Clinical Hemorheology and Microcirculation - Volume 34, issue 1-2

Authors: Oda, Masaya | Tanahashi, Norio | Niimi, Hideyuki

Article Type: Other

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 1-2, 2006

Authors: McCuskey, Robert S.

Article Type: Research Article

Abstract: Recent studies demonstrate that the hepatic sinusoidal endothelial cells (SEC) are a sensitive direct target for early toxicity to acetaminophen (paracetamol, APAP) and this toxicity is exacerbated following a single and multiple week-end type alcoholic binge(s). SEC become swollen and begin to lose the ability to endocytose FITC-FSA, a ligand for the scavenger receptor, as early as 30 minutes after the administration of APAP. Gaps through the SEC appear to be formed by the destruction and/or coalescence of fenestrae and are seen as early as 2 hrs after the administration of APAP which is prior to any evidence of injury …to parenchymal cells. The gaps permit red blood cells to penetrate into the Space of Disse. Subsequently, the sinusoid may collapse or disintegrate reducing blood flow. The gaps are larger and more frequent in ethanol binged animals subsequently treated with APAP. Similar gaps are seen in the early stages of hepatic venoocclusive disease. Administration of a NO donor or a MMP-2 and MMP-9 inhibitor minimizes endothelial injury and red blood cell penetration into the Space of Disse. The injury is exacerbated when an inhibitor of eNOS is administered and minimized when iNOS is inhibited suggesting a protective role for constitutive NO derived from SEC. Both NO and MMPs are known to affect the cytoskeleton of SEC which in turn affects the formation and maintenance of the fenestrae. Show more

Keywords: Liver microcirculation, sinusoidal endothelial cells, toxicants, acetaminophen, in vivo microscopy

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 5-10, 2006

Authors: Oda, Masaya | Yokomori, Hiroaki | Han, Jing-Yan

Article Type: Research Article

Abstract: This article reviews authors' recent studies on hepatic microcirculation with special reference to hepatic arterial system. It is concluded that: (1) Hepatic arterial blood pours into the hepatic sinusoid indirectly via the anastomosis between the terminal hepatic arteriole (THAo) and the portal venule (PVn), and directly through the THAo or the capillaries derived from the arterial capillary network around the bile duct in the portal tract; (2) The steep blood pressure gradient between the THAo and the sinusoid is considered to be maintained not only by the relaxation and contraction of the “precapillary sphincter” at the end of the THAo, …but also by the coordinated dilatation and contraction of two types of sinusoidal endothelial fenestrae (SEF) particularly around the portal tract (zone 1); (3) In the regulation of hepatic sinusoidal microcirculation, the hepatic arterial system may supplementarily provides a driving force to the sinusoidal blood flow for keeping it smooth and constant. The main regulators of the sinusoidal blood flow would be present in the portal venous system. The hepatic artery is essential for supplying oxygen to the sinusoidal blood as well as to the bile ducts, portal venules and nerves in the portal tract. Show more

Keywords: Hepatic microcirculation, hepatic terminal arteriole, hepatic arterial capillary, alkaline phosphatase, hepatic sinusoidal endothelial fenestrae, endothelin receptors

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 11-26, 2006

Authors: Ohshima, Norio

Article Type: Research Article

Abstract: This review focused on a few methodologies which the author, with a background of chemical engineering, has developed in the physiological studies of microcirculation. (1) Fluorescent tracers to visualize mass transfer and hemodynamics: By means of a high sensitive SIT camera equipped in an intravital microscope system, dynamic processes of the permeation of a fluorescent dye from the microvessels through the extravascular space to lymphatics was made to be visualized. Dynamic behaviors of the formed elements were also quantitatively analyzed by the selective fluorescent labeling technique. (2) The dye/light method to induce platelet thrombus in vivo: Intravascular platelet aggregation and …subsequent thrombus formation leading to the complete occlusion of the vessels were produced in the microvasculature by the irradiation of filtered light in combination with the intravascular administration of sodium fluorescein. This method enables quantitative evaluation of thrombus formation process in terms of thrombus formation times. Effects of hemodynamic parameters on thrombogenesis in vivo were quantitatively analyzed. (3) Establishment of peritoneal disseminated tumor model: Colon tumor cells (RCN-9) were inoculated into the peritoneal cavity of male Fischer rats, and the intravital microscopic observation of angiogenic vascular growth accompanying tumor growth was made possible. Dynamic behavior of leukocytes in the microcirculation of solid tumor tissue was visualized using a fluorescent labeling technique combined with the use of a real-time confocal laser-scanning microscope. Show more

Keywords: Intravital microscope, platelet thrombus formation, tumor microcirculation, fluorescent tracers

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 27-34, 2006

Authors: VanBavel, Ed | Bakker, Erik N.T.P. | Pistea, Adrian | Sorop, Oana | Spaan, Jos A.E.

Article Type: Research Article

Abstract: This paper reviews work on microvascular remodeling that has been done over the past years in our lab. It is not our purpose to fully cover the field; rather we explain our progress in a more or less chronological order. We address physiological and pathological remodeling in resistance vessels, the biomechanics of the vascular wall and the factors that determine vascular caliber. Subsequently, the intimate link between maintained vascular tone and inward remodeling is discussed, and we highlight our view that tone and remodeling form hallmarks in a continuous process of vascular adaptation. Finally, the role of transglutaminases in remodeling …is described. Show more

Keywords: Vascular tone, vascular remodeling, biomechanics, shear stress, transglutaminase

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 35-41, 2006

Authors: Bunnag, Srichitra C.

Article Type: Research Article

Abstract: Diabetes mellitus type 2 (T2 DM) is a worldwide pandemic disease. T2 DM and hypertension (HT) are closely related and classified as non-communicable diseases. These conditions represent as part of metabolic syndrome. Ageing is an independent risk factor of both diseases. Accumulation of reactive oxygen species (ROS) or imbalance of ROS and antioxidant system, which cause endothelial dysfunction (ED) through depletion of nitric oxide (NO), is likely to be the main risk factor in ageing, T2 DM and HT. The organ that is rich in capillary blood supply like the islets of Langerhans and renal glomeruli, is theoretically prone to …ED after long exposure to accumulation of various oxidants derived from dietary products, such as superoxide radical (O2 − ), hydroxyl radical (OH), malondialdehyde (MDA) and peroxynitrite (ONOO− ), a potent long lived oxidant and cytotoxic. Preventive measures to correct imbalance of oxidant and antioxidation pathways and the sequential effects should be implemented since birth or childhood period by ways of proper diet, exercise, adequate supply of natural antioxidants and lifestyle modifications. Show more

Keywords: Diabetes mellitus type 2 (T2DM), hypertension, ageing, reactive oxygen species (ROS)

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 43-50, 2006

Authors: Tomita, Minoru | Tanahashi, Norio | Takeda, Hidetaka | Istvan Schiszler, | Osada, Takashi | Unekawa, Miyuki | Suzuki, Norihiro

Article Type: Research Article

Abstract: Despite numerous reports on the regulation of cerebral arterial blood flow, little work has been done on that of the capillary and venous system. We have examined capillo-venous blood flow in the rat intraparenchymal cerebral cortex, employing a high-speed video confocal fluorescence microscope and our own software (KEIOIS-2) to track individual RBCs and to document velocity changes in single capillaries and veins. We found temporal and spatial heterogeneous changes in capillary RBC density (hematocrit), RBC recruitment, oscillation of capillary flow or vasomotion, and capillary density unrelated to arteriolar diametric changes. In veins, blood flow was also quite variable in time …and space, and at a high frame rate venous blood per se was observed as a moving column of amorphous RBC aggregates with irregular edges; we believe this is the first report of such an observation under physiological conditions. The formation of such intravascular RBC aggregates would enforce slowing of blood flow and vice versa: RBC aggregation was in turn entirely flow-dependent. In rapid venous flow, RBCs appeared as a straight gathering of individually separated and dispersed cells. At capillo-venous junctions, an “RBC pouring” process appeared to occur, with RBCs either being sucked up from the capillary, merging, or being held back in the capillary. Changes in venous blood viscosity due to RBC aggregation are likely to be involved in this process. These findings suggest that the capillo-venous junction somehow participates in the regulation of appropriate tissue capillary flow in toto. Show more

Keywords: Shear dependent viscosity, intravascular RBC aggregation, capillo-venous junction, single capillary flow, RBC tracking, RBC velocity

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 51-57, 2006

Authors: van Helden, Dirk F. | Hosaka, Kayoko | Imtiaz, Mohammad S.

Article Type: Research Article

Abstract: Many blood and lymphatic vessels undergo spontaneous rhythmical constrictions. Such activity is an intrinsic property of the smooth muscle in the walls of these vessels and is induced or enhanced by a wide range of activators including pressure-induced distension and sympathetic neurotransmitters in both blood vessels and lymphatic vessels. This review considers present understanding of vasomotion.

Keywords: Vasomotion, smooth muscle, endothelium, lymphatic, blood vessels

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 59-66, 2006

Authors: Hill, Michael A. | Davis, Michael J. | Meininger, Gerald A. | Potocnik, Simon J. | Murphy, Timothy V.

Article Type: Research Article

Abstract: Arterioles typically exist in a state of partial constriction that is related to the level of intraluminal pressure. This vasomotor response is a function of the vascular smooth muscle and occurs independently of neurohumoral and endothelial input. The physiological relevance of myogenic constriction relates to the setting of peripheral resistance, provision of a level of tone that vasodilators can access, and a contribution to control of capillary pressure. Despite its importance in the regulation of microvascular haemodynamics the exact cellular mechanisms linking intraluminal pressure to myogenic constriction remain uncertain. Studies using isolated, cannulated arteriole techniques, and freshly dispersed smooth muscle …cells, have shown that increased intraluminal pressure/cell stretch leads to smooth muscle cell membrane depolarisation, the opening of L-type voltage-gated Ca2+ channels (VGCC), Ca2+ -dependent activation of myosin light chain kinase and actomyosin-based contraction. Questions remain as to how the initial stimulus is detected and how these events lead to membrane depolarisation. A candidate pathway for the mechanosensory events involves the link between extracellular matrix proteins, cell surface integrins and the subsequent activation of intracellular signalling events. Membrane depolarisation may occur through the involvement of various ion channels, including non-selective cation channels (possibly themselves mechanosensitive) that predominantly pass Na+ from the extracellular space. Evidence suggests that this may involve TRP-like channels, possibly TRPM4 or TRPC6 isoforms that are modulated by diacylglycerol and protein kinase C. In addition, the exact roles played by various Ca2+ pools, including those occurring in spatially-restricted domains, and Ca2+ sensitisation, remain uncertain despite the clearly important role of VGCC. Similarly, while a change in intraluminal pressure is associated with the generation of a number of second messengers and the activation of various protein kinases, their roles in myogenic contraction versus long-term adaptive responses, such as tissue remodelling, are still to be defined. Show more

Keywords: Arteriole, intraluminal pressure, smooth muscle membrane potential, calcium, mechanotransduction, vasoconstriction

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 67-79, 2006

Authors: Xiu, Ruijuan

Article Type: Research Article

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 81-82, 2006

Authors: Niimi, Hideyuki | Patumraj, Suthiluk | Han, Jing-Yan

Article Type: Research Article

Abstract: Asian traditional medicine (ATM) (herbal medicine, acupuncture or moxibution) has gained some popularity among communities in Asia. Some therapies employed in ATM have been verified using modern techniques, but the significance of ATM has still remained unclear. This symposium was focused on experimental data obtained recently.

Keywords: Asian Traditional Medicine (ATM), herbal medicine, microcirculation

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 85-88, 2006

Authors: Asano, Makishige

Article Type: Research Article

Abstract: One of the favorites of traditional oriental medical treatments with Japanese people may be acupuncture for various intractable and/or chronic symptoms caused by external insults such as bruises and thermal injuries. The present paper was aimed to reminisce our previous two works using a rabbit ear chamber technique on effects of experimental acupuncture upon basic behaviors of cutaneous microcirculation and their pathophysiological changes induced by topical thermal stimulation in cutaneous microvascular system in vivo. Application of a single acupuncture needle (32-gauge, silver) to the back of rabbits, corresponding to Geshu (B17) in human beings, showed an increased microvascular blood flow …in parallel with augmentation of vasomotion. Daily application of respective three larger (32-gauge, silver) and smaller (0.12 mm in diameter and 4 mm in length, stainless steel) needles to fixed places of the back and ear lobe showed a notable acceleration of recovery from pathophysiological microcirculatory changes induced by the thermal stimulation such as hemorrhages and stases in accordance with restoration of vasomotion. Some implications of vasomotion in the curative effects of experimental acupuncture treatments were discussed from the microcirculatory point of view in conjunction with the clinical efficacy in human beings. Show more

Keywords: Acupuncture, cutaneous microcirculation, intravital microscopy, microphotoelectric plethysmography (MPPG), rabbit ear chamber (REC), thermal stimulation, vasomotion

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 89-96, 2006

Authors: Siriviriyakul, Prasong | Khemapech, Sirima | Monsiri, Khuanying | Patumraj, Suthiluk

Article Type: Research Article

Abstract: To determine the effects and mechanism(s) of genistein on endothelial functions, the model of mesenteric-chamber with intravital fluorescence videomicroscopy and image analysis were used. After preconstriction with norepinephrine (NE; 10−6 M), vascular responses to different doses of genistein (10−2 –10−7 M) were recorded with real time video-camera. The mechanism(s) of vasodilation was also determined by using Nω -L-arginine methyl ester (L-NAME; 100 μM), the inhibitor of nitric oxide synthase (NOS inhibitor), and/or indomethacin (INDO; 10 μM), cyclooxygenase inhibitor. The results indicated that the topical application of 10−2 –10−7 M genistein on mesenteric microvessels caused the increase in …arteriolar diameters from 33% to 48%, respectively. The effects of genistein on mesenteric endothelial-dependent vasodilatation could be mediated through both L-arginine/NO and cyclooxygenase pathways. Our finding indicated that genistein could induce endothelial-dependent vasodilation similar to 17 β-estradiol. Show more

Keywords: Genistein, endothelial function, nitric oxide, PGI2

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 97-101, 2006

Authors: Sun, Kai | Wang, Chuan-She | Guo, Jun | Liu, Yu-Ying | Wang, Fang | Liu, Lian-Yi | He, Ji-Guo | Fan, Jing-Yu | Han, Jing-Yan

Article Type: Research Article

Abstract: Panax notoginseng is the root of the Chinese traditional herb, Panax notoginseng (Burk) F.H. Chen. This study was aimed to investigate the inhibitory effect of Panax notoginseng saponins (PNS) on the leukocyte adhesion and the expression of adhesion molecules in rat mesentery venules. Male Sprague-Dawley rats were anesthetized with urethane. These were divided into control, LPS (perfused with lipopolysaccharide), and PNS group (perfused with PNS). The mesenteric microcirculation was observed under a videomicroscope. The number of adherent leukocytes, which attached to the vascular wall during more than 10 seconds, was counted along single venules (30–50 μm in diameter, 200 μm …in length). The expression of adhesion molecules was examined using flow-cytometry in blood which was taken from the abdominal aorta and incubated with FITC-labeled CD11b (or CD18) antibodies. The results showed that different changes in the leukocyte adhesion and the expression of adhesion molecules among three groups. In LPS group, the leukocyte adhesion increased significantly after 20 minutes during the observation time, while it was reduced markedly in PNS group. The expression of CD11b and CD18 on the neutrophils was induced in LPS group, while it was reduced significantly in PNS group. It was suggested that PNS could reduce leukocyte adhesion in venules under the inhibitory effect on the expression of adhesion molecules (CD11b and CD18) on neutrophils. Show more

Keywords: Panax notoginseng saponins (PNS), leukocyte–endothelium interaction, leukocyte adhesion molecule, lipopolysaccharide (LPS)

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 103-108, 2006

Authors: Yoysungnoen, Pornprom | Wirachwong, Porntip | Bhattarakosol, Pavaphon | Niimi, Hideyuki | Patumraj, Suthiluk

