24 results on '"Iversen NK"'
Search Results
2. Intravascular infusion of PEGylated Au nanoparticles affects cardiovascular function in healthy mice.
- Author
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Iversen, NK, Nielsen, ARU, Wang, T, and Baatrup, E
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NANOPARTICLES , *MICE , *BLOOD , *POLYETHYLENE glycol , *ALUMINUM - Abstract
Recent advances of nanotechnology in clinical settings have spurred the development of various complex engineered nanoparticles (NPs). NPs share characteristics with ultrafine particles (UFPs; <1 μm) that can cross the pulmonary epithelium and disturb cardiovascular functions. Since these particles are injected directly into the blood stream, it is imperative to clarify whether NPs disrupt cardiovascular functions similar to UFPs. Therefore, we investigated whether engineered polyethylene glycol (PEG)-coated aluminum NPs for biomedical uses disturb cardiovascular functions in healthy mice. Mean arterial blood pressure (MAP) was measured in mice chronically instrumented with telemetric blood pressure transducers, and NPs were administered intravenously (10 mg kg−1). The NPs caused a prolonged lowering of MAP 7 days after injection (119.3 ± 3.3 vs. 97.4 ± 7.5 min−1), with no effect on the endothelial function as revealed by normal endothelial function of small vessels mounted in a myograph. [ABSTRACT FROM PUBLISHER]
- Published
- 2013
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3. The Role of Plasma Extracellular Vesicles in Remote Ischemic Conditioning and Exercise-Induced Ischemic Tolerance.
- Author
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Gu T, Just J, Stenz KT, Yan Y, Sieljacks P, Wang J, Groennebaek TS, Jakobsgaard JE, Rindom E, Herskind J, Gravholt A, Lassen TR, Jørgensen M, Bæk R, Gutiérrez-Jiménez E, Iversen NK, Rasmussen PM, Nyengaard JR, Jørgensen MM, de Paoli F, Bøtker HE, Kjems J, Vissing K, and Drasbek KR
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- Animals, Disease Models, Animal, Endothelial Cells, Humans, Ischemia, Mice, Extracellular Vesicles, Reperfusion Injury
- Abstract
Ischemic conditioning and exercise have been suggested for protecting against brain ischemia-reperfusion injury. However, the endogenous protective mechanisms stimulated by these interventions remain unclear. Here, in a comprehensive translational study, we investigated the protective role of extracellular vesicles (EVs) released after remote ischemic conditioning (RIC), blood flow restricted resistance exercise (BFRRE), or high-load resistance exercise (HLRE). Blood samples were collected from human participants before and at serial time points after intervention. RIC and BFRRE plasma EVs released early after stimulation improved viability of endothelial cells subjected to oxygen-glucose deprivation. Furthermore, post-RIC EVs accumulated in the ischemic area of a stroke mouse model, and a mean decrease in infarct volume was observed for post-RIC EVs, although not reaching statistical significance. Thus, circulating EVs induced by RIC and BFRRE can mediate protection, but the in vivo and translational effects of conditioned EVs require further experimental verification.
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- 2022
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4. Tissue processing and optimal visualization of cerebral infarcts following sub-acute focal ischemia in rats.
- Author
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Bay V, Iversen NK, Shiadeh SMJ, Tasker RA, Wegener G, and Ardalan M
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- Animals, Immunohistochemistry, Infarction, Middle Cerebral Artery pathology, Male, Microtubule-Associated Proteins metabolism, Perfusion, Rats, Rats, Wistar, Reperfusion, Staining and Labeling, Tissue Embedding, Tissue Fixation, Brain Ischemia pathology, Cerebral Infarction pathology, Histological Techniques, Ischemic Attack, Transient pathology
- Abstract
Transient cerebral ischemia followed by reperfusion in an infarcted brain comes with predictable acute and chronic morphological alterations in neuronal and non-neuronal cells. An accurate delineation of the cerebral infarct is not a simple task due to the complex shapes and indistinct borders of the infarction. Thus, an exact macroscopic histological approach for infarct volume estimation can lead to faster and more reliable preclinical research results. This study investigated the effect(s) of confounding factors such as fixation and tissue embedding on the quality of macroscopic visualization of focal cerebral ischemia by anti-microtubule-associated-protein-2 antibody (MAP2) with conventional Hematoxylin and Eosin (HE) staining serving as the control. The aim was to specify the most reliable macroscopic infarct size estimation method after sub-acute focal cerebral ischemia based on the qualitative investigation. Our results showed that the ischemic area on the MAP2-stained sections could be identified macroscopically on both cryo-preserved and paraffin-embedded sections from both immersion- and perfusion-fixed brains. The HE staining did not clearly depict an infarct area for macroscopic visualization. Therefore both immersion-fixed and perfused-fixed-MAP2 stained sections can be used reliably to quantify cerebral infarcts., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)
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- 2021
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5. Does Src Kinase Mediated Vasoconstriction Impair Penumbral Reperfusion?
