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Experimental Physiology 93.4 pp 444-446
DOI: 10.1113/expphysiol.2007.040097
© The Physiological Society 2008
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Historical Perspective: Centenary Series: 4

Permeability measurements in an individually perfused capillary: the ‘squid axon’ of the microcirculation

Fitz-Roy E. Curry1

1 Department of Physiology and Membrane Biology, School of Medicine, University of California, Davis, CA, USA

(Received 7 December 2007; accepted after revision 4 January 2008; first published online 15 March 2008)
Corresponding author F.-R. E. Curry: Department of Physiology and Membrane Biology, School of Medicine, One Shields Avenue, University of California, Davis, CA 95616, USA. Email: fecurry{at}ucdavis.edu


Figure 1
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The paper by Michel et al. (1974) describing the modified Landis technique introduced a new era in the investigation of microvascular transport using microperfusion techniques. The original Landis technique did not involve microperfusion; transcapillary water flows per unit area of capillary wall (Jv/A) were measured from the movement of frog red cells after occluding a blood-perfused capillary in the mesentery. Pressure in each occluded segment was measured by cannulation with a glass micropipette attached to a water manometer, and the relation between Jv/A and pressure investigated for a population of capillaries. While repeating the Landis measurements in the mid 1960s, Charles Michel recognized that transcapillary water flows could be measured at more than one pressure after cannulating a single microvessel by first drawing frog red cells into the microvessel, then raising or lowering pressure in the occluded segment. This background is not described in the paper because the real advantages of microperfusion were realized after Michel and his colleagues began to use human red cells, small enough to pass easily through the pipette tip as flow markers, suspended in a frog Ringer solution containing albumin. Thus, after occluding the microvessel with a fine glass rod, Jv/A was measured from the movement of human red cells when both the hydrostatic pressure and the albumin osmotic pressure in the microvessel lumen were precisely known. The vessel was briefly perfused without occlusion between measurements of Jv/A. The filtration coefficient (permeability of the microvessel wall to water, Lp) was measured from the regression of Jv/A on pressure, and the effective colloid osmotic pressure of albumin from the intercept on the pressure axis where water flow was zero (Method 1 of the original paper, as shown in Fig. 1). The effective colloid osmotic pressure enabled Michel and later investigators to measure the osmotic reflection coefficient ({sigma}) of the microvessel wall to albumin and other test solutes. This parameter describes the selectivity of the capillary wall to solutes and provides a second independent estimate of changes in microvessel permeability. Paired measurements of Lp and {sigma} have proved an invaluable tool in the investigation of inflammation and oedema formation. The primary limitation of these microperfusion methods is that microvessels smaller that 10 µm (most mammalian true capillaries) are difficult to cannulate and perfuse using red cells as flow markers.


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Figure 1.  The relation between the filtration rate per unit area of capillary wall (Jv/A) and capillary pressure in a single capillary of frog mesentery (Method 1 of Michel et al. 1974).
The inset shows that the capillary was perfused via a glass micropipette connected to a water manometer so that filtration rates could be measured at a series of known pressures. The perfusates also contained a suspension of red cells. For a cell a distance l from the small glass rod which was raised during free perfusion, but lowered to occlude the capillary, Jv/A was estimated from the initial velocity of the cells and the surface area to volume ratio of the capillary (assumed cylindrical). The regression line has a slope equal to the filtration coefficient or hydraulic conductivity (Lp) of the capillary wall, and the intercept on the pressure axis measures the effective colloid pressure difference opposing filtration. This is just below the value of the colloid osmotic pressure in the capillary lumen (modified from Michel et al. 1974).

 
One of the key results in the paper is the linearity of the relation between Jv/A and pressure during both filtration and reabsorption on a single microvessel. Thus, Lp was independent of pressure and there was no rectification of flows under the conditions of these experiments. These included not only constancy of lumen colloid osmotic pressure, but also measurement of only the initial period of the transient fluid exchange after the capillary was occluded and pressure in the vessel lumen increased rapidly from that in the freely perfused state to the pressure in the perfusion pipette. It is important to stress the difference between measurements of the transient changes in Jv/A after a change in pressure and measurements of fluid exchange over the same pressure range, but where lumen pressure is held constant for longer periods before measuring Jv/A. Elegant experiments using this later modification of the microperfusion technique were described by Michel and Mary Phillips. In this case the colloid osmotic pressure difference across the vessel wall is not constant, but adjusts at each pressure to a new value determined by the filtration rate and the protein flux across the microvessel wall. In these ‘steady-state’ experiments there was no reabsorption, only slow filtration at all pressures less than the protein osmotic pressure in the circulating plasma. These results are important because the normal balance of hydrostatic pressure and colloid osmotic pressure along a microvessel in a microcirculatory bed such as muscle or skin involves an established steady state at every position along the microvessel (see Michel & Curry, 1999, for review). This steady-state view of capillary exchange is markedly different from that taught for much of the previous century and still persisting in many textbooks. More research is needed on the factors determining the time for transition from transient reabsorption to steady-state filtration because transient reabsorption of fluid from interstitial fluid is critical to recovery from shock. One approach might be to use a form of Method 2 from Michel et al. (1974) to measure changes in Jv/A at a single pressure, taking into account new ideas about water and protein accumulation just outside the capillary wall in spaces such as those between the endothelial cell and pericytes (Zhang et al. 2008).

