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Received November 19, 2003
Revised January 8, 2004
Accepted after revision April 5, 2004
1 University of California School of Medicine
2 City College of the City University of New York
* To whom correspondence should be addressed. E-mail: rhadamson{at}ucdavis.edu.
We hypothesized that ultrafiltrate crossing the luminal endothelial glycocalyx through infrequent discontinuities (gaps) in the tight junction (TJ) strand of endothelial clefts reduces albumin diffusive flux from tissue into the "protected region" of the cleft on the luminal side of the TJ. Thus, the effective oncotic pressure difference (

) opposing filtration is greater than that measured between lumen and interstitial fluid. To test this we measured 

across rat mesenteric microvessels perfused with albumin (50 mg ml-1) with and without interstitial albumin at the same concentration within a few µm of the endothelium as demonstrated by confocal microscopy. We found 

was near 70% of luminal oncotic pressure when the tissue concentration equaled that in the lumen. We determined size and frequency of TJ strand gaps in endothelial clefts using serial section electron microscopy. We found 9 gaps in the reconstructed clefts having mean spacing of 3.59 µm and mean length of 315 nm. Mean depth of the TJ strand near gaps was 67 nm and mean cleft path length from lumen to interstitium was 411 nm. With these parameters our 3-dimensional hydrodynamic model confirmed that fluid velocity was high at gaps in the TJ strand so that even at relatively low hydraulic pressures albumin concentration on the tissue side of the glycocalyx was significantly lower than in the interstitium. The results conform to the hypothesis that colloid osmotic forces opposing filtration across non-fenestrated continuous capillaries are developed across the endothelial glycocalyx and that the oncotic pressure of interstitial fluid does not directly determine fluid balance across microvascular endothelium.
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