Glycocalyx in vivo measurement

被引:26
作者
Cerny, Vladimir [1 ,2 ,3 ,4 ]
Astapenko, David [2 ,3 ]
Burkovskiy, Ian [4 ,7 ]
Hyspler, Radomir [2 ]
Ticha, Alena [2 ]
Trevors, Mary Ann [5 ]
Lehmann, Christian [4 ,6 ,7 ,8 ]
机构
[1] Univ JE Purkyne, Masaryk Hosp, Dept Anaesthesiol Perioperat Med & Intens Care, Usti Nad Labem, Czech Republic
[2] Univ Hosp Hradec Kralove, Ctr Res & Dev, Hradec Kralove, Czech Republic
[3] Charles Univ Prague, Fac Med, Dept Anaesthesiol & Intens Care, Hradec Kralove, Czech Republic
[4] Dalhousie Univ, Dept Anaesthesia Pain Management & Perioperat Med, Halifax, NS, Canada
[5] Dalhousie Univ, Fac Med, Electron Microscopy Unit, Core Facil, Halifax, NS, Canada
[6] Dalhousie Univ, Dept Microbiol & Immunol, Halifax, NS, Canada
[7] Dalhousie Univ, Dept Pharmacol, Halifax, NS, Canada
[8] Dalhousie Univ, Dept Physiol & Biophys, Halifax, NS, Canada
关键词
Endothelial glycocalyx; laboratory methods; videomicroscopy; Perfused Boundary Region; ENDOTHELIAL GLYCOCALYX; VASCULAR ENDOTHELIUM; BARRIER; HEALTH; SODIUM;
D O I
10.3233/CH-179235
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The endothelial glycocalyx (EG) lining the endoluminal surface of the capillaries has been proposed as a key component of the microcirculation and a major player in microvascular pathology. Recent advances in the understanding of its physiological role and clinical significance have been made upon the development of methods allowing EG assessment in clinical medicine. Laboratory methods can assess the amount of EG damage by measuring levels of its degradation products (e.g. syndecan-1, heparan sulphate and hyaluronan sulphate), mostly in the plasma, however, their physiological turnover disqualifies them from being the reliable index of EG damage. At the bedside, in vivo video microscopy tools technologies (e.g. Side-stream Dark Field imaging technology) allow indirect assessment of EG thickness in sublingual microcirculation by measuring the penetration extent (called Perfused Boundary Region) of flowing red blood cells into the EG.
引用
收藏
页码:499 / 503
页数:5
相关论文
共 20 条
[1]   The endothelial glycocalyx: a review of the vascular barrier [J].
Alphonsus, C. S. ;
Rodseth, R. N. .
ANAESTHESIA, 2014, 69 (07) :777-784
[2]  
[Anonymous], J INTERN MED
[3]   Vascular endothelium - Gatekeeper of vessel health [J].
Cahill, Paul A. ;
Redmond, Eileen M. .
ATHEROSCLEROSIS, 2016, 248 :97-109
[4]   Role of the glycocalyx in fluid management: Small things matter [J].
Chappell, Daniel ;
Jacob, Matthias .
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY, 2014, 28 (03) :227-234
[5]   The impact of the glycocalyx on microcirculatory oxygen distribution in critical illness [J].
Chappell, Daniel ;
Westphal, Martin ;
Jacob, Matthias .
CURRENT OPINION IN ANESTHESIOLOGY, 2009, 22 (02) :155-162
[6]   Plasma Free Hemoglobin and Microcirculatory Response to Fresh or Old Blood Transfusions in Sepsis [J].
Damiani, Elisa ;
Adrario, Erica ;
Luchetti, Michele Maria ;
Scorcella, Claudia ;
Carsetti, Andrea ;
Mininno, Nicoletta ;
Pierantozzi, Silvia ;
Principi, Tiziana ;
Strovegli, Daniele ;
Bencivenga, Rosella ;
Gabrielli, Armando ;
Romano, Rocco ;
Pelaia, Paolo ;
Ince, Can ;
Donati, Abele .
PLOS ONE, 2015, 10 (05)
[7]  
Donati A, 2013, MICROVASC RES
[8]   The aPC treatment improves microcirculation in severe sepsis/septic shock syndrome [J].
Donati, Abele ;
Damiani, Elisa ;
Botticelli, Laura ;
Adrario, Erica ;
Lombrano, Maria Rita ;
Domizi, Roberta ;
Marini, Benedetto ;
van Teeffelen, Jurgen W. G. E. ;
Carletti, Paola ;
Girardis, Massimo ;
Pelaia, Paolo ;
Ince, Can .
BMC ANESTHESIOLOGY, 2013, 13
[9]   Protocol for intraoperative assessment of the human cerebrovascular glycocalyx [J].
Haeren, R. H. L. ;
Vink, H. ;
Staals, J. ;
van Zandvoort, M. A. M. J. ;
Dings, J. ;
van Overbeeke, J. J. ;
Hoogland, G. ;
Rijkers, K. ;
Schijns, O. E. M. G. .
BMJ OPEN, 2017, 7 (01)
[10]   Endothelial Glycocalyx as Biomarker for Cardiovascular Diseases: Mechanistic and Clinical Implications [J].
Kim Y.-H. ;
Nijst P. ;
Kiefer K. ;
Tang W.H.W. .
Current Heart Failure Reports, 2017, 14 (2) :117-126