title: Peritoneal changes after exposure to sterile solutions by catheter.
abstract: Most current animal models that are used to study effects of long-term peritoneal exposure to dialysis solutions use an indwelling catheter for daily injections. It was hypothesized that the presence of a foreign body in the peritoneal cavity (PC) might alter the inflammatory response to the solutions and that the response would depend on exposure duration. For addressing these, long-term injections were carried out for 2 to 8 wk in 90 Sprague-Dawley rats: 40 via a subcutaneous port connected to a silicone catheter tunneled to the PC, 40 via direct needle injection, and 10 noninjected, age-control rats. Daily volumes were 30 to 40 ml of filter-sterilized, bicarbonate-buffered solutions that contained 4% dextrose. After 2, 4, 6, and 8 wk, anesthetized rats underwent transport experiments with a chamber affixed to the abdominal wall to determine mass transfer coefficients of mannitol (MTC(mannitol)) and albumin (MTC(BSA)), osmotic filtration flux (J(osm)), and hydrostatic pressure-driven flux. After the rats were killed, tissues were collected for measurement of peritoneal thickness, vascular density, and immunohistochemical staining. ANOVA demonstrated significant (P < 0.01) differences in thickness, vessel density, MTC(mannitol), and MTC(BSA) among the groups at the various time intervals and in overall means. Differences among the groups were less pronounced for hydrostatic pressure-driven flux and J(osm). Vessel density, MTC(mannitol), MTC(BSA), and J(osm) were dependent on injection duration (P < 0.01). There were marked differences between the needle injection and catheter injection groups at various intervals in the expression of three cytokines. It is concluded that the histologic and functional response depends on the duration of injection with animals that are exposed for as little as 2 wk demonstrating alterations. These findings confirm the hypothesis that the presence of a PC catheter increases inflammatory response to sterile solutions as evidenced by the structural and functional changes in the peritoneal barrier.
authors.affiliation: Division of Nephrology, Department of Medicine, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA. mflessner@umsmed.edu
authors.forename: Michael F
authors.initials: MF
authors.lastname: Flessner
authors.forename: Kimberly
authors.initials: K
authors.lastname: Credit
authors.forename: Karla
authors.initials: K
authors.lastname: Henderson
authors.forename: Heather M
authors.initials: HM
authors.lastname: Vanpelt
authors.forename: Rebecca
authors.initials: R
authors.lastname: Potter
authors.forename: Zhi
authors.initials: Z
authors.lastname: He
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Henegar
authors.forename: Barry
authors.initials: B
authors.lastname: Robert
mesh_terms: D000818:Animals; D001692:Biological Transport; D002404:Catheterization / Q000009:adverse effects*; D002452:Cell Count; D015314:Dialysis Solutions / Q000494:pharmacology*; D004195:Disease Models, Animal; D005549:Foreign-Body Reaction / Q000209:etiology / Q000276:immunology / Q000473:pathology*; D006874:Hydrostatic Pressure; D007150:Immunohistochemistry; D008828:Microbiological Techniques; D009997:Osmotic Pressure; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010537:Peritoneum / Q000187:drug effects / Q000378:metabolism / Q000473:pathology*; D010538:Peritonitis / Q000276:immunology / Q000382:microbiology / Q000473:pathology*; D051381:Rats; D017207:Rats, Sprague-Dawley; D013242:Sterilization
chemical_list: D015314:Dialysis Solutions