[Determination of intracapillary HbO2 saturation with a cryo-microphotometric method, applied to the rabbit myocardium (author's transl)]

CCD imaging in cryospectrophotometric determination of microvascular oxyhemoglobin saturations

A microspectrophotometric imaging method has been developed for localized measurements of intravascular oxyhemoglobin (HbO2) saturations in microvessels from sections of quick-frozen tissue. HbO2 saturation was calculated from the absorption spectrum of red blood cells measured at five selected wavelengths in the 520- to 570-nm range. We combined the use of narrow-bandwidth interference filters and a CCD camera mounted on a microscope to obtain one gray image of the sample at each wavelength. Each pixel is a quantitative measure of transmitted light intensity from the tissue sample at that location. A linear calibration curve for blood frozen in vitro (humans and mice) and in vivo (mice) was obtained using a multicomponent analysis. Oxy- and deoxyhemoglobin were assumed to be the only hemoglobin components present. A constant term compensates for light loss due to scattering on red blood cells and ice crystals. The standard error in single measurements of HbO2 saturation was 5%. The present method allows off-line analysis of the HbO2 saturation distribution within a microvessel network and offers new possibilities for comparative morphological studies.

Intracapillary HbO2 saturations in murine tumours and human tumour xenografts measured by cryospectrophotometry: relationship to tumour volume, tumour pH and fraction of radiobiologically hypoxic cells

Frequency distributions for intracapillary HbO2 saturation were determined for two murine tumour lines (KHT, RIF-1) and two human ovarian carcinoma xenograft lines (MLS, OWI) using a cryospectrophotometric method. The aim was to search for possible relationships between HbO2 saturation status and tumour volume, tumour pH and fraction of radiobiologically hypoxic cells. Tumour pH was measured by 31P NMR spectroscopy. Hypoxic fractions were determined from cell survival curves for tumours irradiated in vivo and assayed in vitro. Tumours in the volume range 100-4000 mm3 were studied and the majority of the vessels were found to have HbO2 saturations below 10%. The volume-dependence of the HbO2 frequency distributions differed significantly among the four tumour lines; HbO2 saturation status decreased with increasing tumour volume for the KHT, RIF-1 and MLS lines and was independent of tumour volume for the OWI line. The data indicated that the rate of decrease in HbO2 saturation status during tumour growth was related to the rate of development of necrosis. The volume-dependence of tumour pH was very similar to that of the HbO2 saturation status for all tumour lines. Significant correlations were therefore found between HbO2 saturation status and tumour pH, both within tumour lines and across the four tumour lines, reflecting that the volume-dependence of both parameters probably was a compulsory consequence of reduced oxygen supply conditions during tumour growth. Hypoxic fraction increased during tumour growth for the KHT, RIF-1 and MLS lines and was volume-independent for the OWI line, suggesting a relationship between HbO2 saturation status and hypoxic fraction within tumour lines. However, there was no correlation between these two parameters across the four tumour lines, indicating that the hypoxic fraction of a tumour is not determined only by the oxygen supply conditions; other parameters may also be important, e.g. oxygen diffusivity, rate of oxygen consumption and cell survival time under hypoxic stress.

Direct measurement of intracellular O2 gradients; role of convection and myoglobin

During steady phasic exercise in a red muscle the entire O2 gradient between capillary and mitochondria occurs as a step over less than 5 m. The magnitude of this step is determined by VO2 and capillary PO2, and is independent of distance from a capillary, or local capillary density. The above cannot be explained by ordinary and/or facilitated diffusion, according to a classical Krogh model. A step gradient can be produced by intracellular convection and Mb, acting in concert. A uniformly low cell PO2 maximizes the trans-capillary O2 gradient, and hence the O2 flux. Since the O2 affinity of Mb is about 50 times less than that cytochrome a, a3, mitochondria can respire maximally at tensions well below the Mb P50. It seems likely that the principal function of Mb during steady, phasic exercise is to compensate for short capillary transit times by accelerating O2 release from Hb.

Oxygenation of malignant tumors after localized microwave hyperthermia

The oxyhemoglobin saturation (HbO2) of single red blood cells within tumor microvessels (diameter: 3-12 micrometers) of DS-Carcinosarcoma was studied using a cryophotometric micromethod. In untreated control tumors (mean tissue temperature approx. 35 degrees C) the measured values scattered over the whole saturation range from zero to 100 sat. %, the mean being 51 sat. %. Upon heating at 40 degrees C for 30 min, the oxygenation of the tumor tissue significantly improved as compared with control conditions. After 40 degrees C-hyperthermia a mean oxyhemoglobin saturation of 66 sat. % was obtained. In contradistinction to this, after 43 degrees C-hyperthermia the tumor oxygenation was significantly lower and reached a mean HbO2 saturation value of 47 sat. %. A further temperature rise to 45 degrees C caused the oxygenation to drop drastically (mean oxyhemoglobin saturation value: 24 sat. %). This is due to a severe restriction of nutritive blood flow. The changes in tumor oxygenation after hyperthermia seem to be predominantly mediated through changes in tumor blood flow, including tumor microcirculation, which showed a similar temperature dependence. Metabolic effects probably play a minor role in the oxyhemoglobin saturation distribution within tumor microvessels.

