Bingmei M. Fu1* Bin Chen Department of Mechanical Engineering, Cancer Institute,1 University of Nevada, Las Vegas A Model for the Modulation of Microvessel Permeability by Junction Strands To investigate the effect of junction strands on microvessel permeability, we extend the previous analytical model developed by Fu et al. (1994, J. Biomech. Eng., 116, pp. 502–513), for the interendothelial cleft to include multiple junction strands in the cleft and an interface between the surface glycocalyx layer and the cleft entrance. Based on the electron microscopic observations by Adamson et al. (1998, Am. J. Physiol., 274(43), pp. H1885–H1894), that elevation of intracellular cAMP levels would increase number of tight junction strands, this two-junction-strand and two-pore model can successfully account for the experimental data for the decreased permeability to water, small and intermediate-sized solutes by cAMP. 关DOI: 10.1115/1.1611514兴 Introduction Vascular endothelium is the principal barrier to, and regulator of, material exchange between circulating blood and body tissues. The ultrastructural pathways and mechanisms whereby endothelial cells and the cleft between the cells 共interendothelial cleft兲 modulate microvessel permeability to water and solutes have been an unsolved subject in microvessel transport since early 1950’s 关3– 6兴. Microvessel permeability to water is hydraulic conductivity Lp and that to a solute, solute permeability P. In conjunction with microperfusion techniques, electron microscopy, and quantitative imaging methods, Fu et al. 关1,7,8兴 developed a 3-D combined junction-orifice-fiber entrance layer model to investigate the molecular structures of the interendothelial cleft, which determine the normal permeability properties of the microvessel wall. These structures include: 共1兲 endothelial cell surface glycocalyx which determines selectivity to large molecules, and 共2兲 junction strands in the cleft between adjacent endothelial cells which determine the fraction of the cleft length that is effectively open to molecules of various sizes and the geometry of the diffusion pathway within the interendothelial cleft. These junction strands are believed to be formed by occludin and cadherin-like proteins 关9,10兴. Figure 1 shows their 3-D model for the interendothelial cleft. To obtain an analytical solution, this model has only one junction strand within the cleft and uses an effective approximation, which converts the surface glycocalyx layer into an equivalent of fiber layer inside the cleft. It predicts that in order to account for the measured hydraulic conductivity, the fiber 共glycocalyx兲 layer must be confined to a relatively narrow region at the entrance of the cleft. This fiber layer also serves as the primary molecular filter. Furthermore, the model predicts that the junction strand in the cleft must contain at least two types of pores: infrequent 150 nm⫻20 nm large orifice breaks and a continuous ⬃1.5 nm narrow slit or closely spaced 1.5 nm radius circular pores. For frog mesenteric capillary, this one-junction strand and two-pore model provides an excellent fit for the hydraulic conductivity Lp and the diffusive permeability P data for solutes of size ranging from potassium to albumin 关1兴. Many previous studies have found that increased intracellular levels of adenosine 3⬘,5⬘-cyclic monophosphate 共cAMP兲 can block the inflammatory response in a variety of experimental *Corresponding address: 4505 Maryland Parkway, Box 454027, Las Vegas, NV 89154. Telephone: 共702兲-895-3455; Fax: 共702兲-895-3936; e-mail: bmfu@nscee.edu. Contributed by the Bioengineering Division for publication in the JOURNAL OF BIOMECHANICAL ENGINEERING. Manuscript received by the Bioengineering Division November 13, 2002; revision received February 18, 2003. Associate Editor: C. Dong. 620 Õ Vol. 125, OCTOBER 2003 models 