There is a reduction in oxygen consumption during hemorrhagic shock, a
nd it has been suggested that this correlates with mortality. Recent d
ata indicate that the consumption of oxygen may depend on its diffusio
n from the erythrocytes to the mitochondria; thus, enhancing this rate
might increase tissue oxygen extraction during hypovolemia. Crocetin,
a carotenoid compound which has been shown to increase oxygen diffusi
vity, was used in rats bled 40% of their blood volumes, and resulted i
n increased whole-body oxygen consumption and survival rates. Magnetic
resonance spectroscopy data also indicate that crocetin increased oxy
gen uptake by muscle. Other factors which might account for these resu
lts, such as possible effects of crocetin on red cell deformability an
d mitochondrial respiration rates, were also investigated, but the mec
hanism of action seems to be related to the increased diffusion of oxy
gen through plasma. (C) 1993 Wiley-Liss, Inc.