[논문]Transperitoneal Transport of Glucose In Vitro

Czyż; ewska, Krystyna; Szary, Beata; Waniewski, Jacek

doi:10.1046/j.1525-1594.2000.06637.x

[해외논문] Transperitoneal Transport of Glucose In Vitro

Artificial organs, v.24 no.11, 2000년, pp.857 - 863

Czyżewska, Krystyna , Szary, Beata , Waniewski, Jacek

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Abstract: The effect of fluid mixing intensification, damage of mesothelial cells, gentamicin, and icodextrin on the diffusive glucose transport across the peritoneal membrane were evaluated in in vitro studies. A mathematical model of mass transport was used to calculate the diffusive permeability, expressed as a diffusive permeability coefficient (P). In the control conditions, the rate of glucose transfer from the interstitial to the mesothelial side of membrane (I→M) and in the opposite direction (M→I) remained constant, and the P value at mean was 2,731 ± 1,493 × 10−4 (cm × s−1). The change of the stirring rate from 5.5 to 11 ml/min increased P values by about 74% for transport direction I→M and 58% for M→I, and the change from 11 to 22 ml/min enhanced P at mean by about 42% for both directions. The damage of the mesothelial layer, using sodium deoxycholate (2.5 mmol/L; 103.6 mg%), increased the glucose transfer from the interstitial to the mesothelial side of the peritoneum by 41% and to the opposite direction by 70%. Addition of icodextrin to the glucose solution increased glucose bidirectional transport at mean by about 14% for I→M and 24% for M→I. Furthermore, gentamicin did not change the I→M transfer, but diminished M→I transport by about 12%. In conclusion, the reduction of unstirred fluid layers at the mesothelium and the interstitium-fluid interfaces, removal of mesothelium, and addition of icodextrin increased the diffusive glucose transport in vitro; unstirred fluid layers restricted glucose transfer (I→M) more than the mesothelium; and peritoneal glucose transport, directed from the mesothelial to the interstitial side of the peritoneum, decreased slightly after the addition of gentamicin.

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