关11–17兴. Simultaneous stimulation of adenylate cyclase 共either by activating prostaglandin receptors or by stimulating adenylate cyclase directly with forskolin兲 and phosphodiesterase 共PDE兲 inhibition with zardaverine 共a strong inhibitor of PDE type III and type IV兲 was highly effective in inhibiting permeability increases induced by H2 O2 in isolated rabbit lung 关15兴. A previous study on intact microvessels also confirmed the blocking effect of a cAMP analog on inflammatory stimulation 关13兴. Solutions containing ATP 共10 M兲 stimulate a 5- to 10-fold increase in hydraulic conductivity Lp in both capillaries and postcapillary venules of frog and hamster mesentery. This characteristic transient inflammatory response was nearly abolished by 15 min pretreatment with 8-bromo adenosine 3⬘,5⬘-cyclic monophosphate 共cAMP, 2 mM兲 关13兴. To understand the underlying mechanisms of the regulation of microvessel permeability by elevated intracellular cAMP levels, Adamson et al. 关2兴 tested the cAMP effect on microvessel hydraulic conductivity Lp from the control state in an in vivo study. They found that increase cAMP levels by simultaneous adenylate cyclase activation 共by forskolin兲 and phosphodiesterase inhibition 共by rolipram兲 reduced frog mesenteric microvessel hydraulic conductivity Lp to 37% of its baseline value in ⬃20 min. A parallel study by Fu et al. 关18兴 showed that in 20 min after exposure to rolipram and forskolin, permeability of small solute sodium fluorescein 共MW⫽376, Stokes radius⫽0.45 nm兲 Psf and that of intermediate-sized solute ␣-lactalbumin 共MW⫽14,176, Stokes radius⫽2.01 nm兲 P␣ -lactalbumin was decreased to 67% and 64% of their baseline values, respectively. Furthermore, Adamson et al. 关2兴 found in their electron microscopy study that cAMP effect would induce an increase of the number of junction stands from a mean value of 1.7 to a mean value of 2.2 per cleft in ⬃20 min. More junction strands will induce more tortuosity in the interendothelial cleft, thus will decrease the microvessel permeability to water and solutes. To quantitatively understand the ultrastructural mechanisms of altered microvessel permeability by the enhancement of intracellular cAMP, we develop in this study a new model for the prediction of the structural changes in the interendothelial cleft induced by cAMP, based on aforementioned experimental observations. This new model is shown in Fig. 2. One new feature of our model is that there is an interface between the surface glycocalyx layer and the cleft entrance. Another new feature is that there are two junction strands in the interendothelial cleft instead of one in previous models. Copyright © 2003 by ASME Transactions of the ASME Fig. 1 Previous model for the interendothelial cleft structure †1,7,8, with permission‡. „a… 3-D sketch; „b… plane view. Ljun is the junction strand thickness. L1 and L3 are the depths between the junction strand and the luminal and abluminal fronts of the cleft. L is the total length of the cleft. The distance between two adjacent breaks in the junction strand is 2-D. At the entrance of the cleft on the luminal side, surface glycocalyx is represented by a periodic square array of cylindrical fibers. Lf is the fiber layer thickness. The radius of these fibers is a and the gap spacing between fibers is ⌬. In the junction strand, there are periodically distributed large pores 2dÃ2B and a continuous small slit of height 2bs. This model can successfully explain the microvessel permeability under normal conditions †1‡. Model Description Model Geometry. The top view of our new model for explaining the decrease in microvessel permeability is shown in Fig. 2共b兲. There is a surface fiber layer of thickness Lf at the entrance of the cleft and there are two junction strands in the cleft. Figure 2共a兲 shows the 3-D schematic of a periodic unit. In the junction