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. 2018 Jan 30;596(5):869–883. doi: 10.1113/JP275170

Skeletal muscle microvascular and interstitial PO2 from rest to contractions

Daniel M Hirai 1,, Jesse C Craig 1, Trenton D Colburn 1, Hiroaki Eshima 2, Yutaka Kano 2, William L Sexton 3, Timothy I Musch 1, David C Poole 1
PMCID: PMC5830449  PMID: 29288568

Abstract

Key points

  • Oxygen pressure gradients across the microvascular walls are essential for oxygen diffusion from blood to tissue cells. At any given flux, the magnitude of these transmural gradients is proportional to the local resistance.

  • The greatest resistance to oxygen transport into skeletal muscle is considered to reside in the short distance between red blood cells and myocytes. Although crucial to oxygen transport, little is known about transmural pressure gradients within skeletal muscle during contractions.

  • We evaluated oxygen pressures within both the skeletal muscle microvascular and interstitial spaces to determine transmural gradients during the rest–contraction transient in anaesthetized rats.

  • The significant transmural gradient observed at rest was sustained during submaximal muscle contractions.

  • Our findings support that the blood–myocyte interface provides substantial resistance to oxygen diffusion at rest and during contractions and suggest that modulations in microvascular haemodynamics and red blood cell distribution constitute primary mechanisms driving increased transmural oxygen flux with contractions.

Abstract

Oxygen pressure (PO2) gradients across the blood–myocyte interface are required for diffusive O2 transport, thereby supporting oxidative metabolism. The greatest resistance to O2 flux into skeletal muscle is considered to reside between the erythrocyte surface and adjacent sarcolemma, although this has not been measured during contractions. We tested the hypothesis that O2 gradients between skeletal muscle microvascular (PO2 mv ) and interstitial (PO2 is ) spaces would be present at rest and maintained or increased during contractions. PO2 mv and PO2 is   were determined via phosphorescence quenching (Oxyphor probes G2 and G4, respectively) in the exposed rat spinotrapezius during the rest–contraction transient (1 Hz, 6 V; n = 8). PO2 mv was higher than PO2 is in all instances from rest (34.9 ± 6.0 versus 15.7 ± 6.4) to contractions (28.4 ± 5.3 versus 10.6 ± 5.2 mmHg, respectively) such that the mean PO2 gradient throughout the transient was 16.9 ± 6.6 mmHg (P < 0.05 for all). No differences in the amplitude of PO2 fall with contractions were observed between the microvasculature and interstitium (10.9 ± 2.3 versus 9.0 ± 3.5 mmHg, respectively; P > 0.05). However, the speed of the PO2 is fall during contractions was slower than that of PO2 mv (time constant: 12.8 ± 4.7 versus 9.0 ± 5.1 s, respectively; P < 0.05). Consistent with our hypothesis, a significant transmural gradient was sustained (but not increased) from rest to contractions. This supports that the blood–myocyte interface is the site of a substantial PO2 gradient driving O2 diffusion during metabolic transients. Based on Fick's law, elevated O2 flux with contractions must thus rely primarily on modulations in effective diffusing capacity (mainly erythrocyte haemodynamics and distribution) as the PO2 gradient is not increased.

Keywords: diffusion, dynamics, kinetics, oxygen gradients

Key points

  • Oxygen pressure gradients across the microvascular walls are essential for oxygen diffusion from blood to tissue cells. At any given flux, the magnitude of these transmural gradients is proportional to the local resistance.

  • The greatest resistance to oxygen transport into skeletal muscle is considered to reside in the short distance between red blood cells and myocytes. Although crucial to oxygen transport, little is known about transmural pressure gradients within skeletal muscle during contractions.

  • We evaluated oxygen pressures within both the skeletal muscle microvascular and interstitial spaces to determine transmural gradients during the rest–contraction transient in anaesthetized rats.

  • The significant transmural gradient observed at rest was sustained during submaximal muscle contractions.

  • Our findings support that the blood–myocyte interface provides substantial resistance to oxygen diffusion at rest and during contractions and suggest that modulations in microvascular haemodynamics and red blood cell distribution constitute primary mechanisms driving increased transmural oxygen flux with contractions.

Introduction

The pathway for oxygen from lungs down to mitochondria involves a series of transfer steps within closely integrated systems (pulmonary, cardiovascular and metabolic) (Weibel, 1984). Minimal oxygen stores in most mammalian species mandate an exquisitely tight coupling between oxygen delivery and utilization (i.e. Q˙O2/V˙O2 matching). Appropriate changes in flux rates through the O2 cascade are thus required to support alterations in oxidative metabolism. Within the skeletal muscle microcirculation, transcapillary O2 movement is dictated by the pressure gradient across and conductance of the boundary layer as described by Fick's law of diffusion: V˙O2=DO2(ΔPO2), where V˙O2 corresponds to the rate of O2 flux, DO2 is the diffusing capacity and ΔPO2 is the O2 partial pressure difference between the microvascular and interstitial spaces (PO2 mv and PO2 is , respectively). This relationship establishes that elevations in O2 flux (V˙O2) imposed by muscle contractions must be matched by commensurate changes in driving force (i.e. ΔPO2=PO2 mv PO2 is ) and/or effective diffusing capacity (DO2; determined mainly by the aggregate number of red blood cells within capillaries adjacent to the myocyte at any given moment; Federspiel & Popel, 1986; Groebe & Thews, 1990).

The short diffusion distance from the red blood cell surface to muscle sarcolemma (i.e. encompassing plasma, endothelium and interstitium) is considered to pose the greatest resistance to O2 flux into the myocyte (Federspiel & Popel, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993; Wagner, 2000). Two main mechanisms are associated with this feature. First, absence of an O2 carrier (such as haemoglobin or myoglobin) negates facilitated transport in this diffusion path (also known as the carrier‐free region, CFR) (Honig & Gayeski, 1993). Second, because the entire O2 flux reaching the mitochondrial membrane traverses the capillary endothelium, high flux density (i.e. flux per unit area) within the CFR raises resistance as a result of (i) the particulate nature of blood (which renders only a fraction of the capillary surface area functional for O2 flux at any instant) and (ii) differences between capillary and mitochondria aggregate surface areas (the latter being at least two orders of magnitude greater than the former) (Federspiel & Popel, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993; Golub & Pittman, 2005). As such, the CFR constitutes a functional barrier to transcapillary O2 transport, thus predicting a relatively large PO2 gradient between the microvascular and interstitial spaces (ΔPO2) to support the presiding flux (Federspiel & Popel, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993; Wagner, 2000).

Oxygen gradients within the skeletal muscle microcirculatory network have been evaluated using a variety of techniques, including oxygen microelectrodes, (cryo)microspectrophotometry, proton magnetic resonance spectroscopy and phosphorescence quenching (Tsai et al. 2003; Pittman, 2011; Poole et al. 2011). An invaluable mechanistic framework for microcirculatory O2 transfer has been acquired with these tools since the work by August Krogh in skeletal muscle capillaries during the early 20th century (Krogh, 1919a, b). Unfortunately, experimental challenges (e.g. microelectrode catchment volumes, inability to obtain continuous data and an inability to assess haeme protein‐free compartments) have limited the investigation of skeletal muscle PO2 mv and PO2 is , particularly during the rest–contraction transient. This is not a trivial issue but rather represents a critical obstacle to evaluating the dynamics of transcapillary ΔPO2 (i.e. the sole driving force for blood–myocyte O2 flux) and, consequently, resolving control mechanisms of muscle energetics and oxidative function (Rossiter, 2011; Poole & Jones, 2012). Among the techniques available presently, phosphorescence quenching is suitable for the continuous assessment of transcapillary ΔPO2 with excellent temporal resolution and precision during metabolic transitions (Rumsey et al. 1988; Behnke et al. 2001; Smith et al. 2002; Poole et al. 2004). Phosphorescent probes can be used to interrogate separate physiological compartments within the contracting skeletal muscle (Dunphy et al. 2002; Esipova et al. 2011) but, to date, the dynamics of PO2 is (and, thus, transcapillary ΔPO2) have not been described formally and remain undefined.

The present study aimed to examine the dynamics of skeletal muscle PO2 mv and PO2 is to determine transcapillary O2 gradients during the rest–contraction transient. Given the substantial resistance to blood–myocyte O2 flux within the CFR (Federspiel & Popel, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993), we tested the hypothesis that PO2 gradients between the microvascular and interstitial spaces would be present at rest and either maintained or increased during contractions. A multifaceted approach involving experimental and theoretical methods was used to examine skeletal muscle PO2 mv and PO2 is (and thus ΔPO2; phosphorescence quenching), extracellular and intracellular compartments (transmission electron microscopy; TEM), as well as the impact of altered PO2 mv on transcapillary ΔPO2 dynamics (computer simulations) from rest to contractions.

Methods

Ethical approval

All procedures and protocols were approved by the Institutional Animal Care and Use Committee of Kansas State University, followed guidelines established by the National Institutes of Health and were conducted in accordance with the ethical standards mandated by the Journal of Physiology (Grundy, 2015). Rats were maintained in accredited animal facilities (Association for the Assessment and Accreditation of Laboratory and Animal Care) under a 12:12 h light/dark cycle with food and water provided ad libitum.

Phosphorescence quenching determination of PO2 mv and PO2 is

Phosphorescence quenching experiments were performed on a total of 12 young male Sprague–Dawley rats (∼3–4 months old; Charles Rivers Laboratories; Boston, MA, USA) to examine microvascular and interstitial PO2 responses. Preliminary experiments (n = 4) confirmed confinement of the G4 probe to the interstitial space and also that the phosphorescence signal overlap precludes PO2 mv and PO2 is measurements in the same muscle (data not shown; Dunphy et al. 2002; Esipova et al. 2011). Accordingly, phosphorescence quenching results are reported below for a total of eight animals (body mass: 396 ± 67 g).

Surgical instrumentation and experimental protocol

On the day of data collection, rats were anaesthetized initially with a 5% isoflurane–O2 mixture and maintained on 2–3% isoflurane‐O2 (Butler Animal Health Supply, Dublin, OH, USA). Anaesthetized rats were kept on a heating pad to maintain core temperature, as measured via a rectal probe, at ∼37–38°C. The right carotid artery was cannulated (PE‐10 connected to PE‐50; Intra‐Medic polyethylene tubing; BD, Franklin Lakes, NJ, USA) for continuous measurements of mean arterial pressure and heart rate (MAP and HR, respectively; BPA model 200; Digi‐Med, Louisville, KY, USA) and infusion of the phosphorescent probe Oxyphor G2 (see below). The caudal artery was cannulated (PE‐10 connected to PE‐50) for blood sampling and infusion of anaesthetic agents. Arterial blood samples were obtained at the end of each experimental condition (i.e. G2 and G4) for determination of O2 saturation, systemic haematocrit and plasma lactate (Nova Stat Profile M; Nova Biomedical, Waltham, MA, USA).

Following catheter placement procedures, isoflurane inhalation was discontinued progressively and rats were kept under anaesthesia with pentobarbital sodium (3.5–7.0 mg kg−1) throughout the experiment. The level of anaesthesia was monitored at frequent and regular intervals via the toe‐pinch and blink reflexes and supplemented as necessary. As a result of overlapping spectral features of G2 and G4 probes (Dunphy et al. 2002; Esipova et al. 2011), separate measurements of resting and contracting muscle PO2 is (left spinotrapezius; first protocol; G4 probe) and PO2 mv (right spinotrapezius; second protocol; G2 probe) were performed in the same animals, as described below. Notably, our previous investigations found no significant differences in blood flow or PO2 mv between measurements performed in the left versus right spinotrapezius of the same animals (Bailey et al. 2000). The spinotrapezius preparation also exhibits reproducible resting and contracting muscle blood flow, O2 utilization and PO2 mv responses with no time‐related or ordering effects (Hirai et al. 2013).

Overlying skin and fascia from the mid‐dorsal region were reflected to expose initially the left spinotrapezius muscle. The exposed muscle was moistened frequently via superfusion of Krebs–Henseleit bicarbonate‐buffered solution (in mm) (4.7  KCl, 2.0  CaCl2, 2.4  MgSO4, 131  NaCl and 22  NaHCO3; pH  7.4; equilibrated with 5% CO2 and 95% N2 at ∼38°C), whereas surrounding tissue was covered with Saran wrap (Dow Brands; Indianapolis, IN, USA). Platinum iridium electrodes were sutured to the rostral (cathode) and caudal (anode) regions of the muscle for electrically‐induced contractions. Previous reports from our laboratory demonstrate that these surgical procedures do not impair the microvascular integrity or responsiveness of the rat spinotrapezius muscle (Bailey et al. 2000). The Oxyphor probe G4 [Pd‐meso‐tetra‐(3,5‐dicarboxyphenyl)‐tetrabenzoporphyrin; 10 μm solution] was delivered directly to the tissue compartment of the left spinotrapezius muscle via the microinjection technique (Smith et al. 2002) for determination of PO2 is responses. Approximately four separate G4 microinjections (5–10 μL each) were performed with a 29 gauge needle and a 1 mL syringe (Exelint International, Redondo Beach, CA, USA) along the length of the muscle dorsal aspect. A minimum of 15 min was allowed for uniform distribution of the injected probe in the muscle. Subsequently, submaximal twitch contractions were evoked for 3 min via electrical stimulation (1 Hz, 6 V and 2 ms pulse duration; model s48; Grass Technologies, Quincy, MA, USA). This stimulation protocol elicits an ∼4‐ to 5‐fold increase in blood flow together with an ∼6‐ to 7‐fold increase in metabolic rate above resting with either minor or no alterations in blood pH consistent with moderate intensity exercise (Behnke et al. 2001; Hirai et al. 2013). The current anaesthetized preparation retains vasomotor control such that muscle blood flow increases in the same proportion with O2 utilization as found in the exercising human (i.e. 5–6 L min−1: 1 L min−1) (Ferreira et al. 2006; Poole et al. 2011).

