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J Appl Physiol (October 13, 2005). doi:10.1152/japplphysiol.01062.2005
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Submitted on August 30, 2005
Accepted on October 11, 2005

IMPAIRED HEMORRHAGE TOLERANCE IN THE OBESE ZUCKER RAT MODEL OF THE METABOLIC SYNDROME

Jefferson C Frisbee*

* To whom correspondence should be addressed. E-mail: jfrisbee{at}hsc.wvu.edu.

As obese Zucker rats (OZR) manifesting the metabolic syndrome exhibit enhanced vascular adrenergic constriction and potentially an enhanced adrenergic activity versus lean Zucker rats (LZR), this study tested the hypothesis that OZR exhibit an improved tolerance to progressive hemorrhage. Preliminary experiments indicated that, corrected for body mass, total blood volume was reduced in OZR versus LZR. Anesthetized LZR and OZR had a cremaster muscle prepared for in situ videomicroscopy, and had renal, splanchnic, hindlimb and skeletal muscle perfusion monitored with flow probes. Arterial pressure, arteriolar reactivity to norepinephrine and tissue/organ perfusion were monitored following either infusion of phentolamine or successive withdrawals of 10% total blood volume. Phentolamine infusion indicated that regional adrenergic tone under control conditions differs substantially between LZR and OZR, while with hemorrhage, OZR exhibit decompensation in arterial pressure prior to LZR. Renal, distal hindlimb and skeletal muscle perfusion decreased more rapidly and to a greater extent in OZR versus LZR following hemorrhage. In contrast, hemorrhage-induced reductions in splanchnic perfusion in OZR lagged behind those in LZR, although a similar maximum reduction was ultimately attained. With increasing hemorrhage, cremasteric arteriolar tone increased more in OZR than LZR, and this increase in active tone was entirely due to an elevated adrenergic contribution. Norepinephrine-induced arteriolar constriction was greater in OZR versus LZR under control conditions and during hemorrhage, with arterioles from OZR demonstrating early closure versus LZR. These results suggest that a combination of reduced blood volume and elevated peripheral adrenergic constriction contribute to impaired hemorrhage tolerance in OZR.







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