Article Type: Research Article

Abstract: Anti-angiogenic activity of curcumin and effects of curcumin on angiogenic biomarkers, cycloxygenase (COX)-2 and vascular endothelial growth factor (VEGF) levels were investigated. One day after hepatocellular carcinoma cell (HepG2) cells (30 μl of 2×106 cells) were inoculated onto the upper layer of the skin-fold chamber (HepG2-group, n=15), curcumin solutions of 300 and 3000 mg/kg BW were daily oral fed to HepG2-Cur-300 and HepG2-Cur-3000 groups (n=30), respectively. Intravital fluorescence videomicroscopy was performed to monitor neocapillaries in the tumor on days 3, 7 and 14 post-tumor-inoculation, using RITC-dextran (0.1 ml of 0.5% injected intravenously). The tumor neocapillary density (NCD) was evaluated …in correlation with the tumor area, using a digital image analysis. The results demonstrated that the NCD of HepG2-groups were significantly increased on day 7 and 14, compared to the aged-matched Sham-groups (p<0.001). The increased NCD on day 7 and 14 were attenuated significantly by daily treatment of curcumin solution (3000 mg/kg BW).The curcumin treatment reduced the tumor-induced over-expression of COX-2 and serum VEGF in HepG2 groups significantly (p<0.001), indicating that curcumin could inhibit tumor angiogenesis. This mechanism might be mediated through reduction of angiogenic biomarkers, COX-2 and VEGF. Show more

Keywords: Curcumin, neocapillary density, hepatocellular carcinoma cells, tumor angiogenesis, cycloxygenesis (COX-2), vascular endothelial growth factor (VEGF)

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 109-115, 2006

Authors: Sun, Bao-Liang | Xia, Zuo-Li | Hu, Dong-Mei | Niu, Jing-Zhong | Yuan, Hui | Ye, Wen-Jing | Wang, Xin-Cheng | Zhang, Su-Ming

Article Type: Research Article

Abstract: The study was aimed to investigate the alterations of vascular endothelial growth factor (VEGF) receptors and the influence of extract of Ginkgo biloba (EGb) after subarachnoid hemorrhage (SAH). Wistar rats were divided into non-SAH, SAH, vehicle, EGb1 (lower dose), and EGb2 (higher dose) groups. Autologus arterial hemolysate was injected into cisterna magna to induce SAH. The non-SAH rats received cisternal injection of saline instead. Rats underwent RT-PCR determination of one of the VEGF receptors flt-1mRNA, and immunohistochemistry for VEGF receptors Flt-1 and Flk-1. The results revealed that there was only slight expression of flt-1mRNA in the brain tissue in non-SAH …rats. The expression in SAH group was enhanced 24 hours and 72 hours after cisternal injection. No Flt-1 and Flk-1 positive cell was observed in the brain in non-SAH group. A good few Flt-1 and Flk-1 positive cells were found in cortex and other regions of the brain in SAH group. The expression of flt-1mRNA, Flt-1 and Flk-1 proteins were increased by the use of two doses of EGb. It was concluded that the up-regulated expression of the two kinds of VEGF receptors may be an intrinsic protective mechanism in the process of SAH, which can be enhanced by EGb. Show more

Keywords: Subarachnoid hemorrhage, secondary cerebral ischemia, receptor, vascular endothelial growth factor (VEGF), Ginkgo biloba (EGb)

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 117-124, 2006

Authors: Minamiyama, Motomu | Minato, Takumi | Yamamoto, Akemi | Kaihatsu, Takayuki | Tsunoda, Kenji

Article Type: Research Article

Abstract: Carpronium chloride, a hair growth reagent, is known to have a vasodilatory action, but its direct effect on the microcirculation has been known very primitively. This study was aimed to examine its effects on the vascular smooth muscles and blood flow in rat mesenteric arterioles using intravital videomicroscopy. After topically applying carpronium chloride on the microvasculature, we measured changes of diameter and blood flow in the arterioles. During its topical application, arteriolar vasodilation and flow increase were observed, while no change occurred in the mean systemic blood pressure. Our in vivo studies indicated that carpronium chloride achieved dilatation of vascular …smooth muscle in the microcirculation. Show more

Keywords: Carpronium chloride, intravital videomicroscopy, vasodilation, rat mesentery

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 125-129, 2006

Authors: Wang, Fang | Liu, Yu-Ying | Liu, Lian-Yi | Guo, Jun | Sun, Kai | Wang, Chuan-She | Fan, Jing-Yu | Han, Jing-Yan

Article Type: Research Article

Abstract: This paper was aimed to explore the inhibition effect of cardiotonic pills (CP) on venous thrombosis induced in rat mesentery by photochemical stimulation (PS). Male Sprague-Dawley rats were anesthetized with urethane. Thrombosis was induced in the mesenteric venule by PS with photosensitizer hematoporphyrin and an ultraviolet beam. The rats were divided into three groups: control (n=6), PS (n=6) and PS+CP group (n=6) where CP solution (0.4 g/kg.b) was administrated orally 60 min before PS. Microcirculatory disturbances in the mesentery were observed under an inverted microscope with a color video-camera. Based on the recorded images, the development of thrombosis was evaluated …in term of time of thrombosis appearance (Ta ) and area ratio of thrombus/vessel (AR). The expression of adhesion molecule (CD31) of platelet was examined in blood taken from the abdominal aorta, using flow cytometry. The Ta was approximately 10 seconds after PS in PS group, but it was approximately 20 seconds in PS+CP group. The AR in PS+CP group was significantly reduced, compared to that in PS group, during the period of the observation. The CD31 expression was not changed in both groups, while positive cells were significantly increased in the number. It is suggested that CP might suppress thrombus development under the interaction of platelet with endothelium. Show more

Keywords: Cardiotonic pills, venous thrombosis, adhesion molecules, platelet, videomicroscopy

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 131-138, 2006

Authors: Jariyapongskul, Amporn | Pathumraj, Suthiluk | Niimi, Hideyuki

Article Type: Research Article

Abstract: This study was conducted to investigate effects of Yahom on the regional cerebral blood flow (rCBF) in rats using fluorescence videomicroscopy. Male Wistar Furth rats weighing 200–250 g were used, and divided into three groups: experimental I, II and control groups. The experimental I and II groups received single oral administration of Yahom 2 and 4 g/kg.bw, and topical application of Yahom on the pial cerebral cortex, respectively, while the control group received oral administration of 1 ml of 5% Tween. The rCBF was monitored using laser Doppler flowmetry at different periods (5–120 minutes) after the administration of Yahom or …Tween. The mean arterial pressure (MAP) was measured through a femoral artery. The cerebral microcirculation was observed and recorded under an intravital fluorescence videomicroscopic system. The arteriolar diameter was measured based on the recorded videomicroscopic images. The MAP and rCBF increased after the oral administration of Yahom, while they did not alter in the control group. The maximum responses of MAP and rCBF were approximately 16% and 33% at 45 min and 30 min after the administration of Yahom 4 g/kg.bw, respectively. The topical application of Yahom induced vasodilation in the pial microvessels. In conclusion, single oral administration of Yahom may increase the regional cerebral blood flow under the effect of cerebral microvascular vasodilation. Show more

Keywords: Fluorescence videomicroscopy, laser Doppler flowmetry, regional cerebral blood flow, vasodilation, Yahom

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 139-144, 2006

Authors: Han, Jing-Yan | Horie, Yoshinori | Li, Dan | Akiba, Yasutada | Nagata, Hiroshi | Miura, Soichiro | Oda, Masaya | Ishii, Hiromasa | Hibi, Toshifumi

