Summary
The effects of repeated local exposure to cold on the integrity of the subcutaneous microcirculation were studied in a model using a transparent tissue chamber implanted into a dorsal skin fold of Syrian hamsters. A detailed study of the vascular ultrastructure within the chamber revealed the following features: Endothelial damage was prominent in true capillaries and venous vessels, while arterioles remained unaffected. The endothelial lining appeared extremely attenuated around the entire vascular perimeter causing the development of “gaps”, some of which contained leukocytes or platelets. Smaller vessels were often completely filled with blood cells with leukocytes integrated into the endothelial wall. Fibrin was never observed within these occluded vessels. Finally, only veil-like remnants of the endothelium persisted, and compressed erythrocytes were still mimicking the original vascular outline. It is concluded that the ultrastructural changes observed after a repeated non-freezing cold injury closely resemble those observed during ischemia/reperfusion injury.
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References
Albrektsson B (1972) Late microvascular changes after slow and rapid thawing of frozen tissue. Adv Microcirc 4:161–176
Albrektsson B, Brånemark RI (1969) Early microvascular reactions to slow and rapid thawing of frozen tissue. Adv Microcirc 2:37–68
Arturson G (1966) Capillary permeability in experimental rapid freezing with rapid and slow rewarming. Acta Chir Scand 131:402–407
Aschoff J (1944) Über die Kältedilatation der Extremität des Menschen in Eiswasser. Pflügers Arch 248:183–196
Bagge U, Amundson B, Lauritsen C (1980) White blood cell deformability and plugging of skeletal muscle capillaries in hemorrhagic shock. Acta Physiol Scand 108:159–163
Barker JH, Bartlett R, Funk W, Hammersen F, Meßmer K (1987) The effect of superoxide dismutase on the skin microcirculation after ischemia and reperfusion, Prog Appl Microcirc 12:276–281
Bowers WD Jr, Hubbard RW, Daum RC, Ashbaugh P, Nilson E (1973) Ultrastructural studies of muscle cells and vascular endothelium immediately after freeze-thaw injury. Cryobiology 10:9–21
Brown E, Landis EM (1947) Effect of local cooling on fluid movement, effective osmotic pressure and capillary permeability in the frog's mesentery. Am J Physiol 149:302–315
Clark ER, Clark EL, Rex RD (1936) Observations on polymorphonuclear leukocytes in living animal. Am J Anat 59:123–173
Endrich B, Meßmer K (1984) Quantitative analysis of the microcirculation in the awake animal. In: Olszewski ML (ed) Handbook of microsurgery, vol 1. CRC Press, Boca Raton, pp 79–105
Endrich B, Asaishi K, Goetz A, Meßmer K (1980) Technical report. A new chamber technique for microvascular studies in unanesthetized hamsters. Res Exp Med 177:125–134
Endrich B, Laprell-Moschner C, Brendel W, Meßmer K (1982) Effects of prolonged cold injury on the subcutaneous microcirculation of the hamster: I. Technique, morphology and tissue oxygenation. Res Exp Med 181:49–61
Funk W, Endrich B, Meßmer K, Intaglietta M (1983) Spontaneous arteriolar vasomotion as a determinant of peripheral vascular resistance. Int J Microcirc Clin Exp 2:11–25
Faustmann PM, Dermietzel R (1985) Extravasation of polymorphonuclear leukocytes from the cerebral microvasculature. Inflammatory response induced by alpha-bungarotoxin. Cell Tissue Res 242:399–407
Gaehtgens P (1987) Pathway and interactions of white cells in the microcirculation. Prog Appl Microcirc 12:51–66
Grant L (1973) The sticking and emigration of white blood cells in inflammation. In: Zweifach BW, Grant L, McCluskey RT (eds) The inflammatory process. Academic Press, New York London, pp 205–249
