The application of stereological principles to morphometry of the microcirculation in different tissues

Effects of somatostatin (SMS) on pancreatic microcirculation

The effect of bolus infusion of increasing somatostatin (SMS) concentrations (1, 10, 100, 200 micrograms/100 g body wt) on pancreatic microcirculation and pancreatic tissue PO2 were investigated by using in vivo epifluorescence microscopy and a polarographic PO2 measurement technique. Additionally, the microperfusion of the pancreas, liver, spleen, stomach, and duodenum was measured by a laser Doppler device. Bolus infusion of SMS caused a significant, transient, and dose-dependent decrease in pancreatic capillary RBC velocities (to 50% of baseline) and acinar capillary overall perfusion (to 20% of baseline), which was not caused by a macrocirculatory depression. This pronounced decrease in microperfusion was not paralleled by a decline in tissue PO2. Laser Doppler measurements revealed that pancreatic and gastric microperfusion were reduced only at maximal SMS concentrations, considering that microperfusion of the liver, spleen, and duodenum was not altered. Therefore, we found further evidence that circulatory adjustment might occur during SMS inhibited secretory activity of the exocrine pancreas.

Ischemia-reperfusion-induced pancreatic microvascular injury. An intravital fluorescence microscopic study in rats

With the concept that ischemia-reperfusion injury may contribute to the pathogenesis of acute pancreatitis, we have quantitatively analyzed the pancreatic microcirculation of rats during postischemic reperfusion using intravital fluorescence microscopy. Ischemia to the pancreas of Sprague-Dawley rats (N = 7) was induced by clamping the arteriae gastroduodenalis, lienalis, gastrica sinistra, and gastricae breves for 60 min followed by 120 min of reperfusion. Ischemic conditions were verified by measurement of microvascular hemoglobin oxygenation using reflection spectrophotometry (n = 9). Postischemic reperfusion was characterized by a significant (P < 0.05) reduction of functional capillary density to approximately 69% of baseline (no reflow). Reperfusion-induced inflammatory response was reflected by a marked increase (100-fold; P < 0.01) of the number of permanently adherent leukocytes in postcapillary venules (reflow paradox). Postischemic reperfusion was further associated with increased serum lipase activities, and histomorphological analysis revealed alterations, similar as known in acute interstitial pancreatitis, ie, neutrophil infiltration, interstitial edema, and hemorrhagic lesions. We, therefore, conclude that ischemia-reperfusion- associated events, ie, no reflow and reflow paradox, may be considered as trigger mechanisms in the manifestation of distinct types of acute pancreatitis, in particular posttransplant pancreatitis.

Small-volume resuscitation restores hemorrhage-induced microcirculatory disorders in rat pancreas

OBJECTIVES

Pancreatic hypoxia/ischemia, as a consequence of shock-induced microcirculatory failure, is considered a causative factor in the initiation and/or progression of pancreatic tissue injury. The aim of this study was to compare the effects of "small volume resuscitation" with conventional isovolemic colloid and hypervolemic crystalloid resuscitation on pancreatic microcirculation after hemorrhagic shock.

DESIGN

Randomized, controlled intervention trial.

SETTING

University laboratory.

SUBJECTS

Twenty-three male Sprague-Dawley rats anesthetized with á-chloralose mechanically and ventilated.

INTERVENTIONS

Rats subjected to 1 hr of hemorrhagic shock (mean arterial pressure of 40 mm Hg) were resuscitated with lactated Ringer's solution (four-fold shed volume/20 mins), 10% hydroxyethyl starch (shed volume/5 mins), or 7.2% sodium chloride-10% hydroxyethyl starch (10% shed volume/2 mins).

MEASUREMENTS AND MAIN RESULTS

The microcirculation of pancreatic acinar tissue was studied by means of intravital fluorescence microscopy and laser Doppler flowmetry. At 1 hr after resuscitation, mean arterial pressure, pancreatic capillary erythrocyte velocity, and erythrocyte flux were found to be significantly increased when compared with those values in the shock state. However, mean arterial pressure, pancreatic capillary erythrocyte velocity, and erythrocyte flux did not completely return to preshock values, regardless of the type of fluid used for resuscitation. At 15 mins and 1 hr after resuscitation, shock-induced capillary perfusion failure (reduction of functional capillary density) was restored to 91% to 94% of baseline values in all groups. Pancreatic capillary narrowing, indicating microvascular endothelial cell swelling, was abolished by resuscitation with both isotonic hydroxyethyl starch and hypertonic hydroxyethyl starch (p<.05 vs. lactated Ringer's solution).