Article Type: Research Article

Abstract: Myakuryu (MR) is a newly developed herbal medicine composing Crataegue oinnatifida bge (COB), Panax notoginseng (PN) and Ginkyo biloba (GB). To examine the effectiveness of MR, we investigated its effects on rat mesenteric microcirculatory injury induced by ischemia/reperfusion (I/R). The mesenteric microcirculation of ileocecal portion of a male Wistar rat was observed through an inverted-type intravital microscope assisted with a charge-coupled devise (CCD) camera. Mesenteric I/R was conducted by a ligation of the mesenteric artery and vein (10 min) and subsequent release of the occlusion. We measured venular diameter, the number of adherent leukocytes, dihydrorhodamine 123 (DHR) fluorescence as an …indicator of oxidative stress and mast cell degranulation, with or without MR extract (0.4 g/kg b.w.) via an orogastric tube 1hr before I/R. The diameters of the observed mesenteric venules were not changed after the mesenteric I/R. MR had no effect on venular diameter. The leukocytes adhering to the post-capillary venular walls started just after reperfusion, and increased thereafter. The increased number of adherent leukocytes was significantly reduced by treatment with MR. DHR fluorescence ratio was significantly increased along the venular wall. MR attenuated the increased oxidation. The mesenteric I/R induced mast cell degranulation. The increase in mast cell degranulation was inhibited by MR. In conclusion, oral administration of MR attenuates I/R-induced microvascular damages in rat mesentery. MR has a therapeutic potential for prevention of I/R-related microvascular injury. Show more

Keywords: Chinese medicine, oxygen radicals, leukocyte adherence, mast cell degranulation, ischemia–reperfusion

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 145-150, 2006

Authors: Xue, Meilang | Thompson, Patrick | Sambrook, Philip N. | March, Lyn | Jackson, Christopher J.

Article Type: Research Article

Abstract: Activated protein C (APC) is a serine protease that plays a central role in physiological anticoagulation, and has more recently been shown to be a potent anti-inflammatory mediator. We show here that APC upregulates the angiogenic promoters, vascular endothelial growth factor (VEGF), monocyte chemoattractant protein-1 (MCP-1), interleukin-8 (IL-8) or matrix metalloproteinase-2 (MMP-2) in cultured human skin fibroblasts (HF), keratinocytes (HK) or umbilical vein endothelial cells (HUVE). In the chick embryo chorio-allantoic membrane assay, APC promoted angiogenesis. In a full-thickness rat skin healing model, a single topical application of APC enhanced wound healing compared to saline control. In summary, our results …demonstrate that APC promotes cutaneous wound healing at least partly by stimulation of angiogenesis. Show more

Keywords: Activated protein C, angiogenic factors, wound healing, keratinocytes, umbilical vein endothelial cells

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 153-161, 2006

Authors: Itoh, Yoshiaki | Takaoka, Rie | Ohira, Masayuki | Abe, Takato | Tanahashi, Norio | Suzuki, Norihiro

Article Type: Research Article

Abstract: Generation of reactive oxygen species (ROS) and their detrimental effects on the brain after transient ischemia are widely recognized. We studied ROS production from mitochondria in human brain microvessel endothelial cells (HBEC) under chemical hypoxia. HBEC in confluent conditions were incubated for 30 min with 10 μM 5-(and-6)-carboxy-2′,7′-dichlorodihydrofluorescein (DCF) diacetate, which was hydrolyzed and trapped inside the cells. ROS were measured with a fluorescent microscope, a CCD camera and an image analyzing system. Injury to mitochondrial respiratory chain was induced either with rotenone (an inhibitor of mitochondrial complex I) or with m-chlorocarbonyl cyanide phenylhydrazone (CCCP) (an uncoupler of ATP synthetase). …Shortly after application of 10 μM rotenone, fluorescent intensity started to increase and the gradual increase continued for 10 min. Similarly, CCCP (10, 50 and 100 μM) dose-dependently increased the fluorescent intensity (p<0.01). Edaravone, a free radical scavenger widely used for treatment of cerebral infarction in Japan, at 100 μM successfully suppressed this ROS production (p<0.05). These data show that chemical hypoxia with normal concentration of oxygen in the medium induced free radicals generation in HBEC. Importance of endothelial mitochondria as a source of free radicals after reperfusion is suggested. Show more

Keywords: Human brain, microvessel, endothelial cell, reactive oxygen species (ROS), dichlorodihydrofluorescein

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 163-168, 2006

Authors: Fu, Panfeng | Wang, Chunling | Xiu, Ruijuan

Article Type: Research Article

Abstract: Serum C-reactive protein (CRP) and soluble angiopoietin receptor Tie-2 (sTie) were detected in patients with acute myocardial infarction (AMI). The results indicated that mean serum CRP and Tie-2 levels were significantly higher in the patients with AMI than the control group. Increasing CRP was related to an increased infarction area and adverse prognosis. Levels of sTie-2 increased in the AMI patients and the maximum level of sTie-2 appeared at day 2 after onset of AMI. The feasibility of using to detect serum CRP and Tie-2 was also presented in this study. Measurement for CRP by optical proteinchip with imaging ellipsometry …(OPC-IE) and immunobidimetric analyzer showed no obvious difference (p<0.01). Also, the measurement for Tie-2 by ELISA and OPC-IE showed no obvious difference (p<0.01). Show more

Keywords: C-reactive protein (CRP), angiopoietin receptor Tie-2, optical proteinchip, acute myocardial infarction

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 169-175, 2006

Authors: Yada, Toyotaka | Shimokawa, Hiroaki | Kajiya, Fumihiko

Article Type: Research Article

Abstract: Rho-kinase modulates calcium sensitivity of the myosin light chain in smooth muscle cells and has been implicated as playing a pathogenetic role in cardiovascular disorders. This paper was aimed to determine whether hydroxyfasudil (a specific Rho-kinase inhibitor) exerts cardioprotective effect on coronary ischemia–reperfusion (I/R) injury, and if so, whether NO is involved. Canine subepicardial small arteries (diameter≥100 μm) and arterioles (diameter<100 μm) were observed by a CCD intravital microscope during coronary I/R. Coronary vascular responses to endothelium-dependent (acetylcholine) and -independent (papaverine) vasodilators were examined after I/R under three conditions: control, preconditioning, and hydroxyfasudil. Coronary I/R significantly impaired coronary vasodilation to …acetylcholine, whereas hydroxyfasudil completely preserved the responses, as did preconditioning. Hydroxyfasudil also significantly reduced myocardial infarct size. These results indicated that hydroxyfasudil exerts cardioprotective effects on coronary I/R injury in vivo, for which NO-mediated mechanism may be involved. Show more

Keywords: Rho-kinase inhibitor, coronary microcirculation, ischemia–reperfusion, nitric oxide

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 177-183, 2006

Authors: Luo, Zhaohua | Li, Hongwei | Zhang, Jing | Zhang, Honggang | Xiu, Ruijuan

Article Type: Research Article

Abstract: Connective tissue growth factor (CTGF) is a 38-kDa cysteine-rich protein and an important regulator of angiogenesis. In order to study the role CTGF gene playing in angiogenesis, the eukaryotic expression vector of CTGF gene was constructed in this study, and the role of endogenous CTGF on migration of human umbilical vein endothelial cell (HUVECs) was investigated. According to human CTGF cDNA sequence, a pair of specific primers containing digestion sites of Xba I and Hind III on the 5′ end respectively were designed. Reverse transcript polymerase chain reaction (RT-PCR) was used to amplify CTGF cDNA from HUVECs. The eukaryotic expression …vector pcDNA3.1(−)/CTGF containing the entire coding region was constructed successfully. Compared with CTGF sequence of GenBank, DNA sequence analysis showed that this reformed plasmid contained the same full length of CTGF cDNA. The results of Western blotting demonstrated that CTGF was over-expressed at 48 h after transfection. Migration of HUVECs transfected with CTGF vector increased significantly compared with those transfected with vector control. In conclusion, the eukaryotic expression vector pcDNA3.1(−)/CTGF was constructed successfully and the endogenous CTGF promoted the migration of HUVECs. This study lays a foundation for further study on the role CTGF gene playing in angiogenesis. Show more

Keywords: Connective tissue growth factor (CTGF), cell migration, angiogenesis, tumor

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 185-192, 2006

Authors: Nakamura, Masahiko | Asada, Maki | Matsui, Hidenori | Hibi, Norifumi | Tsuchimoto, Kanji | Inoue, Jun | Oda, Masaya

