Systemic Mapping of Organ Plasma Extravasation Post Myocardial Infarction

Abstract

Chronic Heart failure (CHF) is a highly prevalent disease that leads to significant morbidity and mortality. Diffuse vasculopathy is a common feature of the morbidity associated with CHF. Increased vascular permeability leading to plasma extravasation (PEx) occurs in surrounding tissues following endothelial dysfunction. Such micro- and macro-vascular complications develop over time and lead to edema, inflammation, and multi-organ dysfunction in CHF. However, a systemic examination of PEx in vital organs among different time windows of CHF has never been performed before. In the present study, we investigated time-dependent PEx in several major visceral organs including heart, lung, liver, spleen, kidney, duodenum, ileum, cecum and pancreas between sham-operated and CHF rats induced by myocardial infarction (MI). Plasma extravasation was determined by evaluating Evans Blue concentrations calorimetrically at fluorescence excitation wavelength of 620 nm (bandwidth 10 nm) and an emission wavelength of 680 nm (bandwidth 40 nm) at 3 days, 8-10 weeks and 4 months following MI. Data show that heart PEx level was initially high at day 3 post MI and then gradually decreased but still remained at a moderately high level at 8-10 weeks and 4 months post MI. Lung PEx began at day 3 and remained significantly high at both 8-10 weeks and 4 months post MI. Spleen PEx level was significantly high at 8-10 weeks and 4 months but not day 3 post MI. Liver PEx occurs early at day 3 and remain significantly high at 8-10 weeks and 4 months post MI. For the gastrointestinal (GI) organs including Duodenum, ileum and cecum, there was a general trend that PEx level gradually increased following MI and reached a statistical significance at 4 months post MI. Different with GI PEx, renal PEx level was initially high at day 3 but back to normal level at 8-10 weeks post MI. However, renal PEx was significantly elevated again at 4 months post MI. In summary, we found that MI generally incites a time-dependent PEx of multiple visceral organs. However, the PEx time window for individual organ in response to the MI challenge was different, suggesting that different mechanisms might be involved in the pathogenesis of PEx in these vital organs during CHF. This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.