CONCLUSIONS

Despite replacement of only 10% of actual blood loss, small-volume resuscitation with hypertonic hydroxyethyl starch is as effective as the ten-fold volume of isotonic hydroxyethyl starch and, due to prevention of microvascular endothelial cell swelling, superior to the 40-fold volume of isotonic lactated Ringer's solution in regard to restoration of the shock-induced microcirculatory disturbances of rat pancreatic acinar tissue.

Ischemia-reperfusion injury of rat kidney relates more to tubular than to microcirculatory disturbances

Several pathophysiological mechanisms have been purported to be involved in the development of acute ischemic renal failure, such as impairment of tubular function and/or of the renal microcirculation. However, it has not been elucidated as yet which of these mechanisms relates to the extent of kidney damage. Besides, little is known about the time course relationship between tubular and microcirculatory disturbances during the development of ischemia-reperfusion injury. We therefore performed intravital videomicroscopy of the proximal tubules as well as the peritubular microcirculation of the rat renal cortex during the first 24 hr of reperfusion after varying lengths of warm ischemia (30 min, 30 WI group; 60 min, 60 WI group; 90 min, 90 WI group). In a separate group of animals subjected to the same protocol, the survival rate (SR) was determined. The SR in these groups were 100%, 20% and 0%, respectively. Initially, the tubular and microcirculatory changes (i.e., increased tubular diameter and reduced capillary blood flow) relate well to the length of warm ischemia as well as the SR. At a later stage of reperfusion, however, we observed that peritubular capillary blood flow and tubular diameter recovered more quickly in the 90 WI group than in the 30 WI and 60 WI groups. As a result, these parameters as obtained at 24 hr of reperfusion did not relate anymore to the survival rate. Besides, at this stage a severe loss of integrity of the tubular wall was noted in the 60 WI and 90 WI groups. These findings suggest that kidney viability is not determined by the extent of recovery of microcirculatory blood flow and/or tubular diameter during early reperfusion, but by the integrity of the tubular wall.

Ischemia reperfusion of the pancreas: a new in vivo model for acute pancreatitis in rats

Based on the concept that ischemia is an important factor in the pathogenesis of acute pancreatitis, we developed a new model of complete ischemia/reperfusion of the pancreas in the rat. The aim of this study was to investigate the microcirculation of the pancreas after complete and reversible ischemia at different times after reperfusion by using intravital fluorescence microscopy. In addition, the effect of ischemia/reperfusion on the pancreas was assessed by means of light and electron microscopy and measurement of serum pancreas amylase concentration. In 35 adult Sprague-Dawley rats ischemia of the pancreas was induced by temporary occlusion of the four supplying arteries. Sham-operated animals served as controls (group A). After periods of 30 min (group B), 60 min (group C) or 120 min (group D) of ischemia the organ was reperfused. To exclude the influence of hypovolemia on microcirculation in group E (120 min ischemia) hydroxyethylstarch (HES) was given i.v. to maintain central venous pressure at baseline values. For intravital fluorescence microscopy the pancreas was exteriorized on a stage and quantitative analysis of microcirculation, including functional capillary density and leukocyte-endothelium interaction, was performed after 30 min, 1 h and 2 h of reperfusion. Serum pancreas-amylase was measured at control (prior ischemia) and at 2 h after reperfusion. Tissue samples for light and electron microscopy were taken 2 h after reperfusion. In sham-operated animals, functional capillary density (FCD) remained within baseline values (FCD 407.7 +/- 9 cm-1) during reperfusion. Dependent on the time of ischemia and time of reperfusion a gradual reduction in functional capillary density was observed; after 2 h of ischemia only 35% of capillaries were perfused (FCD 140.9 +/- 28.3 cm-1). Reduced functional capillary density was associated with an increase of perfusion heterogeneity to a maximum of 0.65 +/- 0.12, as against 0.13 +/- 0.02 in control animals. With a 2 h ischemia leukocyte-endothelium interaction was enhanced after 0.5 h of reperfusion (8-fold increase of adherent leukocytes in comparison to control) followed by a further significant increase until 2 h after the beginning of reperfusion. Amylase concentration after ischemia of 2 h (2967 +/- 289 U/l) was significantly higher as compared to controls (1857 +/- 99 U/l). Differences between group E and D were not observed. Pancreatic tissue injury was ascertained by histopathological studies. These results indicate that complete ischemia/reperfusion of the pancreas induces pancreatic microvascular failure. The severity of changes depends on duration of ischemia and duration of reperfusion. The morphological and biochemical changes suggest that ischemia/reperfusion causes an inflammatory reaction as observed in acute pancreatitis.

