal muscle. In addition, we found a large reduction in PO₂ levels of different order arterioles as well as a large PO₂ gradient at the interface between blood and tissue. These findings suggest that capillaries are not the sole source of oxygen supply to surrounding tissue.