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Microvascular tissue oxygenation and oxidative metabolism changes in the pedicled latissimus dorsi muscle during graded hypoxia: correlation between near infrared and 31P nuclear magnetic resonance spectroscopy.

AbstractBACKGROUND:
In this study, the microvascular tissue oxygenation and oxidative muscle metabolism during graded hypoxia and reoxygenation were examined in a rabbit model by near-infrared (NIR) spectroscopy and correlated with high-energy phosphates measured by (31)P nuclear magnetic resonance (NMR) spectroscopy.
MATERIALS AND METHODS:
Graded hypoxia was performed in a New Zealand rabbit model (n = 20, 2.0 ± 0.4 kg) by a stepwise reduction of the fraction of inspired oxygen (FiO(2)) from 0.3 to 0.05 (intervention group versus control group). Recovery and reoxygenation were achieved using FiO(2) of 0.3. A noninvasive NIR spectroscopy sensor and NMR probe was positioned on the surface of the prepared pedicled latissimus dorsi muscle. Microvascular tissue oxygenation (oxyhemoglobin, HbO(2); deoxyhemoglobin, HHb) and redox state of cytochrome oxidase (CytOx) were measured by NIR spectroscopy and correlated with standard values of oxidative muscle metabolism (phosphocreatine, PCr; adenosine triphosphate, ATP) measured by time-resolved (31)P NMR spectroscopy (4.7T).
RESULTS:
Significant correlation was found between PCr and HbO(2) (r = 0.85, P < 0.001) and HHb (r = -0.75, P < 0.001). β-ATP levels correlated significantly with CytOx (r = 0.87, P < 0.001).
CONCLUSIONS:
The data suggest that changes in high-energy phosphates (PCr- and ATP-levels) correlate closely with microvascular tissue oxygenation (HbO(2), HHb, CytOx) measured by NIR spectroscopy.
AuthorsDirk Troitzsch, Rainer Moosdorf, Sebastian Vogt
JournalThe Journal of surgical research (J Surg Res) Vol. 176 Issue 1 Pg. 337-42 (Jul 2012) ISSN: 1095-8673 [Electronic] United States
PMID21705019 (Publication Type: Comparative Study, Journal Article)
CopyrightCopyright © 2012 Elsevier Inc. All rights reserved.
Chemical References
  • Hemoglobins
  • Oxyhemoglobins
  • Phosphorus Isotopes
  • Phosphocreatine
  • Adenosine Triphosphate
  • deoxyhemoglobin
  • Electron Transport Complex IV
  • Oxygen
Topics
  • Adenosine Triphosphate (metabolism)
  • Animals
  • Electron Transport Complex IV (metabolism)
  • Hemoglobins (metabolism)
  • Hypoxia (metabolism)
  • Magnetic Resonance Spectroscopy (methods)
  • Male
  • Microvessels (metabolism)
  • Models, Animal
  • Muscle, Skeletal (metabolism)
  • Oxidation-Reduction
  • Oxygen (metabolism)
  • Oxyhemoglobins (metabolism)
  • Phosphocreatine (metabolism)
  • Phosphorus Isotopes
  • Rabbits
  • Spectroscopy, Near-Infrared (methods)

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