Semi-automatic segmentation of vascular network images using a rotating structuring element (ROSE) with mathematical morphology and dual feature thresholding

A method for measuring the spatial concentration of specific categories of vessels in a vascular network consisting of vessels of several diameters, lengths, and orientations is demonstrated. It is shown that a combination of the mathematical morphology operation, opening, with a linear rotating structuring element (ROSE) and dual feature thresholding can semi-automatically segment categories of vessels in a vascular network. Capillaries and larger vessels (arterioles and venules) are segmented here in order to assess their spatial concentrations. The ROSE algorithm generates the initial segmentation, and dual feature thresholding provides a means of eliminating the nonedge artifact pixels. The subsequent gray-scale histogram of only the edge pixels yields the correct segmentation threshold value. This image processing strategy is demonstrated on micrographs of vascular casts. By adjusting the structuring element and rotation angles, it could be applied to other network structures where a segmentation by network component categories is advantageous, but where the objects can have any orientation.

Mathematical representation with graphic reconstruction on a microcomputer for an arterial tree

The branching arterial tree is considered as a collection of numerous points and lines. When treated with vertex analysis, it can be expressed with a new mathematical representation, and graphical reconstruction can be carried out on a microcomputer. This new method is useful for recording an arterial tree precisely on anatomical books or comparing arteries under hypertension with those under normotension in order that the early morphological changes of hypertensive vascular disease can be revealed.

Arteriolar network morphology in gracilis muscle of rats with salt-induced hypertension

The purpose of this study was to determine if structural rarefaction of arterioles occurs in the gracilis muscle of Dahl salt-sensitive (DS) rats with salt-induced hypertension. Arteriolar network architecture was studied in cleared muscles removed from DS fed either a high (7% NaCl) or low-normal (0.45% NaCl) salt diet for 4 weeks. Muscles removed from Dahl salt-resistant (DR) rats on high and low-normal salt diets served as controls. The 7% NaCl diet had no effect on arterial pressure in DR, but caused marked hypertension in DS. The density of arcade arterioles was significantly lower in DS than in DR (0.77 vs 1.26 segments/mg tissue, respectively) and was unrelated to either dietary salt content or mean arterial pressure in both strains. The number of transverse arterioles/mm parent vessel was 19% lower in DS on 7% NaCl than in DS on 0.45% NaCl and DR on either diet. These data indicate that compared to normotensive DR, the DS rat with salt-induced hypertension exhibits a lower vascular density within both the arcading and the transverse portions of the gracilis muscle arteriolar network. The lower arcade vessel density reflects an inherent characteristic of the DS strain, whereas the lower transverse arteriole density reflects a true structural rarefaction associated with salt-induced hypertension.

Captopril reduces aortic and microvascular growth in hypertensive and normotensive rats