- Author
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Guldbrandsen HO, Staehr C, Iversen NK, Postnov DD, and Matchkov VV
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- Animals, Arterioles drug effects, Arterioles enzymology, Brain blood supply, Brain enzymology, Cerebral Revascularization trends, Humans, Myocytes, Smooth Muscle drug effects, Myocytes, Smooth Muscle enzymology, Protein Kinase Inhibitors pharmacology, Protein Kinase Inhibitors therapeutic use, Sodium-Potassium-Exchanging ATPase antagonists & inhibitors, Sodium-Potassium-Exchanging ATPase metabolism, Vasoconstriction drug effects, src-Family Kinases antagonists & inhibitors, Reperfusion trends, Stroke enzymology, Stroke therapy, Vasoconstriction physiology, src-Family Kinases metabolism
- Abstract
Despite successful recanalization, a significant number of patients with ischemic stroke experience impaired local brain tissue reperfusion with adverse clinical outcome. The cause and mechanism of this multifactorial complication are yet to be understood. At the current moment, major attention is given to dysfunction in blood-brain barrier and capillary blood flow but contribution of exaggerated constriction of cerebral arterioles has also been suggested. In the brain, arterioles significantly contribute to vascular resistance and thus control of perfusion. Accordingly, pathological changes in arteriolar wall function can, therefore, limit sufficient reperfusion in ischemic stroke, but this has not yet received sufficient attention. Although an increased vascular tone after reperfusion has been demonstrated in several studies, the mechanism behind it remains to be characterized. Importantly, the majority of conventional mechanisms controlling vascular contraction failed to explain elevated cerebrovascular tone after reperfusion. We propose here that the Na,K-ATPase-dependent Src kinase activation are the key mechanisms responsible for elevation of cerebrovascular tone after reperfusion. The Na,K-ATPase, which is essential to control intracellular ion homeostasis, also executes numerous signaling functions. Under hypoxic conditions, the Na,K-ATPase is endocytosed from the membrane of vascular smooth muscle cells. This initiates the Src kinase signaling pathway that sensitizes the contractile machinery to intracellular Ca
2+ resulting in hypercontractility of vascular smooth muscle cells and, thus, elevated cerebrovascular tone that can contribute to impaired reperfusion after stroke. This mechanism integrates with cerebral edema that was suggested to underlie impaired reperfusion and is further supported by several studies, which are discussed in this article. However, final demonstration of the molecular mechanism behind Src kinase-associated arteriolar hypercontractility in stroke remains to be done.- Published
- 2021
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6. Capillary flow disturbances after experimental subarachnoid hemorrhage: A contributor to delayed cerebral ischemia?
- Author
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Anzabi M, Angleys H, Aamand R, Ardalan M, Mouridsen K, Rasmussen PM, Sørensen JCH, Plesnila N, Østergaard L, and Iversen NK
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- Animals, Disease Models, Animal, Male, Mice, Capillaries pathology, Capillaries physiopathology, Cerebral Infarction pathology, Cerebral Infarction physiopathology, Cerebrovascular Circulation, Microcirculation, Subarachnoid Hemorrhage pathology, Subarachnoid Hemorrhage physiopathology
- Abstract
Background: The high mortality and morbidity after SAH is partly due to DCI, which is traditionally ascribed to development of angiographic vasospasms. This relation has been challenged, and capillary flow disturbances are proposed as another mechanism contributing to brain damage after SAH., Objective: To investigate capillary flow changes 4 days following experimental SAH., Methods: SAH was induced by endovascular perforation of circle of Willis. We used TPM to evaluate blood flow characteristics. Cortical capillary diameters were investigated by both TPM and histology., Results: We found elevated CTH and MTT of blood in SAH mice compared to sham animals. We observed capillaries with stagnant RBCs, and capillaries with increased RBC LD in the SAH group, suggesting severe blood maldistribution among cortical capillaries. Favoring that these capillary flow changes were primary to upstream vasoconstrictions, TPM showed no significant differences in arteriolar diameter between groups, while histological examination showed reduced capillary diameter in SAH group., Conclusion: Our study shows profound subacute hypoperfusion and capillary flow disturbances in a mouse SAH model and suggests that these changes are the result of changes in capillary function, rather than upstream vasospasm., (© 2019 John Wiley & Sons Ltd.)
- Published
- 2019
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7. Stroke infarct volume estimation in fixed tissue: Comparison of diffusion kurtosis imaging to diffusion weighted imaging and histology in a rodent MCAO model.
- Author
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Bay V, Kjølby BF, Iversen NK, Mikkelsen IK, Ardalan M, Nyengaard JR, Jespersen SN, Drasbek KR, Østergaard L, and Hansen B
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- Animals, Brain pathology, Brain physiology, Disease Models, Animal, Infarction, Middle Cerebral Artery pathology, Male, Rats, Rats, Sprague-Dawley, Brain diagnostic imaging, Diffusion Magnetic Resonance Imaging, Diffusion Tensor Imaging, Infarction, Middle Cerebral Artery diagnostic imaging
- Abstract
Diffusion kurtosis imaging (DKI) is a new promising MRI technique with microstructural sensitivity superior to conventional diffusion tensor (DTI) based methods. In stroke, considerable mismatch exists between the infarct lesion outline obtained from the two methods, kurtosis and diffusion tensor derived metrics. We aim to investigate if this mismatch can be examined in fixed tissue. Our investigation is based on estimates of mean diffusivity (MD) and mean (of the) kurtosis tensor (MKT) obtained using recent fast DKI methods requiring only 19 images. At 24 hours post stroke, rat brains were fixed and prepared. The infarct was clearly visible in both MD and MKT maps. The MKT lesion volume was roughly 31% larger than the MD lesion volume. Subsequent histological analysis (hematoxylin) revealed similar lesion volumes to MD. Our study shows that structural components underlying the MD/MKT mismatch can be investigated in fixed tissue and therefore allows a more direct comparison between lesion volumes from MRI and histology. Additionally, the larger MKT infarct lesion indicates that MKT do provide increased sensitivity to microstructural changes in the lesion area compared to MD.
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- 2018
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8. Does mean arterial blood pressure scale with body mass in mammals? Effects of measurement of blood pressure.