Upon completion of the first protocol (i.e. evaluation of PO2 is in the left spinotrapezius muscle with the G4 probe), electrodes were removed carefully and the muscle was covered with Saran wrap. The right spinotrapezius was then exposed and electrodes sutured as described above. The Oxyphor probe G2 (Pd‐meso‐tetra‐(4‐carboxyphenyl)‐porphyrin; 15–20 mg kg−1 dissolved in 0.4 mL of saline) was infused into the carotid artery catheter as a bolus for PO2 mv evaluation of the right spinotrapezius muscle (i.e. second protocol). G2 contains Pd‐porphyrin cores that bind to biological macromolecules (principally albumin in blood plasma) (Wilson et al. 2006). This facilitates its uniform distribution in the plasma providing a lumped signal arising from arterioles, capillaries and venules in proportion to their volumetric contribution within the interrogated field. The largest contributor to this signal is the aggregate capillary volume, which constitutes ∼85% of the rat skeletal muscle vascular volume (Poole et al. 1995, 2004; Behnke et al. 2001). As such, the G2 signal reflects the PO2 within the microvascular compartment at the primary site of diffusive O2 transport in contracting skeletal muscle (i.e. mainly the PO2 within capillaries). Accordingly, the PO2 mv signal demonstrates strikingly similar temporal profiles to changes in intracellular PO2 (Hogan, 2001), arteriovenous O2 content difference (Ca–vO2) (Grassi et al. 1996, 2002) and deoxygenated haemoglobin (HHb, via near‐infrared spectroscopy) (Grassi et al. 2003) from rest to muscle contractions. A stabilization period of at least 15 min was allowed prior to muscle electrical stimulation using the same parameters as described above for the first protocol. At the end of the second experimental protocol, rats were killed with intra‐arterial pentobarbital sodium overdose (>50 mg kg−1).

Muscle PO2 measurements

Spinotrapezius muscle PO2 mv and PO2 is were measured via phosphorescence quenching using a frequency domain phosphorometer (PMOD 5000; Oxygen Enterprises; Philadelphia, PA, USA) and the phosphorescent probes Oxyphor G2 (Dunphy et al. 2002) and G4 (Esipova et al. 2011), respectively. Both probes are highly soluble in aqueous media (e.g. blood plasma, interstitial fluid) and do not permeate biological membranes within skeletal muscle (Dunphy et al. 2002; Poole et al. 2004; Esipova et al. 2011). Although G2 binds to albumin in the blood forming complexes that serve as oxygen sensors, G4 operates in aqueous environments independently of albumin as a result of its unique polyethyleneglycol surface layer. Although G4 allows PO2 measurements within either the microvascular or interstitial compartments, it has been employed predominantly in the evaluation of PO2 is given that relatively small amounts are required for such measurements (Esipova et al. 2011; Yu et al. 2013; Zhang et al. 2015). The G2 probe has been used traditionally for PO2 mv measurements (Dunphy et al. 2002; Wilson et al. 2006; Yu et al. 2013). The principles of the phosphorescence quenching technique have been described in detail previously (Behnke et al. 2001). Briefly, the technique applies the Stern–Volmer relationship (Rumsey et al. 1988), which describes quantitatively the O2 dependence of the phosphorescent probes as:

PO2=[(τo/τ)1]/(kQ×τo)

where k Q is the quenching constant and τo and τ are the phosphorescence lifetimes in the absence of O2 and at a given PO2, respectively. Probe‐specific values of k Q and τo in the physiological range (pH ∼7.4 and temperature of 38°C) are 273 mmHg−1 s−1 and 251 μs for G2 and 304 mmHg−1 s−1 and 218 μs for G4, respectively (Dunphy et al. 2002; Esipova et al. 2011). Spinotrapezius muscle surface temperature was measured using a non‐contact infrared thermometer and k Q and τo adjusted accordingly. Phosphorescence lifetimes τ are independent of the local probe concentration and insensitive to endogenous chromophores and fluorophores (Wilson et al. 2006; Yu et al. 2013; Zhang et al. 2015). The common end of the bifurcated light guide was placed 2–4 mm superficial to the dorsal surface of the exposed spinotrapezius muscles. The phosphorometer modulates sinusoidal excitation frequencies between 100 Hz and 20 kHz that allow phosphorescence lifetime measurements from 10 μs to ∼2.5 ms. The excitation light (635 nm wavelength; penetration depth of ∼500 μm) was focused on a randomly selected surface area of ∼2 mm diameter of exposed muscle devoid of large vessels to minimize the potential for macrovascular influences. PO2 was recorded at intervals of 2 s during the entire rest–contraction protocol.

Analysis of muscle PO2 kinetics

The kinetics of PO2 mv and PO2 is during the onset of contractions were described by non‐linear regression analysis using the Marquardt–Levenberg algorithm (SigmaPlot, version 11.2; Systat Software; San Jose, CA, USA). Transient PO2 profiles were fit with either a one‐ or two‐component model to describe, respectively, the absence or presence of a second, upward component of the response (i.e. ‘undershoot’) as:

  • One component
    PO2(t)=PO2( BL )A1PO2(1e(tTD1)/τ1)
  • Two component
    PO2(t)=PO2( BL )A1PO2(1e(tTD1)/τ1)+A2PO2(1etTD2/τ2)

where PO2(t) is the PO2 at any given time t; PO2( BL ) corresponds to the pre‐contracting baseline PO2; A 1 and A 2 are the amplitudes for the first and second components, respectively; TD 1 and TD 2 are the independent time delays for each component; and τ1 and τ2 are the time constants (i.e. time taken to achieve 63% of the response) for each component. Goodness of fit and model parsimony were determined using three criteria: the coefficient of determination, sum of squared residuals and visual inspection. The mean response time (MRT) was used to describe the overall dynamics of the PO2 fall following the onset of contractions:

MRT =TD1+τ1

where TD 1 and τ1 are defined above. The MRT analysis was limited to the first component of the PO2 response given that inclusion of an emergent second component underestimates the actual speed of the PO2 fall for the onset of contractions (Hirai et al. 2009). The area under the PO2 mv and PO2 is curves plotted as function of time (PO2 area ; mmHg.s) was calculated during the 3 min contraction period to provide an index of the overall muscle PO2 throughout the metabolic transient within each compartment (i.e. incorporating resting and contracting steady‐state PO2, time delays, amplitudes and time constants of the responses) (Hirai et al. 2010).