This experiment was designed to investigate the effect of converting enzyme inhibition on functional and structural vascular alterations in one-kidney, one clip hypertensive rats and in normotensive rats. Starting 1 day before surgery, 100 mg/kg/day captopril was given chronically to half of the hypertensive and normotensive groups in their drinking water. With use of intravital microscopy in the cremaster muscle, arteriolar dimensions were measured 4 weeks later, both before and after topical application of 10(-3) M adenosine. Mean blood pressure was 124 +/- 4 mm Hg in control rats and 103 +/- 5 mm Hg in captopril-treated control rats (p less than 0.05). Mean blood pressure was significantly elevated to 183 +/- 5 mm Hg in captopril-treated one-kidney, one clip hypertensive rats and 193 +/- 5 mm Hg in one-kidney, one clip hypertensive rats. With use of histological techniques, a marked reduction of medial-intimal area of the abdominal aorta was found in captopril-treated control rats (24%), and hypertrophy of the aortic wall in one-kidney, one clip hypertensive rats was decreased 26% by captopril. Structural diameter reductions occurred in large arterioles of the captopril-treated control and hypertensive groups and the nontreated hypertensive group. In spite of a significant increase in wall-to-lumen ratio of first-order arterioles in all captopril-treated rats, captopril decreased cross-sectional wall area of these vessels 37% in hypertensive and 20% in control rats, respectively. Measured by stereological techniques, small arteriolar density decreased 30% in captopril-treated hypertensive rats and 17% in captopril-treated control rats. Therefore, smaller arteriolar lumens, decreased aortic and arteriolar cross-sectional wall area, and arteriolar rarefaction after converting enzyme inhibition, in spite of rising or falling blood pressure, are evidence that vascular growth was inhibited in vivo.

Morphologic and hemodynamic comparison of tumor and healing normal tissue microvasculature

The purpose of this study was to compare microvascular morphometric and hemodynamic characteristics of a tumor and granulating normal tissue to develop quantitative data that could be used to predict microvascular characteristics which would be most likely associated with hypoxia. The dorsal flap window chamber of the Fisher 344 rat was used to visualize the microvasculature of 10 granulating and 12 tumor (R3230 AC adenocarcinoma) tissues at 2 weeks following surgical implantation of the chamber. Morphometric measurements were made from photomontages and video techniques were used to assess red cell velocities in individual vessels. The percent vascular volume of both tissues was close to 20%, but significant differences were noted in other morphometric and hemodynamic measurements. Individual vessel dimensions (length and diameter) in tumors averaged twice as large as those in granulating tissues. Furthermore, red cell velocities were twice as high in tumors as in granulating tissues. In addition to these large differences in average values, there was significant heterogeneity in tumor microvascular morphometry, indicating spatial nonuniformity compared with the granulating tissue. Approximations of vessel spacing, indicated an average of 257 and 118 microns in tumors and granulating tissues, respectively. Vessel densities were four times greater in granulating tissues than in tumor tissues. These results indicated that intervessel distances were more likely to result in hypoxia in tumors, especially considering the wide variability in that tissue. Analysis of flow branching patterns showed that vascular shunts occurred frequently in vessels ranging from 10 to 90 microns in diameter. The results of this study indicate, in this tumor model, that conditions such as low vascular density, vascular shunts, excessive vascular length and/or low red cell velocity exist to a greater extent than the granulating tissue control. These conditions are likely to be conductive to the development of hypoxia.

Sodium sensitivity in normotensive and borderline hypertensive humans

The responses to sodium depletion and repletion were studied in subgroups of 92 normotensive and 65 borderline hypertensive individuals. The borderline hypertensives were characterized by significantly higher blood pressure, weight, cardiac output, hematocrit and decreased density of conjunctival capillaries and venules. Sodium-sensitivity was defined as an increase in mean arterial blood pressure exceeding 5% during sodium repletion. The prevalence of sodium-sensitivity was higher in blacks than in whites and greater in hypertensives than in normotensives. Sodium-sensitive individuals were characterized by significantly increased forearm vascular resistance and decreased plasma renin activity and aldosterone concentration. The resemblance of these changes to those reported in the Dahl salt-sensitive rat suggests a genetic basis for the response to sodium.

Transport of molecules across tumor vasculature

The vascular-extravascular exchange of fluid and solute molecules in a tissue is determined by three transport parameters (vascular permeability, P, hydraulic conductivity, Lp, and reflection coefficient, sigma); the surface area for exchange, A; and the transluminal concentration and pressure gradients. The transport parameters and the exchange area for a given molecule are governed by the structure of the vessel wall. In general, tumor vessels have wide interendothelial junctions; large number of fenestrae and transendothelial channels formed by vesicles; and discontinuous or absent basement membrane. While these factors favor movement of molecules across tumor vessels, high interstitial pressure and low microvascular pressure may retard extravasation of molecules and cells, especially in large tumors. These characteristics of the transvascular transport have significant implications in tumor growth, metastasis, detection and treatment.

Comparative morphometric analysis of cochlear vessels in Wistar-Kyoto rats, spontaneously hypertensive rats, and aged spontaneously hypertensive rats

Vessel density and the ratio of the tissue area to the vessel surface area were studied by morphometric analysis techniques in normal rats, spontaneously hypertensive rats (SHR), and aged spontaneously hypertensive rats (aged SHR). Horseradish peroxidase was injected intravenously and the animals were killed 10 minutes later. The temporal bones were harvested, fixed in glutaraldehyde, and decalcified in 10% ethylenediamine tetraacetic acid (EDTA). After 7 days of decalcification, the cochleas were dissected and incubated with a diaminobenzidine tetrahydrochloride solution. Sections with stained vessels were projected onto the digitizing plate with the help of the camera lucida. The computer was used to calculate tissue area, vessel length, and vessel surface area. A statistically significant increase (p less than 0.05) in both the tissue area to vessel length ratio and the tissue area to vessel surface area ratio was demonstrated in the SHR and the aged SHR groups when compared to the WKY in the stria vascularis. No statistically significant difference was found between the two SHR groups. These data show a decrease of the vessel density in the capillary beds of the stria vascularis in spontaneously hypertensive rats. No statistically significant difference was found in the diameters of the capillary among the three groups.

The quantitative estimation of microvessels in microvascular networks

A novel method is presented that greatly facilitates the determination of vessel segment number and density in both simple and complex microvascular networks. This approach was applied to microvascular networks represented by the Bra-Ket operator technique and accurately predicted the number of vessel segments in both tree-branched and loop-branched (arcade) networks. The method was then applied to the complex hexagonal array network described by Engelson et al. for gastrointestinal mucosa and accurately yielded an average vessel segment number of three around each hexagonal loop. This new method may be used for conveniently estimating tissue microvascular densities, such as vessel rarefaction or proliferation, and for the modelling of microvascular networks.

Hemodynamic characteristics of sodium-sensitive human subjects

Fifty-eight normal subjects and 51 subjects with borderline hypertension underwent microvascular and hemodynamic studies while on an ad libitum diet and during periods of sodium depletion (10 mEq/day) and repletion (200 mEq/day). Hemodynamic measurements included arterial blood pressure, cardiac index, total peripheral resistance, forearm blood flow, vascular resistance, venous compliance, and capillary filtration fraction. Studies of the microcirculation consisted of macrophotography of the bulbar conjunctiva with measurement of anteriolar, venular, and capillary density and diameter. During sodium repletion, cardiac index increased significantly in the normal subjects (2.35 +/- 0.7 vs 2.44 +/- 0.7 L/min/m2; p less than 0.01) and in the borderline hypertensive subjects (2.50 +/- 0.7 vs 2.70 +/- 0.8 L/min/m2; p less than 0.01). However, mean blood pressure rose by more than 5% in only 33 subjects, 13 with normal and 20 with borderline hypertension. When these sodium-sensitive subjects were compared with those whose blood pressure did not rise, the former were found to have significantly higher forearm vascular resistance (32.2 +/- 21 vs 17.9 +/- 12 mm Hg/ml/min/100 g; p less than 0.01), lower forearm blood flow (4.42 +/- 2.7 vs 7.47 +/- 5.0 ml/min/100 g) and lower conjunctival capillary density (3.72 +/- 1.7 vs 5.18 +/- 2.1 [SD] mm/mm2; p less than 0.05). These results indicate that sodium sensitivity in humans is accompanied by elevation of forearm vascular resistance and attenuation of the microcirculation.

The microvasculature in skeletal muscle. IV. A model of the capillary network

A reconstruction of the capillary network in the rat spinotrapezius muscle was carried out using carbon-filled specimens. A new branching schema for the capillaries, consisting of individual capillary bundles, is proposed. Each bundle is provided with blood through transverse arterioles and drained by collecting venules. A capillary bundle may be divided into capillary bundle elements consisting of a transverse arteriole, a collecting venule, and the intermediate capillary network. A set of seven independent network parameters are proposed and measurements are provided for two rat strains: Wistar-Kyoto rats (WKY) and spontaneously hypertensive rats (SHR). A comparison of network parameters indicates a multifaceted difference between the strains. In SHR the number of capillary cross-connections is reduced, individual capillary lengths are greater, and vessel diameters are slightly larger.