- Author
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Poulsen CB, Wang T, Assersen K, Iversen NK, and Damkjaer M
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- Animals, Arterial Pressure, Body Weights and Measures, Mammals physiology
- Abstract
For at least the last 30 years, it has been discussed whether mean arterial blood pressure (MAP) is independent of body mass or whether it increases in accordance with the vertical height between the heart and the brain. The debate has centred on the most appropriate mathematical models for analysing allometric scaling and phylogenetic relationships; there has been previously little focus on evaluating the validity of underlying physiological data. Currently, the 2 most comprehensive scaling analyses are based on data from 47 species of mammals, based on 114 references. We reviewed all available references to determine under which physiological conditions MAP had been recorded. In 44 (38.6%) of the cited references, MAP was measured in anaesthetized animals. Data from conscious animals were reported in 59 (51.8%) of references; of these, 3 (2.6%) were radiotelemetric studies. In 5 species, data were reported from both anaesthetized and conscious animals, and the mean difference in the MAP between these settings was 20 ± 29 mm Hg. From a literature search, we identified MAP measurements performed by radiotelemetry in 11 of the 47 species included in the meta-analyses. A Bland-Altman analysis showed a bias of 1 mm Hg with 95% confidence interval (from -35 to 36 mm Hg); that is, the limits of agreement between radiotelemetric studies and studies in restrained animals were double the supposed difference in the MAP between the mouse and elephant. In conclusion, the existing literature does not provide evidence for either a positive or neutral scaling of arterial pressure to body mass across taxa., (© 2017 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd.)
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- 2018
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9. Disturbances in the control of capillary flow in an aged APP swe /PS1ΔE9 model of Alzheimer's disease.
- Author
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Gutiérrez-Jiménez E, Angleys H, Rasmussen PM, West MJ, Catalini L, Iversen NK, Jensen MS, Frische S, and Østergaard L
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- Alzheimer Disease metabolism, Animals, Disease Models, Animal, Female, Hemodynamics, Mice, Inbred C57BL, Mice, Transgenic, Oxygen Consumption, Aging pathology, Aging physiology, Alzheimer Disease etiology, Alzheimer Disease physiopathology, Blood Flow Velocity physiology, Capillaries pathology, Capillaries physiopathology, Cerebrovascular Circulation physiology, Somatosensory Cortex blood supply
- Abstract
Vascular changes are thought to contribute to the development of Alzheimer's disease, and both cerebral blood flow and its responses during neural activation are reduced before Alzheimer's disease symptoms onset. One hypothetical explanation is that capillary dysfunction reduces oxygen extraction efficacy. This study compares the morphology and hemodynamics of the microvasculature in the somatosensory cortex of 18-month-old APP
SWE /PS1ΔE9 (transgenic [Tg]) mice and wild-type (WT) littermates. In particular, the extent to which their capillary transit times homogenize during functional activation was measured and compared. Capillary length density was similar in both groups but capillary blood flow during rest was lower in the Tg mice, indicating that cortical oxygen availability is reduced. The capillary hemodynamic response to functional activation was larger, and lasted longer in Tg mice than in WT mice. The homogenization of capillary transit times during functional activation, which we previously demonstrated in young mice, was absent in the Tg mice. This study demonstrates that both neurovascular coupling and capillary function are profoundly disturbed in aged Tg and WT mice., (Copyright © 2017 Elsevier Inc. All rights reserved.)- Published
- 2018
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10. Hippocampal Atrophy Following Subarachnoid Hemorrhage Correlates with Disruption of Astrocyte Morphology and Capillary Coverage by AQP4.
- Author
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Anzabi M, Ardalan M, Iversen NK, Rafati AH, Hansen B, and Østergaard L
- Abstract
Despite successful management of ruptured intracranial aneurysm following subarachnoid hemorrhage (SAH), delayed cerebral ischemia (DCI) remains the main cause of high mortality and morbidity in patients who survive the initial bleeding. Astrocytes play a key role in neurovascular coupling. Therefore, changes in the neurovascular unit including astrocytes following SAH may contribute to the development of DCI and long-term complications. In this study, we characterized morphological changes in hippocampal astrocytes following experimental SAH, with special emphasis on glia-vascular cross-talk and hippocampal volume changes. Four days after induction of SAH or sham-operation in mice, their hippocampal volumes were determined by magnetic resonance imaging (MRI) and histological/stereological methods. Glial fibrillary acid protein (GFAP) immunostained hippocampal sections were examined by stereological techniques to detect differences in astrocyte morphology, and global spatial sampling method was used to quantify the length density of Aquaporin-4 (AQP4) positive capillaries. Our results indicated that hippocampal volume, as measured both by MRI and by histological approaches, was significantly lower in SAH animals than in the sham-operated group. Accordingly, in this animal model of SAH, hippocampal atrophy existed already at the time of DCI onset in humans. SAH induced retraction of GFAP positive astrocyte processes, accompanied by a significant reduction in the length density of AQP4 positive capillaries as well as narrowing of hippocampal capillaries. Meanwhile, astrocyte volume was higher in SAH mice compared with the sham-operated group. Morphological changes in hippocampal astrocytes seemingly disrupt glia-vascular interactions early after SAH and may contribute to hippocampal atrophy. We speculate that astrocytes and astrocyte-capillary interactions may provide targets for the development of therapies to improve the prognosis of SAH.
- Published
- 2018
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11. Effect of electrical forepaw stimulation on capillary transit-time heterogeneity (CTH).