Transmission electron microscopy (TEM)

TEM images of the spinotrapezius muscle were obtained for analysis of (i) the shortest distance from the red blood cell surface to muscle sarcolemma (i.e. CFR) and (ii) the relative volume occupied by the microvascular (lumen), interstitial and intracellular spaces. Samples were obtained from a subset of 16 young male Sprague–Dawley rats (Japan SLC, Inc., Shizuoka, Japan). These procedures followed guidelines established by the Physiological Society of Japan and the Journal of Physiology (Grundy, 2015) and were approved by the Institutional Animal Care and Use Committee of the University of Electro‐Communications. After each rat was anaesthetized with pentobarbital sodium as described above, the spinotrapezius muscle was carefully exposed and dissected. Rats were killed with intra‐arterial pentobarbital sodium overdose as described above. Tissue blocks (∼2 × 2 × 1 mm in size) were fixed in 2.5% glutaraldehyde (in 0.1 m phosphate buffer, pH 7.4), followed by postfixation with 1% osmium tetroxide in the same buffer at 4°C. Blocks were then dehydrated through a series of progressively higher concentrations of ethanol, cleared in propylene oxide and embedded in Epok 812 (Oken Shoji, Tokyo, Japan). Silver ultrathin cross sections (60–70 nm) were cut and stained with uranyl acetate and lead citrate. Samples were examined with an HT7700 transmission electron microscope (Hitachi, Tokyo, Japan) and micrographs taken at high magnification using the Soft Imaging System (Münster, Germany). Quantitative analyses were performed using ImageJ (National Institutes of Health, Bethesda, MD) from projected muscle transverse images. Compartment volume density was estimated via stereology in accordance with the Delesse principle as described previously (Weibel et al. 1966).

Simulated PO2 profiles

Mathematical modelling was used to examine how alterations in PO2 mv kinetics alone affect transcapillary ΔPO2 during contractions. At a given V˙O2, slow PO2 mv kinetics result from improved Q˙O2/V˙O2 matching that is commonly seen after exercise training, for instance (Hirai et al. 2012). Conversely, fast PO2 mv kinetics reflect impaired muscle Q˙O2/V˙O2 matching characteristic of advanced age and/or chronic diseases where Q˙O2 kinetics are impaired to a greater extent than that of V˙O2 (Poole et al. 2011). Simulated PO2 mv profiles were obtained using different time constants for the first component (τ1; covering a total range of 16 s) and fixed baseline, amplitudes and time delays based on the present experimental observations (Table 1). Transcapillary ΔPO2 dynamics were then determined as described above (i.e. ΔPO2(t)=PO2 mv PO2 is ) with fixed PO2 is kinetics parameters (for mean values employed in the present study, see Table 1). The assumption was made that microvascular and interstitial compartments are homogenous and free of diffusion limitation and anatomical or physiological shunts (Behnke et al. 2002; Hirai et al. 2009).

Table 1.

Spinotrapezius muscle PO2 mv and PO2 is kinetics following the onset of contractions

PO2 mv
PO2 is
PO2( BL ) (mmHg) 34.9 ± 6.0 15.7 ± 6.4*
A1PO2 (mmHg) 10.9 ± 2.3 9.0 ± 3.5
PO2( nadir ) (mmHg) 24.0 ± 4.4 6.7 ± 6.8*
A2PO2 (mmHg) 5.0 ± 1.7 4.2 ± 3.2
PO2( SS ) (mmHg) 28.4 ± 5.3 10.6 ± 5.2*
TD 1 (s) 4.5 ± 3.4 7.5 ± 4.6
TD 2 (s) 42.6 ± 18.3 43.4 ± 19.0
τ1 (s) 9.0 ± 5.1 12.8 ± 4.7*
τ2 (s) 59.4 ± 29.7 71.5 ± 45.3
A1PO2/τ1 (mmHg s–1) 1.46 ± 0.56 0.85 ± 0.59*
MRT (s) 13.5 ± 5.0 20.3 ± 5.9*

PO2 mv , microvascular PO2; PO2 is , interstitial PO2; PO2( BL ), resting baseline PO2; A1PO2, amplitude of the first component; PO2( nadir ), lowest PO2 during the transient; A 2 PO2, amplitude of the second component; PO2( SS ), contracting steady‐state PO2; TD 1, time delay for the first component; TD 2, time delay for the second component; τ1, time constant for the first component; τ2, time constant for the second component; A1PO2/τ1, rate of PO2 fall; MRT, mean response time. The two‐component exponential model was used to analyse PO2 kinetics in all but one PO2 is instance. Values are the mean ± SD. * P < 0.05 versus PO2 mv .

Statistical analysis

Data comparisons were performed using a paired Student's t test or one‐way or two‐way repeated measures ANOVA where appropriate. Post hoc analyses were performed with the Student–Newman–Keuls test when a significant F ratio was detected. A one sample t test was used to determine differences from zero. Data are reported as the mean (SD) unless stated otherwise. P < 0.05 was considered statistically significant.

Results

Arterial blood samples and central haemodynamics

There were no differences in arterial O2 saturation (93.5 ± 2.9 and 96.3 ± 0.7%), systemic haematocrit (35.2 ± 2.5 and 34.2 ± 3.1%) or lactate concentration (1.4 ± 0.3 and 1.6 ± 0.3 mm) between PO2 mv and PO2 is protocols, respectively (P > 0.05 for all). Similarly, there were no differences in MAP or HR from rest to contractions between protocols (P > 0.05 for all) (Fig. 1).

Figure 1. MAP and HR from rest to contractions.

Figure 1

MAP and HR from rest to contractions during spinotrapezius muscle microvascular and interstitial PO2 measurement. Values are the mean ± SD.

Spinotrapezius muscle PO2 responses

Mean spinotrapezius muscle PO2 mv and PO2 is during a resting period immediately preceding contractions are shown in Fig. 2. PO2 mv was higher than PO2 is during the entire resting period (P < 0.05 for all data points). Importantly, there were no reductions in resting PO2 mv or PO2 is over time (P > 0.05 for both) and linear regression slopes were not different from zero (0.014 ± 0.022 and −0.003 ± 0.019 mmHg s−1, respectively; P > 0.05 for both). These data indicate absence of accumulated oxygen photoconsumption by the phosphorescence quenching technique in the current experimental protocols (see Experimental considerations below).

Figure 2. Mean spinotrapezius PO2 within the microvascular and interstitial spaces at rest.

Figure 2

Mean spinotrapezius PO2 within the microvascular and interstitial spaces during a resting period preceding contractions. No significant reductions in resting PO2 were observed over time in either compartment (P > 0.05), refuting the possibility of accumulated oxygen photoconsumption by phosphorescence quenching in the current experimental protocols. Values are the mean ± SD. * P < 0.05 for microvascular versus interstitial PO2 for all data points. For further details, see text.

