Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1989 Oct;42(10):1083–1087. doi: 10.1136/jcp.42.10.1083

Leucocyte behaviour in controlled ischaemia of the calves.

G Ciuffetti 1, M Mercuri 1, R Lombardini 1, G Maragoni 1, L Santambrogio 1, E Mannarino 1
PMCID: PMC501868  PMID: 2584408

Abstract

Whole blood filterability and leucocyte behaviour (number, activation, and subfraction filterability rates) were monitored at the earliest stage of peripheral ischaemia in 18 patients with stage II peripheral occlusive arterial disease (PAOD) and 20 matched controls. A model of controlled ischaemia, using exercise to stress leg circulation, was set up and blood samples were taken before exercise, at the onset of calf pain, and at recovery from peak exercise. Leucocytes were counted, separated into their subfractions on a Ficoll-Hypaque density gradient and by adhesion to Petri dishes, and filtered in buffer (like the whole blood suspensions) through 5 microns pore diameter Nucleopore filters. Unfractionated white cells, separated under gravity, with pseudopodia or cytoplasmic irregularities were regarded as activated. The whole blood filterability rate was significantly increased at the onset of calf pain and was associated with significant increases in the number of leucocytes and in the filterability rate of the monocyte subfraction, the latter persisting throughout the recovery period. No significant changes were observed in the other variables monitored, showing that impairments in white cell rheology may be associated with ischaemia.

Full text

PDF
1083

Selected References

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

  1. Alderman M. J., Ridge A., Morley A. A., Ryall R. G., Walsh J. A. Effect of total leucocyte count on whole blood filterability in patients with peripheral vascular disease. J Clin Pathol. 1981 Feb;34(2):163–166. doi: 10.1136/jcp.34.2.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bagge U., Amundson B., Lauritzen C. White blood cell deformability and plugging of skeletal muscle capillaries in hemorrhagic shock. Acta Physiol Scand. 1980 Feb;108(2):159–163. doi: 10.1111/j.1748-1716.1980.tb06513.x. [DOI] [PubMed] [Google Scholar]
  3. Bareford D., Lucas G. S., Caldwell N. M., Stone P. C., Baar S., Stuart J. Erythrocyte deformability in peripheral occlusive arterial disease. J Clin Pathol. 1985 Feb;38(2):135–139. doi: 10.1136/jcp.38.2.135. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Ciuffetti G., Balendra R., Lennie S. E., Anderson J., Lowe G. D. Impaired filterability of white cells in acute cerebral infarction. BMJ. 1989 Apr 8;298(6678):930–931. doi: 10.1136/bmj.298.6678.930. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ciuffetti G., Mannarino E., Pasqualini L., Mercuri M., Lennie S. E., Lowe G. D. The hemorheological role of cellular factors in peripheral vascular disease. Vasa. 1988;17(3):168–170. [PubMed] [Google Scholar]
  6. Ciuffetti G., Mercuri M., Rizzo M. T., Lennie S. E., Lowe G. D. Age and blood cell rheology. Gerontology. 1989;35(1):31–35. doi: 10.1159/000212997. [DOI] [PubMed] [Google Scholar]
  7. Ehrly A. M., Köhler H. J. Altered deformability of erythrocytes from patients with chronic occlusive arterial disease. Vasa. 1976;5(4):319–322. [PubMed] [Google Scholar]
  8. Engler R. L., Schmid-Schönbein G. W., Pavelec R. S. Leukocyte capillary plugging in myocardial ischemia and reperfusion in the dog. Am J Pathol. 1983 Apr;111(1):98–111. [PMC free article] [PubMed] [Google Scholar]
  9. Ernst E., Hammerschmidt D. E., Bagge U., Matrai A., Dormandy J. A. Leukocytes and the risk of ischemic diseases. JAMA. 1987 May 1;257(17):2318–2324. [PubMed] [Google Scholar]
  10. Gaehtgens P. Deformation and activation of leukocytes--two contradictory phenomena? Kroc Found Ser. 1984;16:159–165. [PubMed] [Google Scholar]
  11. Golde D. W., Cline M. J. Identification of the colony-stimulating cell in human peripheral blood. J Clin Invest. 1972 Nov;51(11):2981–2983. doi: 10.1172/JCI107124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Harkness R. A., Lund R. J. Cerebrospinal fluid concentrations of hypoxanthine, xanthine, uridine and inosine: high concentrations of the ATP metabolite, hypoxanthine, after hypoxia. J Clin Pathol. 1983 Jan;36(1):1–8. doi: 10.1136/jcp.36.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Harlan J. M. Leukocyte-endothelial interactions. Blood. 1985 Mar;65(3):513–525. [PubMed] [Google Scholar]
  14. Lichtman M. A., Heal J., Rowe J. M. Hyperleukocytic leukaemia: rheological and clinical features and management. Baillieres Clin Haematol. 1987 Sep;1(3):725–746. doi: 10.1016/s0950-3536(87)80022-7. [DOI] [PubMed] [Google Scholar]
  15. Messner H. A., McCulloch E. A. Interacting cell populations affecting granulopoietic colony formation by normal and leukemic human marrow cells. Blood. 1973 Nov;42(5):701–710. [PubMed] [Google Scholar]
  16. Nash G. B., Jones J. G., Mikita J., Christopher B., Dormandy J. A. Effects of preparative procedures and of cell activation on flow of white cells through micropore filters. Br J Haematol. 1988 Oct;70(2):171–176. doi: 10.1111/j.1365-2141.1988.tb02459.x. [DOI] [PubMed] [Google Scholar]
  17. Nash G. B., Jones J. G., Mikita J., Dormandy J. A. Methods and theory for analysis of flow of white cell subpopulations through micropore filters. Br J Haematol. 1988 Oct;70(2):165–170. doi: 10.1111/j.1365-2141.1988.tb02458.x. [DOI] [PubMed] [Google Scholar]
  18. SAMUELS A. J. Primary and secondary leucocyte changes following the intramuscular injection of epinephrine hydrochloride. J Clin Invest. 1951 Sep;30(9):941–947. doi: 10.1172/JCI102515. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Steel C. M., Evans J., Smith M. A. Physiological variation in circulating B cell:T cell ratio in man. Nature. 1974 Feb 8;247(5440):387–389. doi: 10.1038/247387a0. [DOI] [PubMed] [Google Scholar]
  20. Stuart J., George A. J., Davies A. J., Aukland A., Hurlow R. A. Haematological stress syndrome in atherosclerosis. J Clin Pathol. 1981 May;34(5):464–467. doi: 10.1136/jcp.34.5.464. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Violi F., Rasura M., Alessandri C., Intiso D., Germani M., Servi M., Fieschi C., Balsano F. Leukocyte response in patients suffering from acute stroke. Stroke. 1988 Oct;19(10):1283–1284. doi: 10.1161/01.str.19.10.1283. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES