Cj. Lutz et al., Videomicroscopy provides accurate in vivo assessment of pulmonary microvascular reactivity in rabbits, SHOCK, 11(5), 1999, pp. 367-371
When defining the mechanism of hypoxic pulmonary vasoconstriction (HPV), in
vestigators have employed ex vivo preparations because of the belief that a
ccurate, quantitative assessment of pulmonary microvessels could not be obt
ained in vivo. We hypothesize that accurate, quantitative assessment of pul
monary microvascular reactivity can be performed using a simple, in vivo pr
eparation. Our aim was to provide this quantitative assessment in a defined
animal model, and to confirm that the chosen preparation could discriminat
e changes in microvascular reactivity as influenced by endogenous mediators
. New Zealand rabbits were instrumented for in vivo microscopy and direct m
easurement of subpleural arterioles, Rabbits were first randomized to eithe
r control (n = 7) or endotoxin (n = 5), infusion of Escherichia coli lipopo
lysaccharide (200 Fg/kg), All rabbits were then exposed to a repeated proto
col of normoxia (21% O-2) for 20 min and then hypoxia (15% O-2) for 10 min
over 2 h. The changes in arteriole diameter were measured at the end of eac
h interval. Normal pulmonary arterioles repeatedly constrict 15 +/- 3.5% du
ring hypoxia, Altering endogenous vasoactive mediators, as with infusion of
endotoxin, caused a loss of hypoxia-induced vasoconstriction. The results
of our study validate this experimental preparation for the reliable quanti
fication of pulmonary microvascular reactivity and investigation of hypoxic
pulmonary vasoconstriction under both normal and pathologic conditions.