A porcine model of endothelial glycocalyx damage by enzymatic digestion: A pilot study
Language English Country United States Media print
Document type Journal Article
PubMed
33843666
DOI
10.3233/ch-211133
PII: CH211133
Knihovny.cz E-resources
- Keywords
- Microcirculation, albuminuria, endothelial glycocalyx, heparanase, hyaluronidase,
- MeSH
- Glycocalyx * MeSH
- Capillaries MeSH
- Microcirculation MeSH
- Pilot Projects MeSH
- Swine MeSH
- Digestion MeSH
- Animals MeSH
- Check Tag
- Animals MeSH
- Publication type
- Journal Article MeSH
BACKGROUND: The endothelial glycocalyx (EG) plays a vital role in the physiology and pathophysiology of human microcirculation. Having relevant EG damage model would be important tool for testing new interventions aiming at EG protection and recovery. We describe the first in vivo EG damage model in pig. OBJECTIVE: To investigate the course of animal EG damage induced by specific enzymes. MATERIAL AND METHODS: Four anesthetized piglets received enzymes: 1g hyaluronidase and 25 IU heparanase I intravenously. Blood and urine samples were collected at baseline and 20/40/60/80/100/120 min for detecting markers of endothelial and EG function. Sublingual microcirculation and EG thickness were assessed by Side-stream Dark Field (SDF) imaging and Perfused Boundary Region (PBR) respectively. EG of the mesentery artery was visualized in fluorescent microscopy. RESULTS: Biochemical marker of EG damage syndecan-1 showed temporary increase with return to baseline and was reflected by PBR values. Albumin levels suggested brief period of capillary leakage (decrease in the serum, increase in the urine) with a trend to normalization. Urine glycosaminoglycans peaked at 120 minutes. Microcirculatory perfusion parameter showed significant alteration. Diffusion parameters were altered with no statistical significance. CONCLUSION: EG damage induced by specific enzymes was reflected by temporary changes of biochemical makers together with alteration of microcirculation and changes in fluorescent microscopy of EG layer. Our results support to further validate presented model of EG damage on a larger number of animals.
Department of Surgery University Hospital Hradec Kralove Hradec Kralove Czech Republic
Department of Urology University Hospital Hradec Kralove Hradec Kralove Czech Republic
Faculty of Medicine in Hradec Kralove Charles University Prague Czech Republic
Faculty of Military Health Sciences University of Defense Brno Brno Czech Republic
References provided by Crossref.org