Hammersen F, Hammersen E (1987) The ultrastructure of endothelial gap-formation and leukocyte emigration. Prog Appl Microcirc 12:1–34
Hammersen F, Endrich B, Meßmer K (1985) The fine structure of tumor blood vessels: I. Participation of non-endothelial cells in tumor angiogenesis. Int J Microcirc Clin Exp 4:31–43
Höflin FG, Rahn BA, Perren SM, Ziegler WJ (1977) Rasches oder langsames Wiedererwärmen? Ärztl Praxis 21:1035–1041
Lewis RE, Granger HJ (1988) Diapedesis and the permeability of venous microvessels to protein macromolecules: the impact of leukotriene B4(LTB4). Microvasc Res 35:27–47
Lewis RB, Gerstner HB (1954) Blood flow as indicated by temperature changes in rabbit legs before and after exposure to local cold. Am J Physiol 117:501–503
Meßmer K, Funk W, Endrich B, Zeintl H (1984) The perspectives of new methods in microcirculation research. Prog Appl Microcirc 6:77–90
Metzger HP, Brüggemann H, Plewnia A (1987) The use of fluorescent-protein conjugates for staining brain capillaries in hypo-and hyperthermia (26–42°C). Microvasc Res 34:311–317
Movat HZ (1985) The inflammatory reaction. Elsevier Science Biomed Division, Amsterdam New York Oxford
Rabb JM, Renaud ML, Brandt PA, Witt CW (1974) Effect of freezing and thawing on the microcirculation and capillary endothelium of the hamster cheek pouch. Cryobiology 11: 508–518
Sack FU, Funk W, Hammersen F, Meßmer K (1987) Microvascular injury of skeletal muscle and skin after different periods of pressure induced ischemia. Prog Appl Microcirc 12: 282–288
Schindelmeiser J, Bergmann M, Lehmenkühler A, Kersting U (1987) Tracer permeability of rat cortical blood vessels during regional hypothermia. Acta Neuropathol (Berl) 73: 349–356
Schmid-Schoenbein GW (1987) Mechanisms of granulocyte-capillary-plugging. Prog Appl Microcirc 12:223–230
Schmid-Schoenbein GW, Engler RL (1986) Granulocytes as active participants in acute myocardial ischemia and infarction. Am J Cardiovasc Pathol 1:15–30
Suval WD, Duran WN, Boric MP, Hobson RW, Berendsen PB, Ritter AB (1987) Microvascular transport and endothelial cell alterations preceding skeletal muscle damage in ischemia and reperfusion injury. Am J Surg 154:211–218
Svanes K, Zweifach BW, Intaglietta M (1970) Effect of hypothermia on transcapillary fluid exchange. Am J Physiol 218:981–989
Trusal LR, Guzman AW, Baker CJ (1984) Characterization of freeze-thaw induced ultrastructural damage to endothelial cells in vitro. In Vitro 20:353–364
Tuma RF (1985) White cell adherence in microvessels. Prog Appl Microcirc 7:31–42
Unterberg A, Wahl M, Hammersen F, Baethmann A (1987) Permeability, and vasomotor response of cerebral vessels during exposure to arachidonic acid. Acta Neuropathol (Berl) 73:209–219
Vanhoutte PM, Janssens WJ (1978) Local control of venous function. Microvasc Res 16: 196–214
Wiedeman MP, Brigham MP (1971) The effects of cooling on the microvasculature after thermal injury. Microvasc Res 3:154–161
Zarins CK, Skinner DB (1975) Hemodynamics and blood flow distribution following prolonged circulation at 5°C. Am J Physiol 229:275–278
Zweifach BW (1973) Microvascular aspects of tissue injury. In: Zweifach BW, Grant L, McCluskey RT (eds) The inflammatory process. Academic Press, New York London, pp 3–46
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Endrich, B., Hammersen, F. & Meßmer, K. Microvascular ultrastructure in non-freezing cold injuries. Res. Exp. Med. 190, 365–379 (1990). https://doi.org/10.1007/BF00000043
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DOI: https://doi.org/10.1007/BF00000043