strand, large breaks observed by Adamson and Michel 关19兴 are represented as orifice openings of dimensions 2d⫻2B in a zero thickness barrier. The spacing between orifices is 2-D. In addition to the large orifices, there is a small continuous slit of height 2bs along the junction strand. This small slit is needed to provide an optimal fit for small ion permeability 关1,7兴. For the junction strand with this small slit of height 2bs⬃1.5 nm, the thickness of the junction strand Ljun is taken as 10 nm 关11兴. L1 is the distance between the first junction strand and the luminal front of the cleft, L2 , the distance between the second junction strand and the luminal front. yc is the distance between the center of the periodic junction strand unit in the second strand and the centerline across the junction break in the first strand. Hydraulic Conductivity Lp. Similar to that in Fu et al. 关1兴, Lp is obtained by solving pressure p共x,y兲 and velocity V共x,y,z兲 fields in the cleft region. Since the height of the cleft 2B is small, compared to both the distance between the junction pores 2D and Journal of Biomechanical Engineering Fig. 2 New model for explaining cAMP effect showing a surface glycocalyx layer and two junction strands in the cleft. „a… 3-D sketch; „b… plane view. L1 and L2 are the distances between the first and the second junction strands and the luminal front of the cleft, respectively. There is an interface between the surface glycocalyx and the cleft entrance at xÄ0. yc is the distance between the center of the periodic junction strand unit in the second strand and the centerline across the large junction pore in the first strand. the depths L1 , L2 of the cleft, the water flow in the cleft can be approximated by a Hele-Shaw channel flow 关1兴. The velocity in the cleft can be expressed as: 冉 冊 V共 x,y,z兲 ⫽V0 共 x,y兲 1⫺ Z2 B2 V0 共 x,y兲 ⫽u0 共 x,y兲 i⫹v0 共 x,y兲 j (1) (2) which satisfies the non-slip condition at z⫽⫾B. V0 (x,y), the velocity in the center plane z⫽0, is given by: V0 共 x,y兲 ⫽⫺ B2 ⵜp 2 (3) Here is the fluid viscosity. For Hele-Shaw flow, the pressure in the cleft satisfies: 2p x 2 ⫹ 2p y2 ⫽0 (4) Integrating Eq. 1 over the height of the cleft gives the average velocity V̄共x,y兲: V̄共 x,y兲 ⫽ 2 V 共 x,y兲 3 0 (5) A linear 1-D Darcy flow approximation is applied to the unbounded surface glycocalyx layer of thickness Lf 关20兴. The local average velocity along the length of the cleft in the x direction is OCTOBER 2003, Vol. 125 Õ 621 ū共y)⫽ Kp pL⫺p共 1 兲 共 0,y兲 Lf (6) Here, Kp is the Darcy permeability. pL and p( 1 ) (0,y) are pressures in the lumen and at the entrance of the cleft behind the surface glycocalyx, respectively. Continuity in water flux at the interface of the fiber layer and the cleft entrance 共combining Eqs. 3, 5, 6兲 gives, x⫽0 ⫺ B2 Lf p共 1 兲 3Kp x 冏 ⫽pL⫺p共 1 兲 共 0,y兲 (7a) and cleft regions. A 1-D diffusion was approximated for the surface fiber matrix region. The concentration in the fiber region was obtained as: x⫽0 p共 1 兲 p共 2 兲 ⫽ x x p共 1 兲 ⫽p共 2 兲 兩 y兩 ⭐d x⫽0 ⫺ 共i兲 共1兲 x⫽L2 p共 2 兲 ⫽p共 3 兲 pore region strand region i⫽1,2 共2兲 (7d) (7e) p共i) ⫽0 y i⫽1,2,3 Q2D Ljt pL⫺pA 2D (7g) (8) where Q2D is the volume flow rate through one period of the junction strand including one large 2d⫻2B break and 2共D-d兲 long 2bs wide small slit. A numerical method similar to that in Hu and Weinbaum 关20兴 was applied to solve Eq. 4 with corresponding boundary conditions for pressure field p共i兲共x,y) in regions 1, 2 and 3. The convergence condition is that the relative error between the nth and 共n⫹1兲th iteration values for p at each point, 兩 p ( n⫹1 ) ⫺p ( n ) /p ( n⫹1 ) 兩 , is less than 10⫺6 . Equations 1 and 3 determine the velocity V共x,y,z兲 from p共i兲共x,y). Integration of u共L1 ,y,z) across the cross-sectional area of one period of the junction strand 共⫺D⬍y⬍D,⫺B⬍z⬍B兲 gives the value of Q2D . pL and pA, which are constants here, are pressures in the lumen and in the tissue space, respectively. 