Lognormal distribution of intercapillary distance in normal and hypertrophic rat heart as estimated by the method of concentric circles: its effect on tissue oxygenation

The inhomogeneity of the capillary net in the cardiac muscle was estimated using our morphometric measurements in normal and hypertrophic rats hearts. As entry data we used the distribution of tissue at different distances from the nearest capillary as measured by the method of concentric circles and the mean intercapillary distance independently calculated from the capillary density. The derived distribution of intercapillary distances was approximated by lognormal distribution in which the spread can be characterized by a single parameter, namely the log standard deviation. The effect of the log standard deviation on tissue oxygenation was evaluated in normal and hypertrophic hearts, at normoxia and at hypoxia. The mean tissue PO2 and the percentage of anoxic tissue at the venous end of the tissue cylinder were calculated using Krogh's model. Two boundary situations were considered: A) the end-capillary PO2 was assumed to be equal in all capillaries due to compensatory adjustment in blood flow; B) the same flow in all capillaries was assumed resulting in varying end-capillary PO2. The real situation is expected to be between situations A and B. Increased variability of intercapillary distance proved to impair considerably the tissue oxygenation, especially when the results were expressed as a percentage of anoxic tissue. The percentage of anoxic tissue turned out to be a better index of tissue oxygenation than the mean PO2 particularly at hypoxia. The results suggest the presence of at least a partial adjustment of blood flow with respect to the width of tissue cylinder. Without such adjustment, a large part of tissue would become anoxic already in normal hearts at normoxia and this would be further aggravated by hypertrophy and/or hypoxia.

A PCO2 surface electrode working on the principle of electrical conductivity

A PCO2 electrode working on the principle of electrical conductivity is described. The calibration curve can be linearized according to the formula G = Go + b square root PCO2. This linearity has been tested in the PCO2 range of 0.93-9.33 kPa (7--70 Torr). For the experiments electrodes are used which have conductivity values of about 50 nS and drifts of maximally 5%/h at a PCO2 of 5.33 kPa (40 Torr). The response time (T90) is about 20 s. The temperature sensitivity is 2.4 nS/1 K between 298 K-310 K. The standard error of the measurements is sigma = 0.33 nS. With these electrodes tissue PCO2 can be measured on the surface of various organs.

Respiratory gas exchange in the rat spleen in situ and intrasplenic oxyhemoglobin saturation

Measurements of splenic respiratory gas exchange and of HbO2 saturations in the red pulp of the rat spleen have shown that there are no indications of a reduced intrasplenic O2 availability during normoxia. The present studies provide evidence that, in the normal spleen, the intrasplenic sequestration of red blood cells cannot be explained by an O2 deficiency in the red pulp since the commonly accepted notion of an intrasplenic hypoxia is not true.

PO2 and microflow histograms of the beating heart in response to changes in arterial pO2

The influence of different values of arterial oxygen partial pressure (PO2) on local tissue PO2 was investigated. Tissue PO2 was measured on the surface of the beating hearts of rabbit and cat by the multiwire surface electrode as described by Kessler and Lübbers (21). In parallel experiments, local hydrogen clearance applying the H2-PH2 probe (33) was used to determine the mean blood flow per area (microflow) at the capillary level. Mean blood flow per area, v, was calculated from PH2 clearance curves obtained by local application of rectangular hydrogen pulses. The results are presented as histograms. Under steady state conditions (barbiturate narcosis), tissue PO2 ranged from 5 to 65 Torr (0.67 to 8.67 kPA) with a median of 31 Torr (4.13 kPA) in the cat heart. Mean flow per area covered values between 25 and 11 mum/s with a median of 55 mum/s. For rabbit heart muscle, the median was v = 37 mum/s and the range 28 to 46 mum/s. Hyperoxia broadened the range of tissue PO2 and shifted flow per area to lower values. Different degrees of hypoxia shifted the PO2 histogram to the left (median PO2 14 Torr and 4 Torr, respectively; [1.87 kPA and 0.53 kPA]) and the flow histogram to the right.