The microvasculature in skeletal muscle. II. Arteriolar network anatomy in normotensive and spontaneously hypertensive rats

A quantitative comparison of the anatomical arrangement of arterioles in the skeletal muscle of mature (16 to 20-week-old) Wistar-Kyoto (WKY) and spontaneously hypertensive rats (SHR) is provided. In both species several feeding arterioles supply blood to a network of arterioles covering the entire muscle, designated as arcade arterioles. The connections from the arcade arterioles to the capillary network are provided by the transverse arterioles. Comparison of the spinotrapezius muscle of the WKY and the SHR shows several types of rearrangement of the network. In both species there is a wide distribution of vessel size in the arcade and transverse arterioles. The length of the arcade arterioles per unit muscle volume is higher in the SHR, forming a denser network. There are almost twice as many transverse arteriolar trees per unit tissue volume in hypertensive animals although on the average each transverse tree has shorter branches. No evidence for significant anatomical rarefaction was found among arcade and transverse arterioles. Arcade arterioles following maximal dilation were found to be 25% narrower in the SHR, whereas for transverse arterioles no differences in diameter could be detected under these vasodilated conditions.

The microvasculature in skeletal muscle. I. Arteriolar network in rat spinotrapezius muscle

A quantitative analysis of blood flow dynamics in skeletal muscle requires a detailed picture of the microvascular network. This report presents an analysis of the arteriolar network structure in the spinotrapezius muscle of the rat. The microvasculature is visualized by injection of a carbon suspension and recorded in the form of photomicrographs with a complete reconstruction of the microvasculature on transparent overlays. The spinotrapezius muscle has several major feeding arterioles which supply blood into an extensive meshwork of interconnecting or arcading arterioles spanning the entire muscle. The connections from the arcade arterioles to the capillaries are provided by transverse arterioles, which branch from the arcades at regular intervals. Each transverse arteriole forms a single asymmetric dichotomous tree and within each muscle there is a wide range in the size of transverse arterioles. A new branching schema is proposed to describe the arteriolar network. A set of network parameters is derived and typical values of these parameters in the spinotrapezius muscle of the rat are provided.

New morphological evidence for a mechanism of lymph formation in skeletal muscle

A new mechanism of lymph formation associated with pulsation and vasomotion of arterioles is proposed in skeletal muscle. To provide evidence for this proposal, an investigation of the lymphatic vessels in the spinotrapezius muscle of the rat was undertaken. The lymphatics were visualized by microinjection of a contrast medium (Evans blue albumin), and histological sections of the muscle were prepared and examined with the light and the electron microscope. The studies indicated that lymphatics ranging in size from 20 to 200 micron in this skeletal muscle have no smooth muscle but only a thin lining of endothelium. All lymphatics lie in immediate proximity to the arcading and transverse arterioles and occasional muscular venules, and appeared to be wrapped around them. It was further observed that when the arterioles were dilated, the contiguous lymphatics were partially or completely collapsed, whereas lymphatics around contracted arterioles were wide open. No significant deformation of the adjacent skeletal muscle cells was observed. These results suggest that the contraction of vascular smooth muscle, as well as pulsatile elastic distension of arterioles, may cause periodic changes in lymphatic volume and thereby serve as peristaltic mechanisms for lymph transport. Vascular smooth muscle may thus influence not only blood flow in the microcirculation, but also water transport in the interstitium and into the lymphatics.