Article Type: Research Article

Abstract: To clarify the microvascular changes and the effector sites of lansoprazole during the formation of colitis, the dextran sulfate sodium (DSS)-induced colitis was induced by the oral administration for 3 and 7 days. The alteration of the microvascular permeability was estimated by the intraaortic infusion of FITC-dextran. The effector sites of 3 H-lansoprazole were examined by the intraaortic infusion of the radiolabelled compound and the autoradiographic procedure of water-soluble compounds. As a result, marked increase of the microvascular permeability was detected three days after DSS treatment near the inflammatory cells in the tip portion of the colonic mucosa. 3 H-lansoprazole …in the control rat colon was localized in the goblet cells, while in DSS-treated rats, 3 H-lansoprazole was accumulated in the cytoplasm of the mesenchymal cells, and most of them coincided with polymorphonuclear leucocytes and macrophages. Show more

Keywords: Dextran sulfate sodium, FITC-dextran, lansoprazole, autoradiography, colitis, neutrophil, macrophage

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 193-199, 2006

Authors: Su, Yan | Li, Hongwei | Zhang, Jing | Xiu, Ruijuan

Article Type: Research Article

Abstract: Hypoxia is generally considered to represent a fundamental stimulus for angiogenesis. Most angiogenic factors were up-regulated by hypoxia, but as a strong angiogenic and antiapoptotic factor, hepatocyte growth factor (HGF) was down-regulated by hypoxia. In order to investigate whether hypoxia inducible factor 1a (HIF-1α) participate in the transcriptional regulation of HGF under hypoxia, rat cardiac myocytes were treated with cobalt chloride (CoCl2 ), the specific inducer of HIF-1α, for different times, and total RNA and protein were isolated to perform RT-PCR and Western blot. Results show the expression of HGF mRNA in cardiac myocytes decreased distinctively after treating with CoCl2 …for 12 hours. However, at the same time, the expression of HIF-1α protein was up-regulated. HIF-1α may be participate in the transcriptional regulation of HGF indirectly. Show more

Keywords: Hepatocyte growth factor, hypoxia inducible factor 1a, hypoxia, cobalt chloride

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 201-206, 2006

Authors: Xia, Zuo-Li | Sun, Bao-Liang | Zheng, Yan-Hong | Yang, Ming-Feng | Song, Xi-Jun | Hao, Fang | Zhao, Xiao-Min | Xu, Chang-Qing

Article Type: Research Article

Abstract: The model of lymphatostatic encephalopathy was established by occluding and removing profound cervical nodes in rats, and the kinetic alteration of nitric oxide (NO), maleic dialdehyde (MDA), free radical scavenger (CuZn-SOD) and arterial systolic blood pressure were determined on different days after the blockage. The results showed that the level of NO significantly decreased at 1 day (P<0.05) and further decreased at 3, 5 and 7 day (P<0.01). The levels of MDA at 1, 3, 5 and 7 day significantly increased, but the contents of CuZn-SOD significantly decreased compared with the control (P<0.01). There was negative correlation between the levels …of MDA and CuZn-SOD, but there was no relationship between MDA an NO. Arterial systolic blood pressure decreased progressively after cervical lymphatic blockage. The results showed that NO, oxide free radicals and the disturbances of the cardiovascular regulation may play important roles in lymphatostatic encephalopathy. Show more

Keywords: Lymphatostatic encephalopathy, nitric oxide, free radical, arterial systolic blood pressure

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 207-211, 2006

Authors: Li, Yuan | Zhou, Zong-Guang | Zhang, Jie | Chen, You-Dai | Li, Hong-Guang | Gao, Hong-Kai | Wang, Rong | Hu, Ting-Ze

Article Type: Research Article

Abstract: This paper was aimed to detect Toll-like receptor 4 (TLR4) microcirculatory expression and localization in rat pancreas and intestine. Acute pancreatitis (AP) was induced by twice injections of cerulein (20 μg in total) and acute necrotizing pancreatitis (ANP) was induced by intraductal injection of 5% taurocholate (1 ml/kg.bw). Reverse transcription polymerase chain reaction (RT-PCR) and immunohistochemistry (IHC) were used to detect and localize TLR4 in the pancreas and intestine. Results showed that RT-PCR of RNA isolated from pancreatic and intestinal tissue yielded the predicted amplicon for TLR4; IHC analysis localized TLR4 expression to the endothelium of pancreatic arteriole, venule, acinar …capillary network and sinusoidal capillary of endocrine islet; TLR4 expression in intestine was principally in the microvascular endothelium and leucocytes within the mucosa lamina propria. TLR4 staining in intestine was more intense in taurocholate-induced pancreatitis (TIP) than that in cerulein-induced pancreatitis (CIP). In conclusion, TLR4 could be detected in the pancreatic and intestinal microcirculation, suggesting TLR4 involved in the microcirculatory impairment in AP; the more intense intestinal TLR4 expression in TIP suggests a potential risk for secondary infection. Show more

Keywords: Acute pancreatitis, microcirculation, Toll-like receptor 4

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 213-219, 2006

Authors: Osada, Takashi | Tomita, Minoru | Tanahashi, Norio | Takeda, Hidetaka | Nagai, Toshihiro | Suzuki, Norihiro

Article Type: Research Article

Abstract: The source and target of edema fluid for ischemic brain swelling clinically often observed in “malignant infarction” was examined in ex vivo. Wister rat brain hemispheres were removed and incubated air-tightly in a deoxygenated artificial cerebrospinal fluid at 37° for 30 min. Ionic movement into the brain tissue was calculated from their concentration changes in the incubation fluid. We found a weight increase by 11.3±2.5% (p<0.01) and a decrease in Na+ from 148.0 to 139.0±8.2 mEq/l (p<0.01) and an increase in K+ from 4.3 to 11.2±1.2 mEq/l. Video tape recording revealed that the brain swelling started immediately upon …the incubation, and the electronmicroscopical investigation of the swollen cortical tissue revealed that the fluid moved mainly into astroglial cells. The astroglial swelling was quite similar to that of specimen taken from clinical cases at autopsy. The driving force of the water shift can be explained by discharge of thermodynamic potential, i.e., a coupled transport of water with Na+ across the cell membrane (anomalous osmosis). The swelling was not affected by addition of aquaporin blocker, mercuric chloride. It is concluded that cerebrospinal fluid bathing the brain in situ can be the source of edema fluid for ischemic brain swelling. Show more

Keywords: Edema fluid, anomalous osmosis, membrane depolization, ischemic brain swelling

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 223-226, 2006

Authors: Sun, Bao-Liang | Xia, Zuo-Li | Wang, Jing-Ru | Yuan, Hui | Li, Wen-Xia | Chen, Yu-She | Yang, Ming-Feng | Zhang, Su-Ming

Article Type: Research Article

Abstract: The study was designed to observe the influence of blockade of cerebral lymphatic drainage on the regional cerebral blood flow (rCBF) and brain edema after experimental subarachnoid hemorrhage (SAH). Wistar rats were divided into non-SAH, SAH, and SAH plus cervical lymphatic blockade (SAH+CLB) groups. Autologous arterial hemolysate was injected into rat's cisterna magna to induce SAH. The rCBF was recorded continuously by a laser Doppler flowmeter. Intracranial pressure (ICP) was also monitored. After 24 hours and 72 hours of SAH, the rats were sacrificed and the brain was harvested for water content detection. It was found that there was no …obvious change of rCBF and brain water content during the experiment in non-SAH group. An immediate and persistent drop in rCBF was found in SAH group. The drop in rCBF was more obvious in SAH+CLB group. CLB also worsened the SAH-induced increase in ICP. The brain water content 24 hours and 72 hours after induction of SAH in SAH group increased significantly. CLB led to a further increase of brain water content. In conclusion, blockade of cerebral lymphatic drainage pathway deteriorates the secondary cerebral ischemia and brain edema after SAH. Show more

Keywords: Cerebral lymphatic drainage, subarachnoid hemorrhage, cerebral blood flow, brain edema

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 227-232, 2006

Authors: Seki, Junji | Satomura, Yasuhiko | Ooi, Yasuhiro | Yanagida, Toshio | Seiyama, Akitoshi

Article Type: Research Article

Abstract: In order to analyze cerebral hemodynamics and its change following neural activation, the cross-sectional profiles of blood flow velocity in the rat pial microvessels and their temporal changes were measured in vivo using Doppler OCT technique (Doppler optical coherence tomography). The OCT system used in this study has axial resolution of 11 μm and lateral resolution about 14 μm in the cortical tissue. The velocity distributions along the vertical diameter of pial microvessels in a cranial window of the rats were measured at short time intervals by scanning the OCT sampling point repeatedly. The velocity profiles obtained in the pial …arterioles were parabolic at any phase, although the centerline velocity pulsated following heart beats with amplitude as large as 50% of the temporal mean velocity. It indicates that the blood flow in the pial microvessels is a quasi-steady laminar flow, which is consistent with the flow expected for the case of a small Reynolds number and a small frequency parameter. The stimulus-induced increase in velocity pulsation was much larger than the increase in the mean velocity, which places a restriction on the mechanism of regulating the regional cerebral blood flow and blood volume. The results obtained in this study showed that the Doppler OCT has a potential of measuring velocity profiles and their temporal changes with both high temporal and spatial resolutions for the pial microvessels with diameter up to 200 μm. Show more

Keywords: Velocity profile, Doppler optical coherence tomography, pial microvessel, cardiac pulsation, electrical stimulation, functional hyperemia

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 233-239, 2006

Authors: Sun, Bao-Liang | An, Wei | Xia, Zuo-Li | Zheng, Cheng-Bi | Li, Wen-Xia | Yang, Ming-Feng | Zhao, Tong | Ye, Wen-Jing

Article Type: Research Article

Abstract: This study was aimed to evaluate the influence of an antagonist of heme oxygenase, zinc protoporphyrin IX (ZnPPIX), on the production of endogenous carbon monoxide (CO) and the secondary cerebral injury after subarachnoid hemorrhage (SAH). Wistar rats were divided into non-SAH, SAH, and ZnPPIX groups. Autologus arterial hemolysate was injected into rat cisterna magna to induce SAH. CO and cyclic guanosine monophosphate (cGMP) levels in the brain, and lactate dehydrogenase (LDH) activity in serum were determined 24 hours and 72 hours after cisternal injection. It was found that 24 hours and 72 hours after SAH, the CO contents in SAH …group were increased by 20.76% and 37.36%, respectively. CO content in ZnPPIX group was statistically lower than that in SAH group. No obvious change of cGMP content in SAH group was found. However, cGMP content in ZnPPIX group was lower than that in SAH group. Serum LDH activity increased significantly after induction of SAH. LDH activity in ZnPPIX group increased to a greater extent. It was concluded that ZnPPIX aggravates the cerebral injury secondary to experimental SAH by inhibiting the production of endogenous CO. The activation of HO/CO pathway is an intrinsic protective mechanism against cerebral ischemic injury after SAH. Show more

Keywords: Subarachnoid hemorrhage, carbon monoxide, zinc protoporphyrin IX, heme oxygenase

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 241-246, 2006

Authors: Niimi, Hideyuki | Komai, Yutaka | Yamaguchi, Saburo | Seki, Junji

Article Type: Research Article

Abstract: Flow disturbance due to microembolism in the cerebral microvasculature with an arcadal network was studied by a numerical simulation. A mathematical model for flow in the arcadal network was developed, based on in vivo data of cat cerebral microvasculature and flow velocity. The network model consisted of 45 vessel segments, and 25 branching points. To simulate microvascular responses to blood flow, the following three types of responses to wall shear stress were considered; non-reactive (solid-like), cerebral arteriole, and skeletal muscle arteriole-like responses. The numerical calculation was carried out in the condition where a feeding arteriole was occlused. Flow changes in …efferent vessels were evaluated for assessment of blood supply to the local area of cerebral tissue. The present simulation has demonstrated that blood flow in efferent vessels was influenced by the topology of the vascular network and the response pattern in single vessels. The arcadal structure of arterioles might be most effective in response to flow disturbances in efferent vessels. Show more

Keywords: Arcadal network, flow disturbance, cerebral microcirculation, flow-induced response, microembolism

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 247-255, 2006

Authors: Sasaki, Rie | Whitt, Stevan P. | Huxley, Virginia H.

Article Type: Research Article

Abstract: Whether insulin influences microvascular exchange is important in understanding its specific role in insulin resistance and the treatment of diabetes. We investigated whether insulin could induce changes in the microvascular flux of albumin from the mesenteric venules of anesthetized male and female Sprague-Dawley rats (n=11). After catheterization for monitoring of mean arterial pressure (MAP), a loop of small intestine was exteriorized. The mesentery was draped over a coverslip for observation and suffused continuously with bicarbonate-buffered solution (BBS) (pH 7.4, 37°C). After intravenous injection of Alexa 594™ labeled bovine serum albumin (BSA, 8 mg/kg), fluorescence intensity (If ) was recorded on …videotape for 30 minutes BBS suffusion and 75 minutes suffusion of BBS plus 0.02 U/ml porcine insulin. Microvascular flux of BSA was measured as a leak index (LI) of If in a 10×30 μm window over a postcapillary venule relative to If of the adjoining tissue. Insulin induced a rapid 34% decrease in LI within 5 minutes (p<0.05) that was sustained for the next 30 minutes. We also observed gender and age differences in the permeability response to insulin, as there was a sustained ∼59% decrease in LI in adult females (n=5) after 25 minutes, whereas there was an acute, transient (15 min) 45% decrease in LI in juvenile males (n=6). We conclude that insulin reduces mesenteric venule permeability differently in males and females. Further studies are needed to differentiate the permeability responses with respect to age and gender. Show more

Keywords: Permeability, microcirculation, endothelium, insulin, diabetes

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 259-263, 2006

Authors: Futrakul, Narisa | Butthep, Punnee | Patumraj, Suthiluk | Siriviriyakul, Prasong | Futrakul, Prasit

Article Type: Research Article

Abstract: This paper was aimed to study biomarkers of endothelial injury in chronic kidney diseases. Fifty chronic kidney disease patients were subject to the following determinations: (i) circulating endothelial cells, (ii) soluble VCAM-1, (iii) transforming growth factor beta (TGFB), and (iv) intrarenal hemodynamics. Increased number of circulating endothelial cells was significantly observed. A significant depletion of vascular endothelial growth factor (VEGF) or a depleted VEGF/TGFB ratio was also documented. Results showed that sVCAM was not significantly different from normal control. Intrarenal hemodynamic alteration demonstrated a characteristic of hemodynamic maladjustment. Since increased number of circulating endothelial cells is a sensitive biomarker for …endothelial cell injury in chronic kidney diseases, such injury is supported by the depletion of VEGF. The endothelial cell loss correlates with the glomerular endothelial dysfunction characterized by hemodynamic maladjustment at the efferent arteriole and reduction in peritubular capillary flow. In conclusion, correction of such hemodynamic maladjustment with multidrug vasodilators can effectively restore renal function in chronic kidney diseases. Show more

Keywords: Endothelial cell injury, microvascular disease, hemodynamics, chronic kidney disease, VEGF, transforming growth factor beta (TGFB)

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 265-271, 2006

Authors: Tigno, Xenia T. | Ding, Shi Ying | Hansen, Barbara C.

