title: Effect of oxygen affinity and molecular weight of HBOCs on cerebral oxygenation and blood pressure in rats.
abstract: OBJECTIVE
  This study assessed the effect of oxygen affinity and molecular weight (MW) of o-raffinose cross-linked hemoglobin based oxygen carriers (HBOCs) on cerebral oxygen delivery and mean arterial blood pressure (MAP) following hemorrhage and resuscitation in rats.
  
  
  METHODS
  Isoflurane anesthetized rats (n = 6-7 per group) underwent 30% hemorrhage and resuscitation with an equivalent volume of one of three different HBOCs: 1) High P50 Poly o-raffinose hemoglobin (Poly OR-Hb, P50 = 70 mmHg); 2) High P50 > 128 Poly OR-Hb (MW > 128 kDa, P50 = 70 mmHg) and 3) Low P50 > 128 Poly OR-Hb (MW >128 kDa, P50 = 11 mmHg). Hippocampal cerebral tissue oxygen tension, regional cerebral blood flow (rCBF), MAP, total hemoglobin concentration and arterial blood gases were measured. Data analysis by two-way ANOVA and post hoc Tukey tests determined significance (P < 0.05, mean +/- SD).
  
  
  RESULTS
  Hippocampal tissue oxygen tension increased in all HBOC groups following resuscitation. The rCBF remained unchanged after HBOC resuscitation in all groups. Following resuscitation, the peak MAP was higher in the High P50 Poly OR-Hb group (152 +/- 13 mmHg) when compared to either the Low or High P50 large MW, (> 128 kDa) HBOC group (119 +/- 15 mmHg or 127 +/- 18 respectively, P < 0.05 for both).
  
  
  CONCLUSIONS
  O-raffinose polymerized HBOC, with or without lower MW components, maintained cerebral tissue oxygen delivery following hemorrhage and resuscitation in rats. The higher MW HBOCs showed a decrease in peak MAP, which did not alter oxygen delivery. No significant effect of oxygen affinity on cerebral tissue oxygen tension or blood flow was observed.
authors.affiliation: Department of Anesthesia, St. Michael's Hospital, Canada.
authors.forename: Gregory M T
authors.initials: GM
authors.lastname: Hare
authors.forename: Alana
authors.initials: A
authors.lastname: Harrington
authors.forename: Elaine
authors.initials: E
authors.lastname: Liu
authors.forename: Jian Li
authors.initials: JL
authors.lastname: Wang
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Baker
authors.forename: C David
authors.initials: CD
authors.lastname: Mazer
mesh_terms: D000818:Animals; D001794:Blood Pressure / Q000187:drug effects*; D002560:Cerebrovascular Circulation / Q000187:drug effects*; D006438:Hemodilution; D006454:Hemoglobins / Q000494:pharmacology*; D006470:Hemorrhage / Q000188:drug therapy; D006624:Hippocampus / Q000098:blood supply; D008297:Male; D023421:Models, Animal; D008970:Molecular Weight; D011887:Raffinose / Q000031:analogs & derivatives* / Q000494:pharmacology; D051381:Rats; D017207:Rats, Sprague-Dawley; D012151:Resuscitation
chemical_list: D006454:Hemoglobins; C097124:O-raffinose cross-linked human hemoglobin; D011887:Raffinose