Plasma proteins in a standardised skin mini-erosion (I): permeability changes as a function of time.
BACKGROUND
A standardised technique using a suction-induced mini-erosion that allows serial sampling of dermal interstitial fluid (IF) for 5 to 6 days has been described. In the present study, we studied permeability changes as a function of time.


METHODS
We examined IF concentrations of total protein concentration and the concentration of insulin (6.6 kDa), prealbumin (55 kDa), albumin (66 kDa), transferrin (80 kDa), IgG (150 kDa) and alpha-2-macroglobulin (720 kDa) as a function of time, using an extraction pressure of 200 mmHg below atmospheric.


RESULTS
At 0 h after forming the erosion, mean total IF protein content (relative to plasma) was 26 +/- 13% (SD). For the individual proteins, the relative mean concentrations were 65 +/- 36% for insulin, 48 +/- 12% for albumin, 30 +/- 19% for transferrin, 31 +/- 15%for IgG and 19.5 +/- 10% for alpha-2-macroglobulin. At 24 h, the total IF protein content was higher than at 0 h (56 +/- 26% vs 26 +/- 13%; p < 0.05, diff: 115%), as were some of the individual protein concentrations: prealbumin (50 +/- 24 vs 25 +/- 13%; p < 0.05), albumin (68 +/- 21 vs 48 +/- 12%; p < 0.05) and IgG (55 +/- 30 vs 31 +/- 15%; p = 0.05). ln the interval 24 h to 96 h the concentrations were relatively unchanged.


CONCLUSIONS
The results indicate that fluid sampled at 0 h after forming the erosion represents dermal IF before the full onset of inflammation. From 24 h onward, the sampled fluid reflects a steady state of increased permeability induced by inflammation. This technique is promising as a tool for clinically sampling substances that are freely distributed in the body and as a model for studying inflammation and vascular permeability.
Svedman
Christer
C
Department of Plastic and Reconstructive Surgery, Malmö University Hospital, University of Lund, Lund, Sweden. svedmans@hotmail.com
Yu
Bing B
BB
Ryan
Terence J
TJ
Svensson
Henry
H
D000328:Adult; D001798:Blood Proteins / Q000378:metabolism*; D002199:Capillary Permeability; D045604:Extracellular Fluid / Q000378:metabolism*; D005260:Female; D006801:Humans; D008297:Male; D012867:Skin / Q000378:metabolism*; D013396:Suction / Q000379:methods*; D013997:Time Factors
D001798:Blood Proteins