An ovine model of hyperdynamic endotoxemia and vital organ metabolism

Byrne, Liam, Obonyo, Nchafatso G., Diab, Sara, Dunster, Kimble, Passmore, Margaret, Boon, Ai Ching, Hoe, Louise See, Hay, Karen, Van Haren, Frank, Tung, John-Paul, Cullen, Louise, Shekar, Kiran, Maitland, Kathryn and Fraser, John F. (2018) An ovine model of hyperdynamic endotoxemia and vital organ metabolism. Shock, 49 1: 99-107. doi:10.1097/SHK.0000000000000904

Author Byrne, Liam
Obonyo, Nchafatso G.
Diab, Sara
Dunster, Kimble
Passmore, Margaret
Boon, Ai Ching
Hoe, Louise See
Hay, Karen
Van Haren, Frank
Tung, John-Paul
Cullen, Louise
Shekar, Kiran
Maitland, Kathryn
Fraser, John F.
Title An ovine model of hyperdynamic endotoxemia and vital organ metabolism
Journal name Shock   Check publisher's open access policy
ISSN 1540-0514
Publication date 2018-01-01
Year available 2018
Sub-type Article (original research)
DOI 10.1097/SHK.0000000000000904
Open Access Status Not yet assessed
Volume 49
Issue 1
Start page 99
End page 107
Total pages 9
Place of publication Philadelphia, PA United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Background: Animal models of endotoxemia are frequently used to understand the pathophysiology of sepsis and test new therapies. However, important differences exist between commonly used experimental models of endotoxemia and clinical sepsis. Animal models of endotoxemia frequently produce hypodynamic shock in contrast to clinical hyperdynamic shock. This difference may exaggerate the importance of hypoperfusion as a causative factor in organ dysfunction. This study sought to develop an ovine model of hyperdynamic endotoxemia and assess if there is evidence of impaired oxidative metabolism in the vital organs.

Methods: Eight sheep had microdialysis catheters implanted into the brain, heart, liver, kidney, and arterial circulation. Shock was induced with a 4 h escalating dose infusion of endotoxin. After 3 h vasopressor support was initiated with noradrenaline and vasopressin. Animals were monitored for 12 h after endotoxemia. Blood samples were recovered for hemoglobin, white blood cell count, creatinine, and proinflammatory cytokines (IL-1Beta, IL-6, and IL-8).

Results: The endotoxin infusion was successful in producing distributive shock with the mean arterial pressure decreasing from 84.5 ± 12.8 mm Hg to 49 ± 8.03 mm Hg (P < 0.001). Cardiac index remained within the normal range decreasing from 3.33 ± 0.56 L/min/m2 to 2.89l ± 0.36 L/min/m2 (P = 0.0845). Lactate/pyruvate ratios were not significantly abnormal in the heart, brain, kidney, or arterial circulation. Liver microdialysis samples demonstrated persistently high lactate/pyruvate ratios (mean 37.9 ± 3.3).

Conclusions: An escalating dose endotoxin infusion was successful in producing hyperdynamic shock. There was evidence of impaired oxidative metabolism in the liver suggesting impaired splanchnic perfusion. This may be a modifiable factor in the progression to multiple organ dysfunction and death.
Keyword Endotoxemia
Hemodynamic monitoring
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Faculty of Medicine
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Citation counts: Scopus Citation Count Cited 1 times in Scopus Article | Citations
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Created: Sun, 24 Dec 2017, 10:34:56 EST