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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Annals of vascular surgery 5 (1991), S. 399-402 
    ISSN: 1615-5947
    Keywords: Ischemia reperfusion injury ; skeletal muscle ; intracellular energy ; reperfusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Ischemia reperfusion injury to skeletal muscle may be explained by a cascade of cellular and systemic events initiated by an ischemic period followed by reperfusion. During the period of ischemia there is a gradual reduction of intracellular energy stores. Adenosine triphosphate is gradually depleted despite the buffering effect of creatine phosphate which is present in large stores in muscles. As well, glycogen stores are depleted with resultant production of small amounts of energy and large accumulations of lactate. Upon reperfusion there is a reactive hyperemia, resulting in an overall increase in muscle blood flow, despite the fact that areas may continue to be underperfused. Results of this blood flow are mixed with the beneficial effects of removing metabolic by-products and supplying exogenous substrates and oxygen. However, this blood flow also causes harmful effects by washing out necessary precursors for adenine nucleotide resynthesis. Production of oxygen free radicals occurs with resultant membrane lipid peroxidation, and calcium influx occurs upon reoxygenation with resultant disruption of oxidative rephosphorylation in the mitochondria. The sequestration of white blood cells in the muscle due to up regulation of both neutrophil receptors and endothelial leukocyte adhesion molecules results in a prolongation of the reperfusion injury. This subsequently results in damage to remote organs, including lung, heart, and kidneys. The future for therapeutic interventions aimed at reducing this injury lie mostly in the ability to modulate the reperfusion effect.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1439-6327
    Keywords: Glucose delivery ; Insulin ; Muscle metabolites ; Gastrocnemius ; Soleus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A modified rat hindlimb perfusion technique, aimed at studying factors of importance for glucose uptake at rest and during exercise, is presented. The modifications involved cannulation of the femoral artery and femoral vein in the groin, instead of the aorta and caval vein. This modification gives a number of advantages, among others the possibility of using the contralateral leg as control, perfused or nonperfused. The muscle tissue was well preserved after 40 min of perfusion, as judged from normal levels of muscle metabolites. The glucose uptake at rest was dependent on glucose delivery (glucose concentration times blood flow) as well as insulin concentration. During exercise, induced by sciatic nerve stimulation, glucose uptake, lactate production and oxygen uptake increased. The glucose uptake during exercise was closely related to the metabolic state of the muscle tissue. Thus, the glucose uptake was negatively correlated with the ATP/ADP ratio and the creatine phosphate level, and positively correlated to the lactate level in both soleus and gastrocnemius muscle. The results suggest that the level of the glucose uptake in exercising muscles is determined by the energy state of the muscle tissue.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-7411
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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