Attenuation of the microcirculation in young patients with high-output borderline hypertension

Previous studies have shown abnormalities of the microvasculature in the spontaneously hypertensive rat and human subjects with established hypertension. We have studied the conjunctival microvasculature in relation to systemic and forearm hemodynamics in 24 normal subjects (NL) and 10 subjects with intermittent elevation of blood pressure (BHT). Macrophotographs of the conjunctival circulation were measured for arteriolar diameter and density of arterioles, capillaries, and venules. Blood pressure was measured by Arteriosonde, cardiac index by echocardiography, and forearm hemodynamics by mercury-filled strain-gauge venous occlusion plethysmography. Average diastolic blood pressure in the NL group was 74 +/- 1.7 mm Hg, while that of the BHT subjects was 89 +/- 3.1 mm Hg (p less than 0.005). Capillary density, venous density, and total vascular density were significantly lower in the BHT than NL group, while arteriolar density did not differ significantly. Cardiac index was significantly higher, and peripheral vascular resistance significantly lower, in the BHT as compared to the NL subjects. Forearm blood flow was higher in the NL subjects. The diameter of the preterminal arterioles of the BHT subjects was 27% greater than NL (p less than 0.02). The capillary density was inversely related to the cardiac index (r = -0.482, p less than 0.01), but was not related to blood pressure (r = -0.207). We conclude that the high cardiac output phase of early essential hypertension in humans is accompanied by a reduction in the number of filtering capillaries, and that the rarefaction of capillaries is more closely related to the elevation of cardiac output than to raised blood pressure.

Heterogeneity of capillary diameters in skeletal muscle of the frog

Capillary diameters in sartorius muscle of frogs were measured in vivo by means of a new computer video method, based on the passage of red blood cells (RBCs) through the capillary (C. Ellis, R. Sanfranyos, and A. Groom (1983), Microvasc. Res. 26, 139-150). The distribution of capillary diameters from 21 frogs was represented by a histogram with a mean +/- SD of 16.7 +/- 4.4 microns (N = 83). The measured dimensions (mean +/- SD) of frog RBCs, which have a flattened ellipsoidal shape, were: major axis = 24.1 +/- 2.6 microns (N = 149); minor axis = 16.5 +/- 1.5 microns (N = 158); thickness at center = 5.4 +/- 0.8 microns (N = 32). Frog RBCs travel through capillaries with their major axes predominantly parallel to the direction of flow; therefore, RBCs pass through capillaries without deformation provided that the diameter of the capillary is larger than the minor axis of the cell. By standardizing the measured values of capillary diameter in terms of mean minor dimension of the RBCs (ratio of means for frog being 1.0, approx), we were able to compare the diameter distribution in an amphibian with that in a mammal (rat). If RBC size alone mattered, both standardized distributions should superimpose; however, that for frog was shifted to the right of that for rat, indicating that frog RBCs are less deformable than RBCs of rat. This highlights the necessity, in the microcirculation, for matching capillary diameter to both size and deformability of the red cell.

Capillary diameter and geometry in cardiac and skeletal muscle studied by means of corrosion casts

Studies of microvascular geometry made from microscope observations of tissues in vivo or after perfusion with a silastic elastomer or india ink are restricted to a two-dimensional field of view. Microvascular corrosion casts, however, if of sufficient rigidity and structural integrity, can yield three-dimensional information when examined under the scanning electron microscope. We have used modified Batson's No. 17 anatomical casting compound (having a shrinkage less than 1% on setting) to prepare casts of the microvasculature of the heart and skeletal muscles in anesthetized rats. In casts from the L. ventricle the capillary network appeared to parallel the arrangement of the muscle fibers, but showed many capillary loops and anastomoses. In skeletal muscles (gastrocnemius and gracilis) held at full extension, in situ, the casts showed long straight capillaries with fewer branchings than in the heart. In shortened skeletal muscle the capillaries exhibited an undulatory configuration. Capillary diameters (mean +/- SD) were 5.14 +/- 1.42 micrometers (N = 202), 5.04 +/- 1.45 micrometers (N = 294) and 4.84 +/- 1.97 micrometers (N = 335) in L. ventricle, gastrocnemius, and gracilis muscles (both shortened), respectively. The mean values for capillary diameter in these three tissues did not differ significantly. Combining our data with those of L. Henquell, P. L. LaCelle, and C. R. Honig on erythrocyte deformability in the rat (Microvasc. Res. 12, 259-274 (1976)) suggests that even when the capillary bed is fully distended the smallest capillaries, amounting to 1-2% of the total number, must be channels for plasma flow alone. In cross-sectional views of the casts from contracted skeletal muscle the capillaries appeared to form a tightly meshed network of convoluted vessels around the fibers, such that in some regions a large fraction of the surface of each fiber was in contact with blood. The Krogh cylinder geometry appears not to be appropriate for modeling O2 transport in maximally shortened skeletal muscle; a more appropriate model may be that of a cylindrical muscle fiber supplied, at any point down its length, by a uniform peripheral O2 supply.

