Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1970 Mar;49(3):433–441. doi: 10.1172/JCI106252

Studies on the pathogenesis of acute inflammation

IX. The influence of hyperosmolality secondary to hyperglycemia upon the acute inflammatory response induced by thermal injury to ear chambers of rabbits

Sterling K Ainsworth 1,2, Fred Allison Jr 1,2
PMCID: PMC322490  PMID: 5415671

Abstract

The inflammatory reaction induced in ear chambers of rabbits by heat injury was studied in nondiabetic animals made hyperglycemic with continuous infusions of glucose. Hypertonic solutions of glucose administered intravenously to rabbits induced the following triad: hyperglycemia, hyperosmolality, and metabolic lactic acidosis. It was found that relatively short periods of this metabolic abnormality were associated with a significant reduction in the intensity of the inflammatory reaction.

There was no evidence microscopically of circulatory impairment within ear chambers; and since neither arterial hypotension nor oxygen deficit was recorded during experiments, it appeared most likely that decreased leucocytic margination per se best explained the inhibited exudative response.

Hyperglycemia seemed the dominant factor responsible for this anti-inflammatory effect. It was found subsequently that hyperglycemia and hyperosmolality without metabolic acidosis impaired cellular exudation just as well.

Full text

PDF
433

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALLISON F., Jr, LANCASTER M. G. PATHOGENESIS OF ACUTE INFLAMMATION. VI. INFLUENCE OF OSMOLARITY AND CERTAIN METABOLIC ANTAGONISTS UPON PHAGOCYTOSIS AND ADHESIVENESS BY LEUCOCYTES RECOVERED FROM MAN. Proc Soc Exp Biol Med. 1965 May;119:56–61. doi: 10.3181/00379727-119-30098. [DOI] [PubMed] [Google Scholar]
  2. ALLISON F., Jr, SMITH M. R., WOOD W. B., Jr Studies on the pathogenesis of acute inflammation. I. The inflammatory reaction to thermal injury as observed in the rabbit ear chamber. J Exp Med. 1955 Dec 1;102(6):655–668. doi: 10.1084/jem.102.6.655. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. ANDRIOLE V. T., EPSTEIN F. H. PREVENTION OF PYELONEPHRITIS BY WATER DIURESIS: EVIDENCE FOR THE ROLE OF MEDULLARY HYPERTONICITY IN PROMOTING RENAL INFECTION. J Clin Invest. 1965 Jan;44:73–79. doi: 10.1172/JCI105128. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. BYBEE J. D., ROGERS D. E. THE PHAGOCYTIC ACTIVITY OF POLYMORPHONUCLEAR LEUKOCYTES OBTAINED FROM PATIENTS WITH DIABETES MELLITUS. J Lab Clin Med. 1964 Jul;64:1–13. [PubMed] [Google Scholar]
  5. Briscoe H. F., Allison F., Jr Diabetes and host resistance. I. Effect of alloxan diabetes upon the phagocytic and bactericidal efficiency of rat leukocytes for Pneumococcus. J Bacteriol. 1965 Dec;90(6):1537–1541. doi: 10.1128/jb.90.6.1537-1541.1965. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. CHERNEW I., BRAUDE A. I. Depression of phagocytosis by solutes in concentrations found in the kidney and urine. J Clin Invest. 1962 Oct;41:1945–1953. doi: 10.1172/JCI104652. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. CRUICKSHANK A. H. Resistance to infection in the alloxan-diabetic rabbit. J Pathol Bacteriol. 1954 Apr;67(2):323–334. doi: 10.1002/path.1700670205. [DOI] [PubMed] [Google Scholar]
  8. Crosby B., Allison F., Jr Phagocytic and bactericidal capacity of polymorphonuclear leucocytes recovered from venous blood of human beings. Proc Soc Exp Biol Med. 1966 Dec;123(3):660–664. doi: 10.3181/00379727-123-31570. [DOI] [PubMed] [Google Scholar]
  9. Drachman R. H., Root R. K., Wood W. B., Jr Studies on the effect of experimental nonketotic diabetes mellitus on antibacterial defense. I. Demonstration of a defect in phagocytosis. J Exp Med. 1966 Aug 1;124(2):227–240. doi: 10.1084/jem.124.2.227. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. PERILLIE P. E., NOLAN J. P., FINCH S. C. Studies of the resistance to infection in diabetes mellitus: local exudative cellular response. J Lab Clin Med. 1962 Jun;59:1008–1015. [PubMed] [Google Scholar]
  11. ROCHA H., FEKETY F. R., Jr ACUTE INFLAMMATION IN THE RENAL CORTEX AND MEDULLA FOLLOWING THERMAL INJURY. J Exp Med. 1964 Jan 1;119:131–138. doi: 10.1084/jem.119.1.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. SBARRA A. J., SHIRLEY W., BAUMSTARK J. S. Effect of osmolarity on phagocytosis. J Bacteriol. 1963 Feb;85:306–313. doi: 10.1128/jb.85.2.306-313.1963. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. SHELDON W. H., BAUER H. The development of the acute inflammatory response to experimental cutaneous mucormycosis in normal and diabetic rabbits. J Exp Med. 1959 Dec 1;110:845–852. doi: 10.1084/jem.110.6.845. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. WELLS C. H., BOND T. P., GUEST M. M. CHANGES IN CAPILLARY BLOOD FLOW INDUCED BY THE EXTRAVASCULAR APPLICATION OF HYPERTONIC SOLUTIONS: A POSSIBLE MECHANISM FOR THE CONTROL OF RENAL MEDULLARY BLOOD FLOW. Tex Rep Biol Med. 1965;23:128–133. [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES