INVIVO FLUORESCENCE MICROSCOPY FOR QUANTITATIVE-ANALYSIS OF THE HEPATIC MICROCIRCULATION IN HAMSTERS AND RATS

被引:110
作者
MENGER, MD
MARZI, I
MESSMER, K
机构
[1] UNIV MUNICH, INST SURG RES, W-8000 MUNICH 2, GERMANY
[2] UNIV SAARLAND, DEPT TRAUMA SURG, W-6650 HOMBURG, GERMANY
关键词
HEPATIC MICROCIRCULATION; INTRAVITAL FLUORESCENCE MICROSCOPY; WHITE BLOOD CELL-ENDOTHELIUM INTERACTION;
D O I
10.1159/000129148
中图分类号
R61 [外科手术学];
学科分类号
摘要
Using intravital fluorescence microscopy and epi-illumination, the hepatic microcirculatory system of Syrian golden hamsters was analyzed, and the morphology and microhemodynamics were compared to those of rats. After contrast enhancement with 1-mu-mol/kg acridine orange i.v., the epi-illumination technique allows for visualization of capillary sinusoids and postsinusoidal venules, which are running in parallel with the liver surface, while afferent microvessels could be visualized in only few of the liver lobules investigated. In rat livers, the capillary sinusoids showed morphology similar to that of hamsters, however, postsinusoidal venules could frequently not be observed when applying epi-illumination, since these microvessels are piercing perpendicularly into the depth of the liver tissue. Microhemodynamic analysis, including the sinusoidal perfusion rate, sinusoidal red blood cell velocity and diameters, microvascular white blood cell (WBC) count and the phenomenon of WBC-endothelium interaction, as well as the hepatocellular uptake of the fluorescent compound acridine orange were found to be similar in hamsters as compared to rats. Although transillumination for in vivo microscopy may have the potential to visualize the complete hepatic microcirculatory system due to an increased focus depth, the epi-illumination technique has the advantage for quantitative assessment not only of the morphology of the hepatic microcirculatory system and microvascular blood perfusion, but also allows for evaluation of cellular phenomena within the hepatic microvessels, such as WBC accumulation, WBC-endothelium interaction, phagocytotic activity of Kupffer cells, and hepatocellular transport of fluorescent compounds. Hepatic microcircular disturbances, including accumulation of WBCs and WBC-endothelium interaction are causative in the development of organ failure in conditions such as hemorrhagic and septic shock, and, in particular, postischemic reperfusion injury following liver surgery and liver transplantation. Since accumulation of WBCs and their interaction with the microvascular endothelium are primarily found in postsinusoidal venules, in vivo microscopy of the hamster liver represents a favorable model for studies on cellular phenomena within the hepatic microcirculation.
引用
收藏
页码:158 / 169
页数:12
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