Distribution of the myocardial tissue PO2 in the rat and the inhomogeneity of the coronary bed

The structural inhomogeneity of the myocardial capillary bed is stimulated by microcirculatory units (MCU's) in a diffusion model. This stimulation is based on MCU's in which the arrangement of the capillary ends (concurrent structure, partial and total countercurrent (structure, helical structure) as well as the structure and supply parameters are varied. The variation of these parameters is based on own measurements of the intracapillary HbO2 saturation as well as on the following parameters from the literature: frequency distribution of capillary distance and capillary radius, mean capillary length or capillary section length respectively, arterial and mean venous PO2, mean coronary blood flow, mean O2 consumption and diffusion conductivity. The analysis of O2 supply of the normoxic rat heart shows that an O2 diffusion shunt is obligatory except of MCU's with an extremely large capillary distance or with a concurrent capillary structure. Therefore the minimal tissue PO2 lies at the level of the capillary venous PO2 of a MCU. The maximum of the total PO2 frequency distribution in the normoxic rat myocardium lies at 25 +/- 5 mm Hg, i.e. above the mean venous PO2 (20 mm Hg). Tissue PO2 values between 0 and 5 mm Hg amount to 0.5% i.e. they are extremely rare. Tissue PO2 values of 0-1 mm Hg represent less than 0.2%.

Regional oxygen saturation of small arteries and veins in the canine myocardium

Oxygen saturation of small arteries and veins (20-500 micron) was determined microspectrophotometrically in the hearts of 12 pentobarbital-anesthetized open-chest dogs. Hearts were removed, quick frozen in liquid propane, and O2 saturation was determined in blood vessels on a regional basis between and within ventricular walls. No significant differences existed in arterial O2 saturation between right, left, and septal walls or regionally within any wall by depth or in base-to-apex comparisons. Although there was variation in arterial saturation, it was independent of vessel size. Arteries were followed by serial section into the left ventricular wall for distances up to 7.5 mm without significant saturation change. The average venous saturations of the right, septal, and left ventricular walls were not significantly different. No regional differences in venous saturation were found within any ventricular wall in comparisons between base and apex. In the left ventricle, subepicardial venous saturation (29.8%) was significantly higher than subendocardial saturation (16.4%). In veins traced from the surface, saturation decreased with depth. Greater variability of saturation was found in small compared to large veins. The greater O2 extraction in the subendocardium may indicate a higher O2 consumption than in the subepicardium.

Intercapillary distance and capillary reserve in hypertrophied rat hearts beating in situ

Functional intercapillary distance (ICD) was measured in stop-motion photomicrographs of hypertrophied, normally compensated, well oxygenated rat hearts beating in situ. Left ventricular hypertrophy was produced by salt loading and unilateral nephrectomy. Minimum ICD (when all capillaries are open) also was measured. Ventricular weight increased by 30-40% within 8-9 weeks after nephrectomy. To compare the effect of normal and pathological growth, ICD was also measured in normal rats. In normal animals, minimum ICD and functional ICD increased linearly and proportionately with left ventricular weight. Consequently, the extent to which capillary recruitment could decrease ICD was the same in large and small normal hearts (about 2 micrometer). In the hypertrophied hearts, capillary recruitment could have maintained ICD within normal limits at rest for several weeks. After 8-9 weeks, however, the capillary reserve in hypertrophy was fully utilized at rest, and mean functional ICD was 1.5-2.0 micrometer greater than normal for the age of the animal. An analysis of O2 transport indicates that anoxic foci would exist throughout the hypertrophied heart and particularly in subendocardium when the capillary reserve is exhausted. The calculated amount of anoxic tissue appears sufficient to account for the focal necrosis and fibrosis observed in hypertrophy and for the development of circulatory failure.

Myoglobin-O2-saturation profiles in muscle sections of chicken gizzard and the facilitated O2-transport by Mb+

It has been shown that the oxygen transport in intact muscle can be quantitatively determined using Mb as an oxygen indicator in the cryomicrophotometric method. 1) The influence of the parameters such as time, temperature, boundary PO2 and metabolism on the oxygen transport in sections of chicken gizzard could be quantitatively determined from measured MbsO2-profiles; 2) The MbsO2-profiles measured under various conditions can be reproduced using a mathematical model which considers not only the diffusion of dissolved O2 but also the facilitated diffusion as well as O2 consumption. From this mathematical results it can be concluded that the mobility of the Mb in the muscle cells is limited and that Mb in the PO2-region between 5 and 0 mmHg contributes to at most 40% to the total O2-transport in chicken gizzard.

Intracapillary HbO2 saturation in tumor tissue of DS-carcinosarcoma during normoxia

The measurements of the intravascular HbO2 saturation in tumor capillaries using the cryophotometric micromethod reveal that very low HbO2 saturation values predominate in malignant tumors. Under normoxic conditions only 8% of the measured values exceed 50% saturation. 53% of the intracapillary HbO2 saturation values are in the range of 0-10% HbO2 saturation. Great regional differences are seldom and can be found only in areas where a sufficient vascularization still exists. Taking into account the data of morphometric analysis of tumor vascularization and the parameters of respiratory gas exchange, the measured frequency distribution of HbO2 saturation values in tumor capillaries is simulated by means of different three-dimensional capillary structures; On the basis of these microcirculatory units, tissue pO2 values are computed in the intercapillary regions. As a result of these calculations it can be stated that the computed data derived from intracapillary HbO2 saturations are in sufficient agreement with pO2 values measured polarographically using gold- microelectrodes.