- Author
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Gutiérrez-Jiménez E, Cai C, Mikkelsen IK, Rasmussen PM, Angleys H, Merrild M, Mouridsen K, Jespersen SN, Lee J, Iversen NK, Sakadzic S, and Østergaard L
- Subjects
- Animals, Hemodynamics, Hyperemia etiology, Intravital Microscopy, Mice, Mice, Inbred C57BL, Models, Biological, Blood Flow Velocity, Capillaries physiology, Electric Stimulation, Foot blood supply
- Abstract
Functional hyperemia reduces oxygen extraction efficacy unless counteracted by a reduction of capillary transit-time heterogeneity of blood. We adapted a bolus tracking approach to capillary transit-time heterogeneity estimation for two-photon microscopy and then quantified changes in plasma mean transit time and capillary transit-time heterogeneity during forepaw stimulation in anesthetized mice (C57BL/6NTac). In addition, we analyzed transit time coefficient of variance = capillary transit-time heterogeneity/mean transit time, which we expect to remain constant in passive, compliant microvascular networks. Electrical forepaw stimulation reduced, both mean transit time (11.3% ± 1.3%) and capillary transit-time heterogeneity (24.1% ± 3.3%), consistent with earlier literature and model predictions. We observed a coefficient of variance reduction (14.3% ± 3.5%) during functional activation, especially for the arteriolar-to-venular passage. Such coefficient of variance reduction during functional activation suggests homogenization of capillary flows beyond that expected as a passive response to increased blood flow by other stimuli. This finding is consistent with an active neurocapillary coupling mechanism, for example via pericyte dilation. Mean transit time and capillary transit-time heterogeneity reductions were consistent with the relative change inferred from capillary hemodynamics (cell velocity and flux). Our findings support the important role of capillary transit-time heterogeneity in flow-metabolism coupling during functional activation., (© The Author(s) 2016.)
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- 2016
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12. Microcirculatory dysfunction and tissue oxygenation in critical illness.
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Østergaard L, Granfeldt A, Secher N, Tietze A, Iversen NK, Jensen MS, Andersen KK, Nagenthiraja K, Gutiérrez-Lizardi P, Mouridsen K, Jespersen SN, and Tønnesen EK
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- Capillaries physiopathology, Humans, Regional Blood Flow, Sepsis physiopathology, Critical Illness, Microcirculation physiology, Oxygen metabolism
- Abstract
Severe sepsis is defined by organ failure, often of the kidneys, heart, and brain. It has been proposed that inadequate delivery of oxygen, or insufficient extraction of oxygen in tissue, may explain organ failure. Despite adequate maintenance of systemic oxygen delivery in septic patients, their morbidity and mortality remain high. The assumption that tissue oxygenation can be preserved by maintaining its blood supply follows from physiological models that only apply to tissue with uniformly perfused capillaries. In sepsis, the microcirculation is profoundly disturbed, and the blood supply of individual organs may therefore no longer reflect their access to oxygen. We review how capillary flow patterns affect oxygen extraction efficacy in tissue, and how the regulation of tissue blood flow must be adjusted to meet the metabolic needs of the tissue as capillary flows become disturbed as observed in critical illness. Using the brain, heart, and kidney as examples, we discuss whether disturbed capillary flow patterns might explain the apparent mismatch between organ blood flow and organ function in sepsis. Finally, we discuss diagnostic means of detecting capillary flow disturbance in animal models and in critically ill patients, and address therapeutic strategies that might improve tissue oxygenation by modifying capillary flow patterns., (© 2015 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.)
- Published
- 2015
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13. Preserved Cerebral Microcirculation After Cardiac Arrest in a Rat Model.
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Secher N, Østergaard L, Iversen NK, Lambertsen KL, Clausen BH, Tønnesen E, and Granfeldt A
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- Animals, Biomarkers blood, Disease Models, Animal, Male, Rats, Rats, Sprague-Dawley, Brain blood supply, Brain metabolism, Brain pathology, Endothelial Cells metabolism, Endothelial Cells pathology, Heart Arrest blood, Heart Arrest pathology, Heart Arrest physiopathology, Heart Arrest therapy, Inflammation Mediators blood, Microcirculation, Resuscitation
- Abstract
Objective: Recent studies show that sublingual microcirculation is altered in patients resuscitated from CA. The objective of this study was to investigate whether the cerebral microcirculation is disturbed in the early post-resuscitation period., Methods: Male Sprague-Dawley rats were randomized to either 10 minutes of CA or uninterrupted circulation, and observed to 120 or 360 minutes after ROSC. At 120 and 360 minutes, cerebral microcirculation was evaluated by SDF microscopy through a craniectomy. Plasma samples were analyzed for endothelial adhesion molecules and inflammatory markers, and brains were fixated for histological analysis., Results: Cerebral microcirculation, evaluated by TVD, PVD, PPV, and MFI did not differ between groups (p > 0.16). Plasma samples drawn 360 minutes after ROSC displayed a significant increase in sE-selectin, sL-selectin, sI-CAM1, IL-1β, IL-6, IL-10, and elastase compared to controls. In the CA animals, sE-selectin and elastase increased between 120 and 360 minutes after resuscitation (p < 0.007). Histological analysis revealed neuronal death in hippocampus layer CA1 360 min after resuscitation., Conclusion: When evaluated by SDF, the cerebral microcirculation appears unaffected in the early post-CA period despite hypotension, systemic inflammation, endothelial activation, and neuronal injury., (© 2015 John Wiley & Sons Ltd.)
- Published
- 2015
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14. Anaemia only causes a small reduction in the upper critical temperature of sea bass: is oxygen delivery the limiting factor for tolerance of acute warming in fishes?
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Wang T, Lefevre S, Iversen NK, Findorf I, Buchanan R, and McKenzie DJ
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- Anemia chemically induced, Animals, Bass metabolism, Cardiac Output, Hematocrit, Oxygen Consumption drug effects, Phenylhydrazines pharmacology, Acclimatization physiology, Bass physiology, Temperature
- Abstract
To address how the capacity for oxygen transport influences tolerance of acute warming in fishes, we investigated whether a reduction in haematocrit, by means of intra-peritoneal injection of the haemolytic agent phenylhydrazine, lowered the upper critical temperature of sea bass. A reduction in haematocrit from 42±2% to 20±3% (mean ± s.e.m.) caused a significant but minor reduction in upper critical temperature, from 35.8±0.1 to 35.1±0.2°C, with no correlation between individual values for haematocrit and upper thermal limit. Anaemia did not influence the rise in oxygen uptake between 25 and 33°C, because the anaemic fish were able to compensate for reduced blood oxygen carrying capacity with a significant increase in cardiac output. Therefore, in sea bass the upper critical temperature, at which they lost equilibrium, was not determined by an inability of the cardio-respiratory system to meet the thermal acceleration of metabolic demands., (© 2014. Published by The Company of Biologists Ltd.)