Mean spinotrapezius muscle PO2 mv and PO2 is responses during the rest–contraction transient are shown in Fig. 3 (top) and the kinetics parameters derived from the model fits are presented in Table 1. PO2 mv was higher than PO2 is in all instances during the steady‐state of contractions (P < 0.05 for both) (Fig. 4) such that the mean PO2 gradient (ΔPO2) throughout the contraction protocol was 16.9 ± 6.6 mmHg (Fig. 3, bottom). This gradient was maintained during the metabolic transient given that no differences were observed between the resting baseline and contracting steady‐state ΔPO2 values (19.2 ± 9.4 and 17.3 ± 6.5 mmHg, respectively; P > 0.05).

Figure 3. Spinotrapezius muscle PO2 mv , PO2 is and ΔPO2 from rest to contractions.

Figure 3

Top: mean spinotrapezius muscle PO2 mv and PO2 is during the rest–contraction transient. Bottom: mean difference between muscle PO2 mv and PO2 is (ΔPO2) from rest to contractions. Inset: mean values for the area under the PO2 curves (PO2 area ) in the microvascular and interstitial spaces (M and I, respectively). PO2 area was determined through integration of the area under the PO2 mv and PO2 is curves over the 3 min stimulation period. Note the pronounced PO2 gradient between muscle microvascular and interstitial spaces from rest to contractions. Time zero depicts the onset of muscle contractions. Values are the mean ± SD. * P < 0.05 versus M.

Figure 4. Spinotrapezius muscle PO2 within the microvascular and interstitial spaces.

Figure 4

Mean and individual spinotrapezius muscle PO2 within the microvascular and interstitial spaces at rest (PO2( BL ); top) and during the steady‐state of contractions (PO2( SS ); bottom). Microvascular PO2 was higher than interstitial PO2 in all instances irrespective of metabolic status. Values are the mean ± SD. * P < 0.05 versus microvascular.

There were no differences in the magnitude of the PO2 fall induced by contractions (A 1 PO2) between the microvascular and interstitial spaces (P > 0.05) (Table 1). On the other hand, the speed of the PO2 is fall during contractions was slower than that of PO2 mv 1, A 1 PO21 and MRT; P < 0.05 for all) (Table 1). The differences between the PO2 mv and PO2 is profiles during the rest–contraction transient were such that a substantially higher overall muscle oxygenation (PO2 area ) was observed in the microvascular compared to interstitial space (P < 0.05) (Fig. 3, bottom, inset). Both PO2 mv and PO2 is returned to resting baseline values within ∼3 min following the cessation of contractions (data not shown).

Transmission electron microscopy (TEM) images

The oxygen transport pathway from the red blood cell to skeletal muscle is shown in Fig. 5 (left). This cross‐sectional electron micrograph of the rat spinotrapezius depicts a red blood cell enclosed in a capillary, the interstitial space and adjacent muscle cell. Group and individual values for the shortest distance between the red blood cell surface and sarcolemma are given in Fig. 5 (right).

Figure 5. TEM of the rat spinotrapezius showing the oxygen transport pathway within the muscle microcirculation.

Figure 5

Left: cross‐sectional TEM image of the rat spinotrapezius showing the oxygen transport pathway from the red blood cell (RBC) to skeletal muscle. Note the thin plasma layer (p) between the RBC and capillary wall (w). The arrow illustrates the short distance between the RBC surface and the sarcolemma known as the carrier‐free region (CFR). i, interstitial space; s, sarcolemma; f, muscle fibre; m, mitochondrion; pe, pericyte. TEM magnification of 8000×. Scale bar = 1 μm. Right: quantitative analysis of TEM images showing the shortest distance between the RBC surface and adjacent sarcolemma (i.e. CFR). The boxplot depicts the median, interquartile range and individual values (n = 16).

The sequence of increasingly higher magnification TEM images in Fig. 6 (left A–D) shows the intracellular, interstitial and microvascular compartments within the rat spinotrapezius muscle. Relative volumes were different among each compartment such that intracellular > interstitial > microvascular (P < 0.05 for all) (Fig. 6, right).

Figure 6. TEM images of the rat spinotrapezius muscle showing the intracellular, interstitial and microvascular (lumen) compartments.

Figure 6

Left (AD): cross‐sectional TEM images of the rat spinotrapezius muscle showing the intracellular, interstitial and microvascular (lumen) compartments. The sequence from (A) to (D) shows increasingly higher magnification images of the same field. Note that no red blood cell was sectioned on the left vessel in (A). TEM magnifications of 700×, 2000×, 4000× and 8000×, respectively. Scale bars = 10, 2, 2 and 1 μm, respectively. Right: quantitative analysis of TEM images showing the relative volume occupied by each compartment. It should be noted that microvascular volume calculations based on cross‐sectional TEM images reflect total (as opposed to functional) values therefore overestimating the volume fraction participating effectively in blood–myocyte O2 transport. The boxplots depict the median, interquartile range and individual values (n = 11). * P < 0.05 versus interstitial volume; †P < 0.05 versus microvascular volume.

Simulated PO2 profiles

The simulations presented in Fig. 7 demonstrate the impact of altered PO2 mv kinetics (τ1) (Fig. 7, top) on transcapillary ΔPO2 responses during the rest–contraction transient (Fig. 7, bottom). Theoretical analyses reveal that progressively slower PO2 mv kinetics (i.e. increased τ1) elevate ΔPO2 across the early transient whereas faster PO2 mv kinetics (i.e. decreased τ1) subsequently diminish ΔPO2 during contractions.

Figure 7. Simulated profiles illustrating the effects of altered PO2 mv dynamics on transcapillary ΔPO2 during the transition from rest to contractions.

Figure 7

Top: simulated PO2 mv profiles with varying time constants for the first component (τ1) and fixed baseline, amplitudes and time delays. PO2 mv and PO2 is profiles were generated based on mean values reported in Table 1. Bottom: effects of PO2 mv τ1 manipulations on transcapillary PO2 (i.e. ΔPO2(t)=PO2 mv PO2 is ). Fixed PO2 is kinetics parameters were used in these calculations. Note that progressively faster PO2 mv kinetics (i.e. smaller τ1; characteristic of aged and diseased states) lowers ΔPO2 and thus the exclusive driving pressure for transmural O2 flux during the metabolic transient. Time zero depicts the onset of muscle contractions. *Mean PO2 mv response observed in the current study (Table 1). For further details, see text.

Discussion

The present study demonstrates, for the first time, that a significant O2 gradient between skeletal muscle microvascular and interstitial spaces is present at rest and maintained during submaximal twitch contractions. These data support that the short diffusion path between the red blood cell surface and the adjacent sarcolemma known as the CFR is the site of substantial resistance to blood–myocyte O2 transport. As dictated by Fick's law of diffusion, preservation of the driving force for O2 transfer (ΔPO2) from rest to contractions requires that transient elevations in O2 flux (V˙O2) must be achieved predominantly via increases in effective diffusing capacity (DO2).

Transmural PO2 gradients within the microcirculation are required for diffusive O2 transport and, therefore, to support cellular oxidative metabolism. Experimental and theoretical evidence indicate that absence of facilitated transport compounded with high flux density confer substantial resistance to O2 flux upon the CFR (Federspiel & Popel, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993; Wagner, 2000). Interestingly, the expected large transmural ΔPO2 based on these data is incompatible with the classical model proposed by Krogh for capillary O2 transport (Poole et al. 2011). Embedded in the Kroghian model are, however, assumptions not supported by current empirical evidence including (i) that microvascular blood can be regarded as a hemoglobin solution rather than a suspension of red blood cells; and (ii) uniform DO2 across the entire diffusion path from blood to mitochondria (Honig & Gayeski, 1993; cf. Golub & Pittman, 2005). Although adopted for the sake of mathematical expediency, these assumptions lack physiological fidelity when assigning diffusion distance as a major determinant of muscle DO2 (Bebout et al. 1993; Hepple et al. 2000; Wagner, 2000), therefore leading to the presumption of a shallow or non‐existent ΔPO2 between the microvascular and interstitial spaces. It is pertinent that findings of very low and apparently spatially uniform intracellular PO2 in contracting skeletal muscle (Federspiel & Popel, 1986; Gayeski & Honig, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993; Richardson et al. 1995; Voter & Gayeski, 1995; Molé et al. 1999) also refute the relevance of overall diffusion distances to capillary–mitochondrial O2 flux (Poole et al. 2011). The wealth of compelling evidence gathered subsequent to the pioneering work by Krogh (1919a, b) has thus painted a different picture with regard to transcapillary ΔPO2 within the skeletal muscle microcirculation. Re‐evaluation of these concepts has enabled the estimation of the PO2 drop per unit length of diffusion path to be of the order of 7 to 15–20 mmHg μm−1 across the CFR from low to high intensity of contractions (Popel et al. 1989; Groebe, 1990; Groebe & Thews, 1990; Honig & Gayeski, 1993; Honig et al. 1997).

As noted above, evaluation of skeletal muscle interstitial and, consequently, transmural ΔPO2 has been hindered by technical challenges, particularly during metabolic transients. Techniques such as O2 microelectrodes are limited in evaluating these responses due to large catchment volumes, inherent vascular damage and measurement plane movement during muscle contractions. Microspectrophotometry and proton magnetic resonance spectroscopy are restricted to compartments containing haeme proteins (e.g. haemoglobin and myoglobin) and do not have access to the interstitial space. Selective in vivo PO2 is measurements can thus be performed only via phosphorescence quenching at the present time (Wilson et al. 2006). It is noteworthy that, although previous phosphorescence quenching studies have examined transmural O2 gradients in other microcirculatory beds such as the mesentery and skin (Tsai et al. 1998; Cabrales et al. 2006; Golub et al. 2007, 2008), differences in vasomotor control and the small range of metabolic rates of parenchymal cells negate direct comparison with data from skeletal muscle.

Skeletal muscle PO2 is dynamics

The few phosphorescence quenching studies to date that have assessed skeletal muscle PO2 is from rest to contractions have yielded incongruent results. Resting PO2 is values reported previously vary from ∼28 to 68 mmHg in the spinotrapezius muscle (Smith et al. 2002; Nugent et al. 2016). Moreover, limited temporal resolution has precluded PO2 is kinetics analyses during the contraction transient in the past. Accordingly, the present study is the first to describe the dynamics of PO2 is (and thus transmural ΔPO2) in the skeletal muscle microcirculation during the transition from rest to contractions. Figure 3 (top) shows the temporal PO2 is profile and Table 1 presents the kinetics parameters derived from model fits. Resting PO2 is values observed in the present study (PO2( BL )=15.7±6.4 mmHg ) were lower than those found previously using phosphorescence quenching as noted above (i.e. ∼28 and 68 mmHg) (Smith et al. 2002; Nugent et al. 2016). The reasons for this discrepancy are not entirely clear but could involve methodological aspects (e.g. spatial resolution, phosphorescent probe types and delivery routes, time versus frequency‐domain analysis; see also Experimental considerations below). The resting baseline PO2 is observed in the present study is in close agreement with intracellular values obtained by others using microelectrodes (∼14–17 mmHg) (Whalen et al. 1974; Gorczynski & Duling, 1978) and cryomicrospectroscopy (myoglobin PO2 ranging from ∼10–20 mmHg) (Honig et al. 1997) but somewhat lower than proton magnetic resonance spectroscopy data (∼34 mmHg) (Richardson et al. 2006). The magnitude of the PO2 is fall induced by moderate‐intensity twitch contractions in our protocol (A1PO2=9.0±3.5 mmHg ) is smaller than that reported previously using higher intensities and contraction frequencies in the spinotrapezius muscle (∼20–30 mmHg) (Smith et al. 2002; Nugent et al. 2016), thus reflecting the imposed metabolic demand (Howlett & Hogan, 2001; Howlett et al. 2007). The PO2 is measured in the present study during the early contraction transient (i.e. 0–60 s) (Fig. 3, top) fell towards values commensurate with intramyocyte PO2 in humans performing moderate exercise (∼5 mmHg) (Richardson et al. 1995; Molé et al. 1999). A higher PO2 is during the contraction steady‐state (PO2( SS )=10.6±5.2 mmHg ) was then attained in the present study due to the presence of a second, upward component of the response (i.e. ‘undershoot’; A 2 PO2).

A surprising result from the present study was the slower speed of PO2 is fall following the onset of contractions (τ1, A 1 PO2/ τ1 and MRT) compared to that of PO2 mv (Fig. 3, top and Table 1). Potential mechanisms accounting for these findings involve differences in compartment volumes (Fig. 6, right). Considering that the interstitial space represents the interface between (and it is thus subjected to the influence of) the microvascular and intracellular domains, the same net O2 flux permeating these cascade steps could produce different deoxygenation rates (i.e. speed of PO2 fall) within each compartment during metabolic transitions. Slowing of PO2 is kinetics could also be produced via O2 buffering by myoglobin (Clanton et al. 2013), particularly following contractions onset at a time when the myoglobin saturation is reaching its lowest value throughout the transient (Richardson et al. 1995; Molé et al. 1999) (Fig. 3). Another intriguing possibility relates to the O2 buffering by interstitial regions not contributing uniformly to flux throughout the metabolic transient (i.e. temporal and spatial Q˙O2/V˙O2 heterogeneity) (Heinonen et al. 2015). Resolution of the mechanistic bases for these findings is beyond the scope of the present study and must await further research.