Article Type: Research Article

Abstract: Although microvascular complications are frequent in diabetes, the pathogenesis underlying these morbidities remains unclear. Chronic inflammation appears to play a role both in the development of vascular dysfunction and diabetes. Evaluation of microvascular status in the prediabetic stages would provide a better insight into the natural progression of the disease, both from the vascular and metabolic perspective. Microvascular function was assessed in sixty rhesus monkeys using laser Doppler fluximetry. These included monkeys who had been calorie-restricted (CR); normal non-diabetic ad libitum fed (N) monkeys; Prediabetic (PreDM) monkeys with either impaired fasting glycemia, glucose intolerance or insulin resistance; and overtly diabetic …monkeys (DM) with fasting glucose levels above 126 mg/dl. Body weight, per cent body fat, fasting glucose and insulin levels, glucose disposal rate during an intravenous glucose tolerance test (Kglucose ), and insulin sensitivity (M-rate) as assessed by the euglycemic, hyperinsulinemic clamp procedure were measured. Routine clinical chemistry and hematology were also performed. Our results show that in prediabetes, dermal microvascular flow is characterized by an increase in response to thermogenic provocation. We further show that this paradoxical increase is significantly and highly correlated with circulating high sensitivity CRP levels. The study demonstrates that both mild chronic inflammation and elevated skin microvascular perfusion precede overt diabetes. Show more

Keywords: Type 2 diabetes, inflammation, microcirculation, CRP, prediabetes, metabolic syndrome, laser Doppler flow

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 273-282, 2006

Authors: Jariyapongskul, Amporn | Rungjaroen, Tippawan | Kasetsuwan, Ngamjit | Pathumraj, Suthiluk | Niimi, Hideyuki

Article Type: Research Article

Abstract: This study was aimed to investigate chronic changes of the iris microvasculature in streptozotocin (STZ)-induced diabetic rats. Diabetes was induced in male Wistar-Furth rats by intravenous injection of STZ (55 mg/kg.bw). The rats were divided into control (CON) and diabetic (STZ) groups. The experiments were performed at 8, 12, 24 and 36 weeks after the injection of STZ. The iris microcirculation was visualized under a fluorescence videomicroscope. Intraluminal diameters of microvessels were measured based on the FITC-dextran images. Leukocyte adhesion to the microvascular endothelium was evaluated by counting leukocytes (labeled with rhodamine 6G). The iris blood perfusion was measured using …laser Doppler flowmetry. Tissue lipid peroxidation of the eye was evaluated. The results demonstrated that the lipid peroxidation increased significantly after the injection of STZ. Both the diameters of arterioles (or precapillaries) and the iris blood perfusion decreased significantly in STZ rats, compared to the control levels. Adherent leukocytes increased significantly at 8, 12, 24 and 36 week after the injection of STZ, compared with the control levels. This indicates that the increased in oxygen-derived free radicals may be a major contributor for iris vascular endothelial dysfunction in diabetes mellitus, including leukocyte adhesion and reducing the arteriolar diameter. The present model may be useful for assessing long-term effects of therapeutic agents on diabetic retinopathy. Show more

Keywords: Diabetes, endothelial dysfunction, fluorescence videomicroscopy, iris microcirculation, leukocyte adhesion, STZ-induced diabetic rat

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 283-294, 2006

Authors: Amatyakul, Supathra | Chakraphan, Daroonwan | Chotipaibulpan, Siriporn | Patumraj, Suthiluk

Article Type: Research Article

Abstract: The purpose of this study was to determine the role of exercise training on blood flow in diabetic dental pulp. Male Spraque-Dawley rats were divided into three groups of control (CON), diabetes (STZ), and diabetes with exercise-trained (STZ + Ex) groups. Diabetes was induced by intravenous injection of streptozotocin (STZ; 55 mg/kg.bw). The exercise training protocol consisted of treadmill running, 5 times/week with the velocity of 13–15 m/min for 30 min. At 12 weeks (wks) and 24 wks after the STZ injection, the laser Doppler flowmeter (Model ALF 21, USA) was used to measure pulpal blood flow (PBF) while the …animals were anesthetized with sodium pentobarbital (50 mg/kg.bw). The results showed that STZ rats developed hyperglycemia, hypertriglyceridemia, higher mean arterial blood pressure, higher heart weight, body weight loss, and lower of PBF in the intact right lower incisor. Exercise training has beneficial effect on physiological characteristics of diabetic condition including triglyceride level, mean arterial blood pressure, heart rate, and heart weight. Interestingly, reduction of the PBF was restored in STZ + Ex rats. In conclusion, our observations indicate that exercise training can prevent the reduction in PBF of STZ-induced diabetic rats. Show more

Keywords: Diabetes, exercise training, laser Doppler flowmetry, pulpal blood flow

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 295-301, 2006

Authors: Okano, Hideyuki | Ohkubo, Chiyoji

Article Type: Research Article

Abstract: The involvement of plasma nitric oxide metabolites (NOx ) in hypertension was examined in stroke-resistant spontaneously hypertensive rats during the development of hypertension. Continuous application of a static magnetic field (SMF; a maximum magnetic flux density of 180 millitesla, a peak magnetic gradient of 133 millitesla/mm) to the left carotid sinus baroreceptors of rats was carried out for 6 weeks using a disc-shaped magnetic implant (4.4 mm in diameter, 2.2 mm in height). An L-type voltage-gated Ca2+ channel blocker, nicardipine (2 mg/kg) was administered intraperitoneally three times a week for 6 weeks, and then 15 min after each injection, …mean arterial blood pressure (MAP), heart rate (HR), skin blood flow (SBF), skin blood velocity (SBV) and plasma NOx were monitored. The nicardipine significantly decreased MAP, and increased HR, SBF and SBV in the nicardipine-treated rats compared with the control rats (p<0.001) without changing plasma NOx levels. The SMF exposure alone significantly suppressed or retarded the development of hypertension in SMF-exposed rats compared with the control rats (p<0.05). The SMF significantly promoted the nicardipine-induced MAP decrease (p<0.001) and induced a significant increase in plasma NOx levels (p<0.01) in SMF-exposed, nicardipine-treated rats compared with the unexposed, nicardipine-treated rats. The SMF did not significantly induce any changes in the SBF and SBV in nicardipine-treated nor untreated rats. These results suggest that the SMF may enhance nicardipine-induced hypotension by more effectively antagonizing the Ca2+ influx through the Ca2+ channels compared with the nicardipine treatment alone. In addition, the enhanced antihypertensive effects of the SMF on the nicardipine-treated rats might be, at least in part, related to the increased NOx , primarily due to the upregulation of inducible nitric oxide synthase. Show more

Keywords: Nitric oxide, static magnetic fields, Ca$^{2+}$ channel blocker, antihypertensive effects, baroreceptor, spontaneously hypertensive rats

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 303-308, 2006

Authors: Chanawirat, Atchareeya | Khemapech, Sirima | Patumraj, Suthiluk | Siriviriyakul, Prasong

Article Type: Research Article

Abstract: The objective of this study is to examine roles of genistein in postmenopausal induced-endothelial dysfunction and bone loss, the ovariectomized (OVX) rat model was used. The animals were divided into three groups of sham treated with vehicle (DMSO 100 μl/day; Shamveh ), OVX treated with vehicle (OVXveh ) and OVX treated with genistein (0.25 mg/kg/day; OVXgen ). At 3 and 7 weeks after the surgery, endothelial dysfunction in mesenteric microcirculation of each group was determined by using intravital fluorescence microscopy and analyzed with digital image software. The parameters of bone mass density (BMD) and bone formation marker were represented by …percentage of ash/dry matter and osteocalcin activity (using radioimmunoassay (RIA)), respectively. Mean arterial pressures (MAP) in OVXveh groups were significantly increased compared to their aged-matched sham groups (p<0.05). Interestingly, the treatment of genistein could significantly attenuate this abnormality (p<0.001). Besides, it could increase the vascular response to acetylcholine (Ach; 10−6 M) significantly compared to OVX-rats (p<0.05). Moreover, BMD and osteocalcin activity were significantly increased in Ovxgen as well. Therefore, our findings suggested that genistein supplementation could effectively prevent endothelial dysfunction and bone loss in OVX-rat model. Show more

Keywords: Genistein, endothelial dysfunction, bone, ovariectomized rat

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 309-314, 2006

Authors: Sridulyakul, Pattrin | Chakraphan, Daroonwan | Patumraj, Suthiluk

Article Type: Research Article

Abstract: This paper was aimed to study whether vitamin C supplementation reverses the diabetes-induced endothelial cell dysfunction occurred in streptozotocin (STZ)-rats or not. The animals were divided into four groups: control and diabetes rats (DM, using iv. injection of 50 mg/kg.bw STZ), and two DM rats treated with vitamin C (1 g/l) starting on day 2 (DM + VitCday2 ) and week 6th after STZ-injection (DM + VitC6wks ). The mesenteric microcirculation was observed using fluorescence videomicroscopy. Based on the recorded videoimages, microvascular responses to acetylcholine (Ach; 10–5 M) and number densities of leukocyte adhesion in venules were evaluated using the …Global Lab II image software. In DM group, blood glucose and glycosylated hemoglobin were significantly increased, while the body weight and plasma vitamin C levels were decreased significantly compared to their controls. Ach-induced vasodilation was decreased, while the number of leukocyte adhesion was increased significantly compared to their controls (p<0.01). These abnormalities induced by DM were prevented by supplementation of vitamin C in DM + VitCday2 group. Six-weeks delayed treatment of vitamin C (DM + VitC6wks ) demonstrated increase in the Ach-induced vasodilation with significant decrease in the leukocyte adhesion. It was indicated that vitamin C supplementation could reverse diabetes-induced endothelial cell dysfunction in mesenteric microcirculation. Show more

Keywords: Diabetes, endothelial dysfunction, leukocyte adhesion, vitamin C, vasodilation

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 315-321, 2006

Authors: Cheung, Anthony T. | Duong, Patricia L. | Driessen, Bernd | Chen, Peter C. | Jahr, Jonathan S. | Gunther, Robert A.