- Published
- 2014
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15. Capillary transit time heterogeneity and flow-metabolism coupling after traumatic brain injury.
- Author
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Østergaard L, Engedal TS, Aamand R, Mikkelsen R, Iversen NK, Anzabi M, Næss-Schmidt ET, Drasbek KR, Bay V, Blicher JU, Tietze A, Mikkelsen IK, Hansen B, Jespersen SN, Juul N, Sørensen JC, and Rasmussen M
- Subjects
- Animals, Brain metabolism, Brain physiopathology, Brain Injuries complications, Capillaries metabolism, Glucose metabolism, Hemodynamics, Humans, Oxygen metabolism, Pericytes metabolism, Pericytes pathology, Brain blood supply, Brain Injuries metabolism, Brain Injuries physiopathology, Capillaries physiopathology, Cerebrovascular Circulation
- Abstract
Most patients who die after traumatic brain injury (TBI) show evidence of ischemic brain damage. Nevertheless, it has proven difficult to demonstrate cerebral ischemia in TBI patients. After TBI, both global and localized changes in cerebral blood flow (CBF) are observed, depending on the extent of diffuse brain swelling and the size and location of contusions and hematoma. These changes vary considerably over time, with most TBI patients showing reduced CBF during the first 12 hours after injury, then hyperperfusion, and in some patients vasospasms before CBF eventually normalizes. This apparent neurovascular uncoupling has been ascribed to mitochondrial dysfunction, hindered oxygen diffusion into tissue, or microthrombosis. Capillary compression by astrocytic endfeet swelling is observed in biopsies acquired from TBI patients. In animal models, elevated intracranial pressure compresses capillaries, causing redistribution of capillary flows into patterns argued to cause functional shunting of oxygenated blood through the capillary bed. We used a biophysical model of oxygen transport in tissue to examine how capillary flow disturbances may contribute to the profound changes in CBF after TBI. The analysis suggests that elevated capillary transit time heterogeneity can cause critical reductions in oxygen availability in the absence of 'classic' ischemia. We discuss diagnostic and therapeutic consequences of these predictions.
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- 2014
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16. The role of nitric oxide in the cardiovascular response to chronic and acute hypoxia in White Leghorn chicken (Gallus domesticus).
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Iversen NK, Wang T, Baatrup E, and Crossley DA 2nd
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- Acute Disease, Animals, Blood Circulation physiology, Blood Pressure physiology, Chick Embryo, Chickens, Chronic Disease, Femoral Artery physiopathology, Heart Rate physiology, Vascular Resistance physiology, Cardiovascular Physiological Phenomena, Cardiovascular System physiopathology, Fetal Hypoxia physiopathology, Nitric Oxide metabolism
- Abstract
Aim: Prenatal hypoxia due to placental insufficiency results in deleterious phenotypes and compensatory mechanisms including increased sympathetic tone. Utilizing the embryonic chicken model, we investigated (i) changes in nitric oxide (NO)-mediated tone in response to chronic hypoxic development and (ii) the in vivo role of NO-mediated tone during acute hypoxic exposure, which has not been previously studied. We hypothesized that NO tone on the cardiovascular system would be unaffected by chronic hypoxic incubation in White Leghorn chicken (Gallus domesticus) embryos., Methods: We measured arterial pressure, heart rate and femoral blood flow (via a Doppler flow probe) in response to acute hypoxia (10% O2 ) and pharmacological manipulations in normoxic- and hypoxic (15% O2 )-incubated embryos. This was performed at 70 and 90% of total incubation time (21 days). At 70% of incubation (day 15), blood volume and chorioallantoic membrane development are maximal; 90% of incubation (day 19) is 1 day prior to lung ventilation., Results: Acute hypoxic exposure decreased femoral flow in both 90% groups, but increased femoral artery resistance in the hypoxic group. NO tone increased during development, but was not affected by hypoxic incubation. Inhibition of NO production by L-NAME (100 mg kg(-1) ) revealed that NO plays a significant role in the flow response to hypoxia., Conclusion: Chronic hypoxic incubation has no effect on cardiovascular NO tone during White Leghorn chicken development. In the intact animal, NO function during acute hypoxic stress is suppressed by hypoxic incubation, indicating that chronic hypoxic stress dampens the NO contribution., (© 2014 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd.)
- Published
- 2014
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17. The role of the microcirculation in delayed cerebral ischemia and chronic degenerative changes after subarachnoid hemorrhage.