Effects of prolonged cold injury on the subcutaneous microcirculation of the hamster. I. Technique, morphology and tissue oxygenation

An animal model is described allowing for direct measurements of local tissue PO2, microhemodynamics and vascular density in the event of a prolonged non freezing cold injury. The model consists of implanting a transparent skin fold chamber in the dorsal skin fold in hamsters and of inserting two permanent indwelling catheters in jugular vein and carotid artery, respectively. The microcirculation was studied using a Wild Photomacroscope for photography and a platinum multiwire electrode for measurements of local PO2 in the conscious animal. After 72 h of recovery from anesthesia and surgery, the experimental was started with the animal immobilized. The decrease of local s.c. temperature was achieved by perfusing a heat exchanger with distilled H2O and Isopropanol 70% (1:1) at a rate of 81/min with the heat exchanger located directly beneath the aluminium frame of the chamber. With this technique, a decrease in local tissue temperature from 28 degrees C to 15 degrees C could be obtained within 15 min and was kept constant for 60 min. After photography of the microcirculation and local PO2-measurements, the local temperature was further reduced to 5 degrees C with 15 min. Sixty minutes later, the area exposed was slowly rewarmed from a level of 5 degrees C within 30 min. This procedure was repeated in intervals of 24 h over a period of five days. During the course of the experiments, local PO2 values shifted toward hypoxic or even anoxic values. Intravital microscopic observation revealed aggregate formation, stasis and obstruction of capillary flow associated with pronounced tissue anoxia after five cold exposures. This event resulted inevitably in tissue necrosis and scar formation after seven consecutive exposures to cold. It is concluded that this model can be used to study the effects of local non freezing cold injury in a precisely reproducible manner.

Morphometric comparison of hippocampal microvasculature in ageing and demented people: diameters and densities

The diameters and densities of capillaries and arterioles in the hippocampal cortex of normal subjects and patients with Alzheimer's dementia were measured in thick celloidin sections stained for alkaline phosphatase. Microvascular diameters in general are affected more by age than by the presence of dementia of the Alzheimer type. The diameter of both capillaries and arterioles increases significantly with age. The density of capillaries decreases whereas that of the arterioles increases significantly. The capillary changes suggest that a reduced exchange potential accompanies ageing. In brains of people with Alzheimer's disease the overall capillary diameters and densities do not differ from those of age-matched controls. Regional changes may, however, be important: those hippocampal zones showing the greatest severity of or increment in nerve cell lesions do correspond to those having the highest levels of or increase in capillary density and the greatest decrease in diameter, suggesting a direct association between neuronal susceptibility to Alzheimer changes and degree of regional blood supply. Capillary surface areas, volumes and area/capillary volume ratios support the possibility of this relationship. Neurofibrillary tangles and granulovacuolar degeneration do not correlate equally with the degree of capillary "irrigation"; tangles are more closely related to these morphological vascular parameters.

In vivo morphometric analysis of muscle microcirculation in dystrophic mice

In order to test the vascular hypothesis of muscular dystrophy, the gracilis muscle in 6- to 7-week-old C57BL/6J-dy2J normal and dystrophic mice was studied using in vivo quantitative morphometric techniques to determine the total length and surface area of capillaries in which blood was flowing per unit volume of muscle. Individual capillary lengths, diameters, and red blood cell velocities were also quantified. During resting conditions, the capillary density(length per unit volume of muscle) and surface area are increased significantly in dystrophic muscle compared to normal muscle. Under fully vasodilated conditions, the capillary density and surface area are similar in normal and dystrophic muscle. Individual capillary lengths, diameters, and red blood cell velocities are also similar in normal and dystrophic muscle under resting conditions. These results indicate that, contrary to the vascular hypothesis, dystrophic muscle at rest has increased capillary density, surface area, and blood flow. It is postulated that the increased capillary density in dystrophic muscle at rest is secondary to muscle fiber breakdown.