Radial O2 gradients in the skeletal muscle microcirculation

Dual probe phosphorescence quenching investigations targeting the skeletal muscle microvascular and interstitial spaces have also produced divergent data. Previous studies have evaluated the rat cremaster (Shibata et al. 2001), hamster cheek pouch (Carvalho & Pittman, 2008) and mouse thigh muscle (Wilson et al. 2006) transmural ΔPO2 exclusively at rest. This gradient was found to be either very small (∼1 mmHg around 45 μm diameter arterioles and <1.5 mmHg across the capillary wall) (Wilson et al. 2006; Carvalho & Pittman, 2008) or relatively large (∼15–20 mmHg around arterioles of 40–130 μm diameter) (Shibata et al. 2001). The reasons for these disparities are unclear but could relate to differences in interrogated muscles and/or experimental conditions (similar to those described above for resting PO2 is ). It is essential to appreciate that very small or non‐existent transmural PO2 gradients imply an equilibrium between blood and interstitium that is inconsistent with O2 loss from red blood cells along the length of the muscle microcirculation (i.e. longitudinal gradients) (Duling & Berne, 1970; Pittman, 2011). Moreover, a lack of radial gradients also suggests that the major resistance to capillary–mitochondrial O2 flux is located within the myocyte. This is incompatible with (i) low and apparently spatially uniform intramyocyte PO2 values found in both human and animal skeletal muscle from rest to contractions (Federspiel & Popel, 1986; Gayeski & Honig, 1986; Groebe & Thews, 1990; Honig & Gayeski, 1993; Richardson et al. 1995; Voter & Gayeski, 1995; Molé et al. 1999) and (ii) the role of myoglobin to facilitate diffusion, thus lowering intramyocyte resistance to O2 flux (Wittenberg & Wittenberg, 2003; Clanton et al. 2013).

On the other hand, relatively large transmural gradients (with a magnitude proportional to local resistance across the CFR) are absolutely necessary to drive O2 flux as dictated by Fick's law. Figure 3 depicts the transmural ΔPO2 obtained in the present study as the difference between the phosphorescence quenching signal from muscle microvascular and interstitial spaces. This gradient was preserved from rest to contractions despite different PO2 mv and PO2 is kinetics as noted above (Table 1). Figure 4 shows that PO2 mv was higher than PO2 is in all cases both at rest and during the contracting steady‐state. These results are partially consistent with those of Shibata et al. (2001), who found large transmural gradients in the resting cremaster muscle (i.e. ∼15–20 mmHg around first‐ and third‐order arterioles), albeit at considerably higher PO2 levels (microvascular: ∼47–75 mmHg; interstitial: ∼29–51 mmHg). The transmural O2 flux across the CFR in the resting muscle calculated in the present study (via Fick's law and tissue permeability, = 3.17 × 10−10 ml O2 cm−1 s−1 mmHg−1) was ∼4.2 × 10−5 ml O2 cm−2 s−1 and is consistent with the physiological range estimated previously by Vadapalli et al. (2000). Furthermore, integration of phosphorescence quenching (Fig. 3, bottom) and TEM (Fig. 5, right) data reveals that the ΔPO2 across the rat spinotrapezius muscle CFR during moderate‐intensity contractions (∼11.6 mmHg μm−1) is in agreement with that predicted previously (from ∼7 to 15–20 mmHg μm−1 from low to high intensity of contractions as discussed above) (Popel et al. 1989; Groebe, 1990; Groebe & Thews, 1990; Honig & Gayeski, 1993; Honig et al. 1997).

Preservation of the driving force for O2 diffusion (ΔPO2) during the metabolic transient is remarkable given the increase in O2 flux (V˙O2) imposed by muscle contractions and the prevailing high flux density across the CFR. This suggests that the rate of O2 diffusion from blood to myocyte is an important regulated variable in the microcirculation as considered earlier by Duling (1972, 1973). According to Fick's law, elevations in transcapillary V˙O2 with muscle contractions must thus rely predominantly on corresponding increases in effective DO2 in the face of unaltered ΔPO2 (Richardson et al. 1995, 2006). This in turn places critical relevance on events modulating capillary haemodynamics considering that the primary determinant of muscle DO2 is the number of red blood cells adjacent to the muscle fibre at any given instant (Federspiel & Popel, 1986; Groebe & Thews, 1990). Because most capillaries support red blood cell flux in resting skeletal muscle, increased effective surface area within already flowing capillaries during contractions (i.e. longitudinal recruitment) (Poole et al. 2011) is achieved via elevations in red blood cell flux, velocity and haematocrit (Klitzman & Duling, 1979; Hudlická et al. 1982; Kindig et al. 2002). Intracellular mechanisms could also increase effective DO2 during the metabolic transient. That the range of PO2 is values during the early contraction transient (Fig. 3, top) approximates the steep portion of the myoglobin oxygen dissociation curve could facilitate intramyocyte O2 diffusion and reduce/remove the impediment to O2 flux from the so‐called ‘functionally O2 carrier‐depleted region’ (Honig & Gayeski, 1993; Honig et al. 1997). Moreover, the possibility exists that ‘O2 channels’ (e.g. aquaporins) might facilitate transmembrane O2 movement and assist in DO2 modulation with contractions (Clanton et al. 2013).

Clinical implications

Investigation of gradients within the O2 transport pathway is crucial to resolve the mechanisms determining Q˙O2/V˙O2 matching in health and the dysfunction that plagues aged and diseased states. Structural and functional impairments within the skeletal muscle microcirculation in conditions such as chronic heart failure, diabetes and emphysema (Poole & Mathieu‐Costello, 1997; Richardson et al. 2003; Padilla et al. 2006; Copp et al. 2009) lower muscle PO2 mv drastically during metabolic transitions (i.e. leading to a faster PO2 mv fall) (Poole et al. 2001; Diederich et al. 2002; Behnke et al. 2005; Padilla et al. 2007). Conversely, adaptations along the O2 transport pathway promoted by exercise training are capable of raising PO2 mv responses following contractions (i.e. resulting in a slower PO2 mv fall) (Hirai et al. 2012), thus increasing the upstream O2 diffusion pressure for transcapillary flux.

Simulated profiles in Fig. 7 demonstrate how altered PO2 mv kinetics alone can modulate transmural ΔPO2. Interestingly, as a result of the different PO2 mv and PO2 is dynamics found during the rest–contraction transient (as discussed above and shown in Table 1), simulations with progressively faster PO2 mv kinetics (i.e. decreased τ1) produced larger effects on ΔPO2 than those evoked by slower PO2 mv kinetics (i.e. increased τ1). Any lowering of PO2 is responses during the metabolic transient with advanced age and/or disease would exacerbate these reductions in ΔPO2. This theoretical analysis exposes the complex interplay between different diffusional compartments not recognized in the Kroghian model, thus providing the initial framework for investigating the dynamics of skeletal muscle transcapillary O2 transport in health and disease.