- Author
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Østergaard L, Aamand R, Karabegovic S, Tietze A, Blicher JU, Mikkelsen IK, Iversen NK, Secher N, Engedal TS, Anzabi M, Jimenez EG, Cai C, Koch KU, Naess-Schmidt ET, Obel A, Juul N, Rasmussen M, and Sørensen JC
- Subjects
- Brain metabolism, Brain physiopathology, Brain Ischemia metabolism, Brain Ischemia physiopathology, Humans, Microvessels metabolism, Microvessels physiopathology, Subarachnoid Hemorrhage metabolism, Subarachnoid Hemorrhage physiopathology, Brain blood supply, Brain pathology, Brain Ischemia complications, Brain Ischemia pathology, Microcirculation, Microvessels pathology, Subarachnoid Hemorrhage complications, Subarachnoid Hemorrhage pathology
- Abstract
The mortality after aneurysmal subarachnoid hemorrhage (SAH) is 50%, and most survivors suffer severe functional and cognitive deficits. Half of SAH patients deteriorate 5 to 14 days after the initial bleeding, so-called delayed cerebral ischemia (DCI). Although often attributed to vasospasms, DCI may develop in the absence of angiographic vasospasms, and therapeutic reversal of angiographic vasospasms fails to improve patient outcome. The etiology of chronic neurodegenerative changes after SAH remains poorly understood. Brain oxygenation depends on both cerebral blood flow (CBF) and its microscopic distribution, the so-called capillary transit time heterogeneity (CTH). In theory, increased CTH can therefore lead to tissue hypoxia in the absence of severe CBF reductions, whereas reductions in CBF, paradoxically, improve brain oxygenation if CTH is critically elevated. We review potential sources of elevated CTH after SAH. Pericyte constrictions in relation to the initial ischemic episode and subsequent oxidative stress, nitric oxide depletion during the pericapillary clearance of oxyhemoglobin, vasogenic edema, leukocytosis, and astrocytic endfeet swelling are identified as potential sources of elevated CTH, and hence of metabolic derangement, after SAH. Irreversible changes in capillary morphology and function are predicted to contribute to long-term relative tissue hypoxia, inflammation, and neurodegeneration. We discuss diagnostic and therapeutic implications of these predictions.
- Published
- 2013
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18. The role of the cerebral capillaries in acute ischemic stroke: the extended penumbra model.
- Author
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Østergaard L, Jespersen SN, Mouridsen K, Mikkelsen IK, Jonsdottír KÝ, Tietze A, Blicher JU, Aamand R, Hjort N, Iversen NK, Cai C, Hougaard KD, Simonsen CZ, Von Weitzel-Mudersbach P, Modrau B, Nagenthiraja K, Riisgaard Ribe L, Hansen MB, Bekke SL, Dahlman MG, Puig J, Pedraza S, Serena J, Cho TH, Siemonsen S, Thomalla G, Fiehler J, Nighoghossian N, and Andersen G
- Subjects
- Animals, Brain metabolism, Brain Ischemia diagnosis, Brain Ischemia metabolism, Brain Ischemia prevention & control, Capillaries metabolism, Humans, Models, Biological, Oxygen metabolism, Stroke diagnosis, Stroke metabolism, Stroke prevention & control, Brain blood supply, Brain physiopathology, Brain Ischemia physiopathology, Capillaries physiopathology, Cerebrovascular Circulation, Stroke physiopathology
- Abstract
The pathophysiology of cerebral ischemia is traditionally understood in relation to reductions in cerebral blood flow (CBF). However, a recent reanalysis of the flow-diffusion equation shows that increased capillary transit time heterogeneity (CTTH) can reduce the oxygen extraction efficacy in brain tissue for a given CBF. Changes in capillary morphology are typical of conditions predisposing to stroke and of experimental ischemia. Changes in capillary flow patterns have been observed by direct microscopy in animal models of ischemia and by indirect methods in humans stroke, but their metabolic significance remain unclear. We modeled the effects of progressive increases in CTTH on the way in which brain tissue can secure sufficient oxygen to meet its metabolic needs. Our analysis predicts that as CTTH increases, CBF responses to functional activation and to vasodilators must be suppressed to maintain sufficient tissue oxygenation. Reductions in CBF, increases in CTTH, and combinations thereof can seemingly trigger a critical lack of oxygen in brain tissue, and the restoration of capillary perfusion patterns therefore appears to be crucial for the restoration of the tissue oxygenation after ischemic episodes. In this review, we discuss the possible implications of these findings for the prevention, diagnosis, and treatment of acute stroke.
- Published
- 2013
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19. Superparamagnetic iron oxide polyacrylic acid coated γ-Fe2O3 nanoparticles do not affect kidney function but cause acute effect on the cardiovascular function in healthy mice.
- Author
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Iversen NK, Frische S, Thomsen K, Laustsen C, Pedersen M, Hansen PB, Bie P, Fresnais J, Berret JF, Baatrup E, and Wang T
- Subjects
- Animals, Female, Glomerular Filtration Rate, Hydrogen-Ion Concentration, Injections, Intravenous, Kidney metabolism, Magnetic Resonance Imaging, Magnetite Nanoparticles administration & dosage, Magnetite Nanoparticles toxicity, Male, Mesenteric Arteries drug effects, Mesenteric Arteries metabolism, Mice, Mice, Inbred BALB C, Microscopy, Electron, Transmission, Muscle Contraction drug effects, Myography, Time Factors, Tissue Distribution, Acrylic Resins chemistry, Blood Pressure drug effects, Ferric Compounds chemistry, Kidney drug effects, Magnetite Nanoparticles chemistry
- Abstract
This study describes the distribution of intravenously injected polyacrylic acid (PAA) coated γ-Fe(2)O(3) NPs (10 mg kg(-1)) at the organ, cellular and subcellular levels in healthy BALB/cJ mice and in parallel addresses the effects of NP injection on kidney function, blood pressure and vascular contractility. Magnetic resonance imaging (MRI) and transmission electron microscopy (TEM) showed accumulation of NPs in the liver within 1h after intravenous infusion, accommodated by intracellular uptake in endothelial and Kupffer cells with subsequent intracellular uptake in renal cells, particularly the cytoplasm of the proximal tubule, in podocytes and mesangial cells. The renofunctional effects of NPs were evaluated by arterial acid-base status and measurements of glomerular filtration rate (GFR) after instrumentation with chronically indwelling catheters. Arterial pH was 7.46±0.02 and 7.41±0.02 in mice 0.5 h after injections of saline or NP, and did not change over the next 12 h. In addition, the injections of NP did not affect arterial PCO(2) or [HCO(3)(-)] either. Twenty-four and 96 h after NP injections, the GFR averaged 0.35±0.04 and 0.35±0.01 ml min(-1) g(-1), respectively, values which were statistically comparable with controls (0.29±0.02 and 0.33±0.1 ml(-1) min(-1) 25 g(-1)). Mean arterial blood pressure (MAP) decreased 12-24 h after NP injections (111.1±11.5 vs 123.0±6.1 min(-1)) associated with a decreased contractility of small mesenteric arteries revealed by myography to characterize endothelial function. In conclusion, our study demonstrates that accumulation of superparamagnetic iron oxide nanoparticles does not affect kidney function in healthy mice but temporarily decreases blood pressure., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2013
- Full Text
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20. Cardiovascular anatomy and cardiac function in the air-breathing swamp eel (Monopterus albus).
- Author
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Iversen NK, Lauridsen H, Do TT, Nguyen VC, Gesser H, Buchanan R, Bayley M, Pedersen M, and Wang T
- Subjects
- Adaptation, Physiological, Air, Animals, Arteries anatomy & histology, Arteries physiology, Blood Gas Analysis, Blood Pressure, Epithelium physiology, Epithelium ultrastructure, Estivation physiology, Female, Head anatomy & histology, Head blood supply, Heart Rate, Hypoxia metabolism, In Vitro Techniques, Mouth Mucosa physiology, Mouth Mucosa ultrastructure, Myocardial Contraction, Oxygen metabolism, Seasons, Smegmamorpha physiology, Species Specificity, Heart anatomy & histology, Heart physiology, Heart Function Tests methods, Smegmamorpha anatomy & histology
- Abstract
Monopterus albus, a swamp eel inhabiting the freshwaters of South East Asia, relies on an extensive vascularisation of the buccal cavity, pharynx and anterior oesophagus for gas exchange, while the gills are much reduced. In the present study we describe the macro-circulation in the cephalic region and the vascularisation of the buccal cavity of M. albus using vascular fillings and micro-computed tomography (μCT). We also show that M. albus has the capacity to use the buccal cavity for aquatic gas exchange, being able to maintain normal arterial blood gas composition, blood pressure, heart rate and cardiac output throughout 10h of forced submergence. M. albus therefore can be characterised as a facultative air-breather. Because M. albus aestivates for many months in moist mud during the dry season we characterised in vivo cardiovascular function during exposure to anoxia as well as the effects of anoxia on in vitro contractility of strip preparations from atria and ventricle. Both studies revealed a low anoxia tolerance, rendering it unlikely that M. albus can survive prolonged exposure to anoxia., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2013
- Full Text
- View/download PDF
21. The normal acid-base status of mice.
- Author
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Iversen NK, Malte H, Baatrup E, and Wang T
- Subjects
- Acidosis physiopathology, Air Pressure, Algorithms, Anesthesia, Animals, Bicarbonates blood, Buffers, Carbon Dioxide blood, Female, Hydrogen-Ion Concentration, Lactic Acid blood, Male, Mice, Mice, Inbred BALB C, Pulmonary Gas Exchange physiology, Acid-Base Equilibrium physiology
- Abstract
Rodent models are commonly used for various physiological studies including acid-base regulation. Despite the widespread use of especially genetic modified mice, little attention have been made to characterise the normal acid-base status in these animals in order to reveal proper control values. Furthermore, several studies report blood gas values obtained in anaesthetised animals. We, therefore, decided to characterise blood CO(2) binding characteristic of mouse blood in vitro and to characterise normal acid-base status in conscious BALBc mice. In vitro CO(2) dissociation curves, performed on whole blood equilibrated to various PCO₂ levels in rotating tonometers, revealed a typical mammalian pK' (pK'=7.816-0.234 × pH (r=0.34)) and a non-bicarbonate buffer capacity (16.1 ± 2.6 slyke). To measure arterial acid-base status, small blood samples were taken from undisturbed mice with indwelling catheters in the carotid artery. In these animals, pH was 7.391 ± 0.026, plasma [HCO(3)(-)] 18.4 ± 0.83 mM, PCO₂ 30.3 ± 2.1 mm Hg and lactate concentration 4.6 ± 0.7 mM. Our study, therefore, shows that mice have an arterial pH that resembles other mammals, although arterial PCO₂ tends to be lower than in larger mammals. However, pH from arterial blood sampled from mice anaesthetised with isoflurane was significantly lower (pH 7.239 ± 0.021), while plasma [HCO(3)(-)] was 18.5 ± 1.4 mM, PCO₂ 41.9 ± 2.9 mm Hg and lactate concentration 4.48 ± 0.67 mM. Furthermore, we measured metabolism and ventilation (V(E)) in order to determine the ventilation requirements (VE/VO₂) to answer whether small mammals tend to hyperventilate. We recommend, therefore, that studies on acid-base regulation in mice should be based on samples taken for indwelling catheters rather than cardiac puncture of terminally anaesthetised mice., (Copyright © 2011 Elsevier B.V. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
