Abstract

Plasma-to-tissue transport of radioactively labelled albumin has been used to study the effect of increased venous pressure on transcapillary albumin transport. Venous pressure was increased by inflating a balloon catheter in the inferior caval vein. Plasma-to-tissue transport of albumin was taken as the extravascular distribution space (EValb) for 125I-labelled human serum albumin (I-HSA) after 1 h. Venous pressure was increased from 2 to 20 mmHg in the experimental group. Interstitial fluid volume (IFV) was measured as the extravascular distribution space for 51Cr-EDTA. In control EValb was 9.24 X 10(-3) ml g-1 d. wt (SD = 1.28, n = 8) and 3.67 X 10(-3) ml g-1 d.wt (SD = 0.94, n = 8) in skin and skeletal muscle, respectively. Increasing venous pressure raised EValb and IFV in skin and skeletal muscle, but the increase in EValb was about 3 and 5% of the rise in IFV, resulting in capillary reflection coefficients for albumin of 0.94 in skin and 0.98 in skeletal muscle. The low transcapillary albumin transport relative to water transport is compatible with a two-pore model of transcapillary exchange where large pores (250 A) accounts for less than 5.5 and 2.5% of the total capillary filtrate of fluid in skin and skeletal muscle, respectively.

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