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1 Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, United States
2 Cardiothoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
3 Medicine, UCSD, LA Jolla, California, United States
4 Departments of Medicine and Bioengineering, University of California-San Diego, La Jolla, California, United States
* To whom correspondence should be addressed. E-mail: robert.johnson{at}utsouthwestern.edu.
In athletic animals the spleen induces acute polycythemia by dynamic contraction that releases red blood cells into the circulation in response to increased O2 demand and metabolic stress; when energy demand is relieved the polycythemia is rapidly reversed by splenic relaxation. We have shown in adult foxhounds that splenectomy eliminates exercise-induced polycythemia, thereby reducing peak O2 uptake and lung diffusing capacity for carbon monoxide (DLCO) as well as exaggerating pre-existing DLCO impairment imposed by pneumonectomy (Dane et al., J. Appl. Physiol. 101:289-97, 2006). To examine whether the post-splenectomy reduction in DLCO leads to abnormalities in O2diffusion, ventilation-perfusion inequality or hemodynamic function, we studied these animals using the multiple inert gas elimination technique at rest and during exercise at a constant workload equivalent to 50% or 80% of peak O2 uptake while breathing 21% and 14% O2 in balanced order. From rest to exercise after splenectomy compared to before, minute ventilation was significantly elevated with respect to O2 uptake; cardiac output, O2 delivery and mean pulmonary and systemic arterial blood pressures were 10-20% lower while O2 extraction was elevated with respect to O2 uptake. Ventilation-perfusion inequality was unchanged, but O2 diffusing capacities of lung (DLO2) and peripheral tissue during exercise were lower with respect to cardiac output post-splenectomy by 32% and 25%, respectively. The relationship between DLO2 and DLCO was unchanged by splenectomy. We conclude that the canine spleen regulates both convective and diffusive O2 transport during exercise to increase maximal O2 uptake.
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