The modified Landis microperfusion approach also enabled direct comparison of microvessel permeability coefficients before and after each microvessel was exposed to conditions that modified the permeability of the microvessel wall. This approach has been used not only in frog mesentery but also in frog skeletal muscle, rat and mouse mesentery and kidney and is the basis for on-going investigations. These include the action of vascular endothelial growth factor isoforms in the regulation of microvessel permeability (see Glass et al. 2006), the modulation of microvessel permeability by activated, but not just adherent leukocytes (Zhu & He, 2006), and the complex interactions of nitric oxide with microvascular cells (Rumbaut et al. 2000). In addition, a combination of microperfusion and electron microscopy on sections of the perfused microvessel has allowed the ultrastructure of the vessel wall to be investigated in microvessels of precisely known permeability. This approach was used to demonstrate that the endothelial glycocalyx was the principal molecular filter at the capillary wall and led to the development of the ‘fibre matrix’ theory of capillary permeability. This provided a major new perspective on the classical ‘small pore’ theory of capillary permeability (see Michel & Curry, 1999, and a review by Weinbaum et al. 2007, of recent papers on the role of the glycocalyx in microvascular function).

It is interesting to note that the paper was published at the beginning of the era of culturing endothelial cells and measuring the permeability properties of endothelial monolayers as models of permeability barriers in continuous endothelium. Cultured endothelial monolayers are much more permeable than those in intact microvessels, even the relatively high values in frog mesenteric microvessels reported by Michel et al. (1974). Microperfusion in combination with in vivo fluorescent imaging methods and immunocytochemistry have enabled evaluation the contribution of cellular and molecular mechanisms to the regulation of permeability in intact microvessels. Examples include paired measurements of Lp and cytoplasmic calcium ion concentration to evaluate calcium-dependent signalling pathways in intact microvessels, and recent evaluations of cAMP-dependent mechanisms regulating endothelial cell-to-cell adhesion. Using a combination of microperfusion and sterile technique, workers from our laboratory have demonstrated that venular microvessels in rat mesentery respond to thrombin (a common mediator of increased permeability in cultured endothelial monolayers) only when recannulated and perfused 24 h after prior exposure to inflammatory conditions. Thus, endothelial phenotypes expressed under some culture conditions may be more characteristic of those in the walls of microvessels that have been exposed to inflammatory conditions than the normal permeability state in perfused microvessels (Curry et al. 2003).

It is safe to conclude that the methods used to measure permeability in perfused microvessels from this classic paper by Michel et al. (1974) will continue to be a very direct way to investigate the regulation of fluid and solute exchange in the microcirculation and to provide a crucial check on the pertinence of information obtained from cultured endothelial monolayers to microvascular function.

References

Curry FE, Zeng M & Adamson RH (2003). Thrombin increases permeability only in venules exposed to inflammatory conditions. Am J Physiol Heart Circ Physiol 285, H2446–2453.[Abstract/Free Full Text]

Glass CA, Harper SJ & Bates DO (2006). The anti-angiogenic VEGF isoform VEGF165b transiently increases hydraulic conductivity, probably through VEGF receptor 1 in vivo. J Physiol 572, 243–57.[Abstract/Free Full Text]

Michel CC & Curry FE (1999). Microvascular permeability. Physiol Rev 79, 703–761.[Abstract/Free Full Text]

Michel CC, Mason JC, Curry FE, Tooke JE & Hunter (1974). A development of theLandis technique for measuring the filtration coefficient of individual capillaries in the frog mesentery. Q J Exp Physiol 59, 287–309.

Rumbaut RE, Wang J & Huxley VH (2000). Differential effects of L–NAME on rat venular hydraulic conductivity. Am J Physiol Heart Circ Physiol 279, H2017–2023.[Abstract/Free Full Text]

Weinbaum S, Tarbell JM & Damiano ER (2007). The structure and function of the endothelial glycocalyx layer. Annu Rev Biomed Eng 9, 121–167.[CrossRef][Medline]

Zhang X, Adamson RH, Curry FE & Weinbaum S (2008). Transient regulation of transport by pericytes in post capillary venules. Proc Natl Acad Sci 105, 1374–1379.[Abstract/Free Full Text]

Zhu L & He P (2006). fMLP-stimulated release of reactive oxygen species from adherent leukocytes increases microvessel permeability. Am J Physiol Heart Circ Physiol 290, H365–372.[Abstract/Free Full Text]

Acknowledgements

The author's research is supported by NIH grants HL28607 and HL44485. The photograph of Charles Michel is by M. E. Rosenberg.





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