Article Type: Research Article

Abstract: Systemic function and oxygenation changes during hemorrhagic shock treatment were continuously monitored and correlated with real-time microvascular changes. After splenectomy, each dog (n=12) was hemorrhaged (MAP=∼50 mmHg; ∼40% blood loss=32–36 ml/kg) and randomly assigned to 4 resuscitation groups: autologous/shed blood, hemoglobin-based oxygen-carrier/Oxyglobin® , crystalloid/saline, and colloid/Hespan® . Systemic function and oxygenation changes were continuously monitored and measured using standard operating room protocols. Computer-assisted intravital microscopy was used to non-invasively videotape and objectively analyze and quantify real-time microvascular changes in the conjunctival microcirculation. All measurements were made during pre-hemorrhagic (baseline), post-hemorrhagic and post-resuscitation phases of the study. Pre-hemorrhagic microvascular changes were …similar in all 12 dogs (venular diameter=43±12 μm; red-cell velocity=0.6±0.2 mm/s). All dogs showed similar significant (P<0.01) post-hemorrhagic microvascular changes: ∼20% decrease in venular diameter; ∼80% increase in red-cell velocity. These microvascular changes correlated with post-hemorrhagic systemic function and oxygenation changes. The resuscitations restored microvascular changes to pre-hemorrhagic values; the microvascular reversals also correlated with post-resuscitation systemic function changes in all groups. However, only shed blood resuscitation restored oxygenation level close to pre-hemorrhagic values. All 12 dogs survived resuscitation treatments despite differences in oxygen-carrying capability between groups. Show more

Keywords: Systemic function, oxygenation, hemorrhagic shock, blood substitutes

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 325-334, 2006

Authors: Sakai, Hiromi | Tsuchida, Eishun

Article Type: Research Article

Abstract: Hemoglobin-Vesicles (HbV; diameter, 250 nm) are artificial O2 carriers encapsulating purified and concentrated human Hb solution in phospholipid vesicles (liposomes), and their safety and efficacy, as a transfusion alternative, have been studied. In this paper, we summarized the characteristics of HbV that have been clarified by the microcirculatory observations.

Keywords: Blood substitutes, liposome, microcirculation, EDRF, oxygenation

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 335-340, 2006

Authors: Maeda, Nobuji | Cicha, Iwona | Tateishi, Norihiko | Suzuki, Yoji

Article Type: Research Article

Abstract: The effect of triglyceride in plasma on RBC aggregation was examined, and the prospective influence on the flow of RBCs in microcirculation and the O2 release was discussed. To minimize the individual differences, blood samples were collected from one subject 2 hrs after high-fat and low fat meals. Triglyceride content in plasma was measured by an enzymatic method, and the rate of rouleaux formation was measured with a low shear rheoscope. The rate of rouleaux formation was increased with the increase of triglyceride concentration. Our previous findings suggested some functional impairment in microcirculation. (1) The enhanced RBC aggregation tends …to reduce flow resistance in arterioles, but results in inhomogeneous flow of RBCs in capillaries. (2) The sclerotic change of microvessels alters flow behavior of RBCs, and thereby flow resistance is increased. (3) The enhanced RBC aggregation reduces O2 release from RBCs flowing in microvessels. In conclusion, high triglyceride level in plasma not only changes flow behavior of RBCs in microcirculation and thus increases flow resistance, but also prevents homogeneous tissue oxygenation. Show more

Keywords: Red blood cell aggregation, plasma triglycerides, cell-free layer, flow resistance, O$_{2}$ release

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 341-346, 2006

Authors: Zheng, Xiaoxiang | Ning, Gangmin | Yang, Yong

Article Type: Research Article

Abstract: To reveal the intracellular distribution of nitric oxide (NO) in single cell and to detect NO quantitatively in animal models, various methods are developed. A confocal microscope and 3D visualization technique were applied to visualize NO concentration in arbitrary directions and in different sections of cells. It was shown that NO distributions in cultured neurons of rat hipopocampus were not homogeneous. A kind of highly sensitive and selective NO electrode was utilized to measure the NO concentration in SD rat hippocampus, simultaneously with blood pressure and ECG recording. By the administration of NG -nitro-L-arginine methylester (L-NAME), the changes of NO …level in the hippocampus in vivo were detected. It was shown that the NO level decreased greatly when NOS was inhibited by L-NAME with significant increase in blood pressure. The developed methods may be helpful to investigate the physiological mechanism of NO and its role in pathology. Show more

Keywords: NO detection, confocal microscope, NO electrode

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 347-352, 2006

Authors: Shin, S. | Park, M.S. | Ku, Y.H. | Suh, J.S.

Article Type: Research Article

Abstract: Though the aggregation of red blood cells (RBCs) is a major determinant of blood viscosity, there have not been any available techniques to measure the effect of RBC aggregation on blood viscosity over a range of shear rates. The microfluidic shearing technique with vibration has been applied to an aggregometer for measuring the dynamic aggregation characteristic of RBCs. In measuring backscattered light intensity I(t) and pressure p(t) over time, both aggregation and the stress–shear rate information can be determined simultaneously. The feasibility and accuracy of the new aggregation measurement technique has been demonstrated to correlate with blood viscosity for normal …and heated blood. We found that RBC aggregability showed shear-dependent behavior, which can be correlated directly with shear-thinning blood viscosity. The present measurements of the dynamic aggregation characteristic over shear rate enable the interpretation of the shear-rate dependent blood viscosity, which is greatly affected by RBC aggregation. Show more

Keywords: Microfluidics, shear, aggregation, red blood cell, vibration

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 353-361, 2006

Authors: Ning, Gangmin | Bai, Yan | Yan, Weimin | Zheng, Xiaoxiang

Article Type: Research Article

Abstract: This paper was aimed to apply telemetry technology to investigate the cardiovascular activity of rats. A subminiature radio transducer was implanted in the body of rat to measure beat to beat blood pressure, ECG, body temperature, as well as the activity of rat continuously. Mathematic tools were developed to extract beat to beat cardiovascular parameters. Accordingly, spectral analysis of blood pressure variability and heart rate variability was performed to analyze cardiovascular activity in both normotensive and hypertensive rats. New indices were also established to assess the fluctuation of blood pressure of hypertensive rats and thus the effect of anti-hypertensive medication. …The ratio of low frequency power to high frequency power in heart rate variability of normotensive rats was much lower than that of hypertensive rats. In hypertensive rats, the blood pressure variability demonstrated significant increase. Furthermore, the circadian rhythm of blood pressure and heart rate variability also altered in hypertensive rats. After the treatment, the blood pressure of hypertensive rats dropped significantly. Meanwhile, the developed indices, such as 24h smoothness index were consistent with the behavior of blood pressure satisfactorily. The results suggest that the developed methods are powerful in studying cardiovascular system as well as evaluating the effects of antihypertensive medication objectively. Show more

Keywords: Telemetry, cardiovascular activity, blood pressure variability, heart rate variability, smoothness index

Citation: Clinical Hemorheology and Microcirculation, vol. 34, no. 1-2, pp. 363-371, 2006