22. Autonomic control of the heart in the Asian swamp eel (Monopterus albus).
- Author
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Iversen NK, Huong do TT, Bayley M, and Wang T
- Subjects
- Adrenergic beta-Antagonists pharmacology, Animals, Atropine pharmacology, Blood Pressure drug effects, Cardiac Output, Female, Heart drug effects, Heart innervation, Heart Rate drug effects, Muscarinic Antagonists pharmacology, Propranolol pharmacology, Respiration, Autonomic Nervous System physiology, Eels physiology, Heart physiology
- Abstract
The Asian swamp eel (Monopterus albus) is an air-breathing teleost with very reduced gills that uses the buccal cavity for air-breathing. Here we characterise the cardiovascular changes associated with the intermittent breathing pattern in M. albus and we study the autonomic control of the heart during water- and air-breathing. The shift from water- to air-breathing was associated with a rise in heart rate from 27.7 ± 1.6 to 41.4 ± 2.6 min(-1) and an increase in cardiac output from 23.1 ± 3.0 to 58.7 ± 6.5 mLmin(-1)kg(-1), while mean systemic blood pressure did not change (39.0 ± 3.5 and 46.4 ± 1.3 cmH(2)O). The autonomic control of the heart during water- and air-breathing was revealed by infusion of the β-adrenergic antagonist propranolol and muscarinic antagonist atropine (3 mgkg(-1)) in eels instrumented with an arterial catheter. Inhibition of the sympathetic and parasympathetic innervations of the heart revealed a strong vagal tone on the heart of water-breathing eels and that the tachycardia during air-breathing is primarily mediated by withdrawal of cholinergic tone., (Copyright © 2010 Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
23. Autonomic regulation of the heart during digestion and aerobic swimming in the European sea bass (Dicentrarchus labrax).
- Author
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Iversen NK, Dupont-Prinet A, Findorf I, McKenzie DJ, and Wang T
- Subjects
- Adaptation, Physiological drug effects, Adaptation, Physiological physiology, Animals, Atropine administration & dosage, Autonomic Nervous System drug effects, Cardiac Output drug effects, Cardiac Output physiology, Digestion drug effects, Fasting, Heart drug effects, Heart Rate drug effects, Heart Rate physiology, Oxygen Consumption drug effects, Oxygen Consumption physiology, Physical Conditioning, Animal physiology, Propranolol administration & dosage, Autonomic Nervous System physiology, Bass physiology, Digestion physiology, Heart innervation, Heart physiology, Swimming physiology
- Abstract
The autonomic regulation of the heart was studied in European sea bass (Dicentrarchus labrax) during digestion and aerobic exercise by measuring cardiac output (Q), heart rate (f(H)), stroke volume (V(s)) and oxygen consumption (MO(2)) before and after pharmacological blockade by intraperitoneal injections of atropine and propranolol. The significant rise in MO(2) (134+/-14 to 174+/-14 mg kg(-)(1)h(-)(1)) 6h after feeding (3% body mass) caused a significant tachycardia (47.7+/-10.9 to 72.6+/-7.2 beats min(-)(1)), but only a small elevation of Q. MO(2) of fasting fish increased progressively with swimming speed (0.7-2.1BLs(-)(1)) causing a significant tachycardia (43+/-6 to 61+/-4 mL min(-)(1)kg(-)(1)) and increased Q but V(s) did not change. Inactive fish were characterized by a high vagal tone (98.3+/-21.7%), and the tachycardia during digestion and exercise was exclusively due to a reduction of vagal tone, while the adrenergic tone remained low during all conditions. Intrinsic f(H), revealed after double autonomic blockade, was not affected by digestion (71+/-4 and 70+/-6 min(-)(1), respectively), indicating that non-adrenergic, non-cholinergic (NANC) factors do not contribute to the tachycardia during digestion in sea bass., (Copyright (c) 2010 Elsevier Inc. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
24. Reflex bradycardia does not influence oxygen consumption during hypoxia in the European eel (Anguilla anguilla).
- Author
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Iversen NK, McKenzie DJ, Malte H, and Wang T
- Subjects
- Analysis of Variance, Animals, Atropine pharmacology, Bradycardia etiology, Energy Metabolism drug effects, Energy Metabolism physiology, Heart Rate drug effects, Hypoxia complications, Oxygen Consumption drug effects, Anguilla physiology, Bradycardia physiopathology, Hypoxia physiopathology, Oxygen Consumption physiology
- Abstract
Most teleost fish reduce heart rate when exposed to acute hypoxia. This hypoxic bradycardia has been characterised for many fish species, but it remains uncertain whether this reflex contributes to the maintenance of oxygen uptake in hypoxia. Here we describe the effects of inhibiting the bradycardia on oxygen consumption (MO(2)), standard metabolic rate (SMR) and the critical oxygen partial pressure for regulation of SMR in hypoxia (Pcrit) in European eels Anguilla anguilla (mean +/- SEM mass 528 +/- 36 g; n = 14). Eels were instrumented with a Transonic flow probe around the ventral aorta to measure cardiac output (Q) and heart rate (f (H)). MO(2) was then measured by intermittent closed respirometry during sequential exposure to various levels of increasing hypoxia, to determine Pcrit. Each fish was studied before and after abolition of reflex bradycardia by intraperitoneal injection of the muscarinic antagonist atropine (5 mg kg(-1)). In the untreated eels, f (H) fell from 39.0 +/- 4.3 min(-1) in normoxia to 14.8 +/- 5.2 min(-1) at the deepest level of hypoxia (2 kPa), and this was associated with a decline in Q, from 7.5 +/- 0.8 mL min(-1) kg(-1) to 3.3 +/- 0.7 mL min(-1) kg(-1) in normoxia versus deepest hypoxia, respectively. Atropine had no effect on SMR, which was 16.0 +/- 1.8 mumol O(2) kg(-1) min(-1) in control versus 16.8 +/- 0.8 mumol O(2) kg(-1) min(-1) following treatment with atropine. Atropine also had no significant effect on normoxic f (H) or Q in the eel, but completely abolished the bradycardia and associated decline in Q during progressive hypoxia. This pharmacological inhibition of the cardiac responses to hypoxia was, however, without affect on Pcrit, which was 11.7 +/- 1.3 versus 12.5 +/- 1.5 kPa in control versus atropinised eels, respectively. These results indicate, therefore, that reflex bradycardia does not contribute to maintenance of MO(2) and regulation of SMR by the European eel in hypoxia.
- Published
- 2010
- Full Text
- View/download PDF
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