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Profiling biochemical and hemodynamic markers using chronically instrumented, conscious and unrestrained rats undergoing severe, acute controlled hemorrhagic hypovolemic shock as an integrated in-vivo model system to assess new blood substitutes.

Abstract
The aim of the present study was to assess several biochemical and physiological endpoint parameters alongside controlled hemorrhagic and recovery phases of chronically instrumented, conscious and unrestrained healthy rats. Male Sprague-Dawley rats (12-14 weeks; 430+/-20 g; n=22-18) were instrumented with a saline-perfused femoral arterial catheter and placed individually in a metabolic cage for up to 20 days, allowing instant assessments of the hemodynamic profile and blood and urine sampling for hematological profile and biochemical measurements to assess hepatic, renal and metabolic functions. In addition, body weight, food and water intake, and diuresis were monitored daily. After a 7-day stabilization period, the rats underwent severe and acute hemorrhagic shock (HS) (removal of 50% of total circulating blood volume), kept in hypovolemic shock for an ischemic period of 50 min and then resuscitated over 10 min. Gr. 1 was re-infused with autologous shed blood (AB; n=10) whereas Gr. 2 was infused 1:1 with a solution of sterile saline-albumin (SA; 7% w/v) (n=8-12). Ischemic rats recovered much more rapidly following AB re-infusion than those receiving SA. Normal hemodynamic and biochemical profiles were re-established after 24 h. Depressed blood pressure lasted 4-5 days in SA rats. The hematological profile in the SA resuscitated rats was even more drastically affected. Circulating plasma concentrations of hemoglobin (-40%), hematocrit (-50%), RBC (-40%) and platelets (-41%) counts were still severely decreased 24 h after the acute ischemic event whereas WBC counts increased 2.2-fold by day 4. It took 5-9 days for these profiles to normalize after ischemia-reperfusion with SA. Diuresis increased in both groups (by 45+/-7% on day 1) but presented distinct electrolytic profiles. Hepatic and renal functions were normal in AB rats whereas altered in SA rats. The present set of experiments enabled us to validate a model of HS in conscious rats and the use of an integrated in vivo platform as a valuable tool to characterize HS-induced stress and to test new classes of blood substitutes in real time, post-event, over days.
AuthorsP Daull, A Blouin, J Cayer, M Beaudoin, K Belleville, P Sirois, F Nantel, T M S Chang, B Battistini
JournalVascular pharmacology (Vascul Pharmacol) Vol. 43 Issue 4 Pg. 289-301 (Oct 2005) ISSN: 1537-1891 [Print] United States
PMID16253569 (Publication Type: Journal Article)
Chemical References
  • Biomarkers
  • Blood Proteins
  • Blood Substitutes
  • Electrolytes
  • Lipids
Topics
  • Acute Disease
  • Acute Kidney Injury (metabolism, physiopathology)
  • Animals
  • Biomarkers
  • Blood Proteins (analysis)
  • Blood Substitutes (therapeutic use)
  • Disease Models, Animal
  • Electrolytes (blood, urine)
  • Hemodynamics (drug effects)
  • Kidney Function Tests
  • Lipids (blood)
  • Liver Failure, Acute (metabolism, physiopathology)
  • Liver Function Tests
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury (metabolism, physiopathology)
  • Shock (drug therapy, metabolism, physiopathology)
  • Telemetry

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