Experimental considerations

Some degree of O2 photoconsumption (photo‐oxidation) by phosphorescence quenching is inevitable but could be minimized/compensated for by O2 diffusion from surrounding tissue and/or utilization of small excitation area and low flash rates (Golub et al. 2007, 2008). Higher accumulated O2 depletion via photoconsumption in stationary relative to moving media (e.g. interstitium versus flowing blood) can underestimate PO2 values within the interstitial compartment, thus artefactually producing/maximizing transmural gradients (Tsai et al. 1998; Pittman, 2011). Figure 2 shows that no reductions in skeletal muscle PO2 mv or PO2 is were observed over time during a resting period preceding contractions. This negates the possibility that an artefact introduced by phosphorescence quenching created or amplified transmural ΔPO2 between the microvascular and interstitial spaces in the current experimental protocol.

The phosphorescence technique employed in the present study provides an average or lumped PO2 mv value in proportion to the volumetric contribution of each segment (i.e. mean capillary PO2) within the interrogated microvascular compartment, thereby precluding the analysis of its spatial distribution via histograms (e.g. upstream versus downstream values) (Behnke et al. 2001; Poole et al. 2004). Therefore, the current PO2 mv signal cannot discriminate any potential (i) longitudinal or intraluminal gradients within the microvascular network or (ii) heterogeneities among different vessels and/or branch orders based solely on the present data. Similar spatial heterogeneity considerations also apply to the PO2 is signal recorded in the present study. Furthermore, because only male rats were investigated in the present study, an assessment of potential sex differences in contracting muscle microvascular and interstitial PO2 responses is warranted.

As noted above, preliminary experiments confirmed confinement of the G4 probe to the interstitial space via the microinjection technique as described previously by other research groups (Dunphy et al. 2002; Smith et al. 2002; Esipova et al. 2011). Specifically, moving the optical phosphorescence quenching light guide away from the microinjection site prevents the detection of any PO2 signal. This indicates that the interstitial G4 probe is localized to the site of interrogation and that no vascular contamination is induced by the technique, such as would be expected were there considerable damage to the tissue. In accordance with the latter, close inspection of the microinjection site via intravital microscopy (approximate magnification of 1200×) does not indicate widespread or gross structural damage to muscle fibres or vessels of the spinotrapezius muscle. Moreover, temporal PO2 is profiles obtained in the present study during the rest–contractions transient closely resemble those of intracellular PO2 (Hogan, 2001), arteriovenous O2 content difference (Grassi et al. 1996, 2002), deoxygenated haemoglobin (Grassi et al. 2003) and PO2 mv (Behnke et al. 2002; present study) indicating preserved muscle metabolic and vascular control despite the inherent but limited trauma induced by microinjections. The novel dynamic PO2 is profile reported in the present study is consistent with the expected range of interstitial values based on previous reports of intramyocyte PO2 (Richardson et al. 1995; Molé et al. 1999) and estimates of transmural PO2 gradients from rest to contractions (Popel et al. 1989; Groebe, 1990; Groebe & Thews, 1990; Honig & Gayeski, 1993; Honig et al. 1997), thus representing the intermediary step in the O2 transport cascade from microvascular blood to muscle cell.

Contrasting the range of PO2 is values obtained in the present study (Figs. 3 and 4) with that reported for the intracellular space during submaximal and maximal contractions (i.e. ∼2–3 to 5 mmHg myoglobin PO2) (Richardson et al. 1995; Molé et al. 1999) suggests a relatively small PO2 gradient across the sarcolemma, thus placing the bulk (but by no means the entirety) of the peripheral resistance to diffusive O2 transport (and thus the largest PO2 drop across the muscle) at the microvascular–interstitium interface.

Interestingly, manipulations in the fraction of inspired O2 (FIO2; hypoxic and hyperoxic gas containing 12% and 100% O2, respectively) can produce corresponding changes in the maximal O2 uptake of trained individuals during small muscle mass exercise (Richardson et al. 1999a, b), suggesting that the maximally contracting myocyte could operate close to the steep portion of the mitochondrial respiration curve under some, but not all, circumstances (Scandurra & Gnaiger, 2010; Clanton et al. 2013).

Summary and conclusions

The present study describes for the first time the dynamics of skeletal muscle microvascular and interstitial PO2 to resolve transmural O2 gradients from rest to contractions. A significant transmural ΔPO2 observed at rest was maintained during submaximal twitch contractions. These data support that the short diffusion path between the red blood cell and the adjacent sarcolemma (also known as the CFR) is the site of considerable resistance to blood–myocyte O2 transfer. As mandated by Fick's law of diffusion, maintenance of the sole driving force for transcapillary O2 movement (ΔPO2) from rest to contractions reveals that transient elevations in O2 flux (V˙O2) must be achieved via corresponding increases in effective diffusing capacity (DO2; determined principally by capillary red blood cell haemodynamics and distribution).

Additional information

Competing interests

The authors declare that they have no competing interests.

Author contributions

DMH, JCC, TDC, WLS, TIM and DCP conceived and designed the study. DMH, JCC, TDC, HE, YK, TIM and DCP acquired, analysed and interpreted the data. DMH prepared the first draft of the manuscript. All authors critically reviewed and approved the final version of the manuscript and agree to be accountable for all aspects of the work. The experiments were performed in the laboratories of Timothy I. Musch and David C. Poole (Kansas State University) and Yutaka Kano (University of Electro‐Communications). All persons designated as authors qualify for authorship, and all those who qualify for authorship are listed.

Funding

This work was supported in part by a Post‐Doctoral Fellowship from the College of Human Ecology, Kansas State University; and National Heart, Lung and Blood Institute Grant HL‐2‐108328.

Acknowledgements

We thank K. Sue Hageman for expert technical assistance. We are also grateful to the members of the Laboratory of Morphology and Image Analysis (Biomedical Research Center, Juntendo University Graduate School of Medicine) for technical assistance with transmission electron microscopy.

Biographies

Daniel M. Hirai is a Postdoctoral Fellow in the Department of Kinesiology at Kansas State University (KSU). His research focuses on the (dys)regulation of oxygen transport and utilization at the muscle microcirculatory level with an emphasis on exercise tolerance in health and disease. He completed basic research training in the Department of Anatomy & Physiology at KSU, as well as clinical research training in the School of Medicine at Queen's University, Canada. He uses a translational approach with studies in pre‐clinical models and patients to identify therapeutic targets and improve microvascular and muscle function with rehabilitation and pharmacological/non‐pharmacological interventions.

graphic file with name TJP-596-869-g001.gif

Jesse C. Craig is a doctoral candidate in Kinesiology at KSU. His research focuses on the interplay of central and peripheral components of the cardiovascular and metabolic pathways to establish adequate oxygen delivery in health and disease.

Trenton D. Colburn is a doctoral student in Kinesiology at KSU, focusing on the impact of disease in muscle O2 transport; specifically, the control of NOS and ATP‐sensitive potassium channels during exercise.

Edited by: Michael Hogan & Bruno Grassi

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