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A biophysical approach to capillary permeability.

Abstract
In this preliminary report, the capillary leakage that occurs after scald injury is considered a biophysical phenomenon and is treated by sealing the "pores," or endothelial gaps, in the capillary membranes with biodegradable macromolecules of the appropriate size and shape. We have measured albumin leakage from standardized scald burns in the rat jejunum with and without variously sized fractions of intravenous macromolecules of hydroxyethyl starch (HES) used as a sealing agent. The observed reduction of albumin leakage from injured capillaries was attributed to the sealing effect. The fraction HES (Fm) with molecular weights of 100,000 to 300,000 daltons performed significantly better (p less than 0.05) as a sealing agent when compared with HES (F1) fraction molecular weights of 300,000 to 3.4 million daltons, HES (Fs) molecular weight less than 50,000 daltons, and two control groups receiving the intravenous Ringer's lactate solution or serum albumin 5%. This capillary sealing phenomenon was shown to be independent of colloid osmotic pressure effect. It is believed to be related to the size and the shape of the noncharged macromolecules.
AuthorsB A Zikria, T C King, J Stanford, H P Freeman
JournalSurgery (Surgery) Vol. 105 Issue 5 Pg. 625-31 (May 1989) ISSN: 0039-6060 [Print] United States
PMID2468191 (Publication Type: Comparative Study, Journal Article, Review)
Chemical References
  • Dextrans
  • Hydroxyethyl Starch Derivatives
  • Macromolecular Substances
  • Serum Albumin
  • Starch
Topics
  • Animals
  • Burns (metabolism)
  • Capillary Permeability (drug effects)
  • Dextrans (administration & dosage, pharmacokinetics)
  • Disease Models, Animal
  • Hydroxyethyl Starch Derivatives (administration & dosage, pharmacokinetics)
  • Injections, Intravenous
  • Jejunum (blood supply)
  • Macromolecular Substances (administration & dosage, pharmacokinetics)
  • Molecular Weight
  • Osmotic Pressure
  • Rats
  • Rats, Inbred Strains
  • Serum Albumin (analysis)
  • Starch (analogs & derivatives)

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