2D is the spacing between adjacent junction breaks. Ljt is the total length of the cleft per unit surface area of microvessel wall. Diffusive Permeability P. The diffusive permeability or solute permeability P is obtained by solving the concentration field in the cleft. Under the experimental conditions of Fu et al. 关18兴 at low perfusion pressures of 5 to 8 cmH2 O, which induced effective transmural pressure drop in the range of 1 to 4 cmH2 O, the solute transport can be simplified as a pure diffusion process in the fiber 622 Õ Vol. 125, OCTOBER 2003 2C y2 ⫽0 (11) C共 1 兲 ⫽C共 2 兲 兩 y兩 ⭐d x⫽L1 C共 1 兲 C共 2 兲 ⫽ x x (10b) d⬍ 兩 y 兩 ⭐D x⫽L 1 D ssl b s C 共 1 兲 共 L 1 ,y 兲 ⫺C 共 2 兲 共 L 1 ,y 兲 C共i兲 ⫽⫺ c x L jun DsB i⫽1,2 (10c) (7f) Boundary conditions 共7b兲, 共7d兲 require that pressure and velocity be continuous across the large junction break while 共7c兲, 共7e兲 require that the volume flow be continuous across the junction strand where there is a continuous small slit. Boundary condition 共7f兲 indicates that the pressure at the cleft exit equals the pressure in tissue space pA, which is a constant. Boundary condition 共7g兲 is the periodicity condition. Ljun is the thickness of the junction strand. The hydraulic conductivity is defined as, Lp⫽ (10a) Other boundary conditions in each region of the cleft 共Fig. 2兲 are, bs3 p共 2 兲 共 L2 ,y兲 ⫺p共 3 兲 共 L2 ,y兲 p共 i 兲 ⫽⫺ 3 x Ljun B y⫽⫾D x2 (7c) ⫹ 共3兲 p p ⫽ x x x⫽L 兩y兩 ⭐D p共 3 兲 ⫽pA ⫽C L ⫺C 共 0,y 兲 x⫽0 Here Dsf and Dsc are diffusion coefficients of a solute in the fiber layer and cleft region, respectively. The governing equation for the cleft region is a 2-D diffusion equation, 2C i⫽2,3 0⭐x⭐L x D sf 共2兲 p p 共 L1 ,y兲 ⫺p 共 L1 ,y兲 ⫽⫺ 3 x Ljun B bs3 冏 D sc L f C 共 1 兲 d⬍ 兩 y兩 ⭐D x⫽L1 x⫽L2 (7b) (9) Here, Lf is the fiber layer thickness, CL is the solute concentration in the lumen, and C( 1 ) (0,y) is the concentration at the cleft entrance behind the surface fiber layer. Continuity in mass flow at the interface of the fiber layer and the cleft entrance gave, The other boundary and matching conditions for Eq. 4 in each region of Fig. 2 are: x⫽L1 CL⫺C共 1 兲 共 0,y兲 x⫹C共 1 兲 共 0,y兲 Lf C共f) ⫽⫺ x⫽L2 x⫽L 2 共i兲 C共 2 兲 ⫽C共 3 兲 pore region C ⫽⫺ x D ssl b s D sc B C 共2兲 共2兲 共3兲 C C ⫽ x x strand region 共 L 2 ,y 兲 ⫺C 共 3 兲 共 L 2 ,y 兲 L jun i⫽2,3 (10e) x⫽L 兩y兩 ⭐D C共 3 兲 ⫽CA 0⭐x⭐L (10d) y⫽⫾D C共 i 兲 ⫽0 y i⫽1,2,3 (10f) (10g) Boundary conditions 共10b–g兲 for the concentration field mean the same as boundary conditions 共Eqs. 7b–g兲 for the pressure field. CA here is the concentration in the tissue space. The diffusive permeability P is defined as, P⫽ s Q2D Ljt CL⫺CA 2D (12) S where Q2D is the solute mass flow rate through one period of the junction strand 共⫺D⬍y⬍D兲. The same numerical technique used to solve p共i) was applied to solve Eq. 11 with corresponding boundary conditions for C共i兲共x,y) in regions 1, 2 and 3. Integration of Dsc C共x,y)/ x at x⫽L1 across the cross-sectional area of one period of the junction strand 共⫺D⬍y⬍D,⫺B⬍z⬍B兲 gave the S value of Q2D . Constants CL and CA are solute concentrations in the lumen and in the tissue space, respectively. Other parameters are the same as in Eqs. 7b–g. Model Parameters Under Normal Conditions We use the experimental data for frog mesenteric capillaries in our model. All the values for the cleft parameters under normal 共control兲 conditions are the same as those in 关1兴. They are as the following: the total cleft depth L⫽400 nm, the thickness of the Transactions of the ASME junction strand Ljun⫽10 nm, the total cleft length per unit vascular surface area Ljt⫽2000 cm/cm2 , the cleft height 2B⫽20 nm, the junction break width 2d⫽150 nm, and the average spacing between adjacent breaks is 2D⫽2640 nm. The distance between the junction strand and the front of the cleft L1 ⫽200 nm 共Fig. 1兲. For the surface fiber layer, we use fiber radius a⫽0.6 nm and the fiber density Sf⫽0.039 for a periodic fiber array or Sf⫽0.11 for a random array. These Sf values are larger than that in Fu et al. 关1兴 in order to account for the measured permeability data in Adamson et al. 关21兴 and Fu et al. 关18兴. For these fiber arrangements, Dsf/Dsfree for intermediate-sized solute ␣-lactalbumin 共Stokes radius⫽2.01 nm兲 is 0.025 and for small solute sodium fluorescein 共Stokes radius⫽0.45 nm兲, 0.2. Dsf is the effective diffusion coefficient of a solute in the fiber region and Dsfree is the free diffusion coefficient of a solute in aqueous solutions. The diffusion coefficient for a solute in the cleft region Dsc is calculated using the same theory as in Weinbaum et al. 关6兴 and Fu et al. 关1兴. The Darcy permeability Kp in Eq. 6 is also determined in the same way as in 关1,6兴. K p ⫽2⫻10⫺14 cm2 . The fiber entrance thickness Lf is chosen as 100 nm, based on the observation of Adamson and Clough 关1兴, although there may be thicker layer in other preparation 关22兴. Lf of 100 nm can account for the experimental result for Lp under normal conditions, Lp normal⫽2.4⫻10⫺7 cm/s/cm H2 O 关2兴. L f of 100 nm also fits the experimental data for P of various sized solutes sf ranged from 2.5 to 12.1⫻10⫺5 cm/s with a justified 关1兴. Pexperiment average value of 6.9⫻10⫺5 cm/s 关18兴. In our model, we chose sf Pnormal ⫽8.5⫻10⫺5 cm/s 共two pores in junction strands when 2bs ␣ -lactalbumin ⫽1.1 nm) and Pnormal ⫽2.4⫻10⫺6 cm/s 关18,23兴. In Adamson et al. 关2兴, an average of 1.7 junction strands per cleft under normal conditions came from a distribution of the number of junction strands from 0 to 5 with 41% clefts having 1 strand, ⬃39% having 2 strands, and ⬃14% having 3 strands. Fig. 3 Lp and P as a function of the strand location L1 for the single junction strand case. „a… Large pore „2dÃ2BÄ150 nmÃ20 nm… only in the strand; „b… Two pores in the strand „small slit height 2bsÄ1.1 nm…. Lp, P values at L1 ÕLÄ0.5 are taken as the normal control values for nondimensionalization in Figs. 5, 6, and 7 in each case. Fig. 4 Concentration distributions of sodium fluorescein in the cleft region when there are two junction strands. The first strand is located at xÄ200 nm and the second at xÄ300 nm. Upper row: Large pore only in the strands; Bottom row: Two pores in the strand. „a… ycÄ0, when the center of the second strand unit lines with the center of the large pore in the first strand, „b… yc Ä75 nm, when the large pore in the second strand is located on one side the periodic unit and „c… ycÄ1320 nm, when the large pore in the second strand lines exactly with the large pore in the first strand. The solute flux for the case shown in upper „a… is 9.3Ã10À6 cmÕs, and in lower „a…, 44.5Ã10À6 cmÕs; in upper „b…, 5.8Ã10À6 cmÕs, and in lower „b…, 41.9Ã10À6 cmÕs; in upper „c…, 35.3Ã10À6 cmÕs, and in lower „c…, 57.7Ã10À6 cmÕs. Journal of Biomechanical Engineering OCTOBER 2003, Vol. 125 Õ 623 Fig. 5 Dimensionless Lp and P as a function of the locations of the junction strands L1 and L2 and the alignment of large junction pores in the strands yc „see Fig. 2…. „a… L1 Ä25 nm, L2 Ä200 nm; „b… L1 Ä100 nm, L2 Ä200 nm; „c… L1 Ä200 nm, L2 Ä300 nm. yc ÕDÄ0 corresponds to the case when the center of the second strand unit lines with the center of the large pore in the first strand „see Fig. 4a…; yc ÕDÄ75Õ1320 is the case when the large pore in the second strand is located on one side the periodic unit „see Fig. 4b…; yc ÕDÄ1 is when the large pore in the second strand lines exactly with the large pore in the first strand „see Fig. 4c…. The left column is for the case when there are only large pores in both strands and the right column for the case when two pores in both strands. When the cAMP was increased, the increased average number of junction strands per cleft, 2.2, was from a distribution of ⬃20% clefts having 1 strand, ⬃48% having 2 strands, ⬃20% having 3 strands, and the rest having 0, 4 or 5 strands. The largest shift was from 1 to 2 strands. To simplify the problem, we used 1 strand in the normal conditions as an average of 0 to 5 strands as in Fu et al. 关1兴 共Fig. 1兲, and used 2 strands when cAMP was increased 共Fig. 2兲. Results Effect of Junction Strand Location on Lp, P under Normal Conditions. Figure 3 shows the results for Lp and P as a function of the strand location L1 under normal conditions when there is a single junction strand in the cleft. Figure 3共a兲 is for largepore-only cases and 共b兲 for two-pore cases. The effect of the strand location L1 on Lp and P is similar in both cases. In general, Lp and P are not sensitive to the change in L1 , only slightly increase when the strand moves towards the abluminal front of the 624 Õ Vol. 125, OCTOBER 2003 cleft. Therefore, we choose the values when the strand is in the middle of the cleft, L1 /L⫽0.5, as the normal control values for Lp and P. Effect of Locations of Junction Strands and Junction Pores on Concentration Distributions. Figure 4 shows the spread patterns of sodium fluorescein when there are two junction strands in the cleft. The upper row in Fig. 4 is for large-pore-only cases and the lower row for two-pore cases. The first strand is located in the middle of the cleft (L1 ⫽200 nm) and the second is at L2 ⫽300 nm. Figure 4共a兲 shows the concentration distributions when the middle of the second junction strand unit is lined with the center of the large pore in the first strand; half of the large pore in the second strand is on each side of the strand unit. When the large pore in the second strand is on one side of the strand unit, the concentration distributions are shown in Fig. 4共b兲. Figure 4共c兲 shows the concentration distributions when these two large pores are exactly lined up with each other. From the spread patterns of sodium fluorescein shown in Fig. 4, we can see that different arrangements of the strand and large pore locations would provide Transactions of the ASME Fig. 6 The mean dimensionless Lp and P as a function of the second strand location L2 when L1 Ä100 nm averaged over all possible yc „see Fig. 2b… different resistance to the transport of water and solutes. For example, the solute flux for the case shown in upper Fig. 4共a兲 is 9.3⫻10⫺6 cm/s, and lower, 44.5⫻10⫺6 cm/s; in upper Fig. 4共b兲, 5.8⫻10⫺6 cm/s, and lower, 41.9⫻10⫺6 cm/s; in upper Fig. 4共c兲, 35.3⫻10⫺6 cm/s, and lower, 57.7⫻10⫺6 cm/s. The changes in the water volume flux 共in the unit of cm/s兲 have similar patterns as for the solute flux. These observations are summarized in Fig. 5. Effect of Locations of Junction Strands and Junction Pores on Lp and P Under Increased cAMP. Figure 5 shows representative cases for Lp, P␣ -lactalbumin, and Psf as a function of junction strand locations L1 and L2 and the alignment of the large junction pores in the strands yc. Results are expressed as the ratio to normal control values when there is a single strand, with both large pores and a small slit, in the middle of the cleft 共see Fig. 3兲. These normal values for the single strand with two pores are the same as those measured in the experiments 关2,18,23兴. We assume that there are no other changes in the cleft except the formation of a new junction strand 共see Discussion兲. Figure 5共a兲 is for cases when the first strand is located 25 nm and the second strand 200 nm away from the luminal front (L1 ⫽25 nm, L2 ⫽200 nm). Figure 5共b兲 is for cases when L1 ⫽100 nm, L2 ⫽200 nm, and Fig. 5共c兲 is for cases when L1 ⫽200 nm, L2 ⫽300 nm. The left column in Fig. 5 shows cases when there are only large pores in both junction strands; the right column shows cases when there are two pores in both strands. Figure 5 shows representative results of all other cases when we change L1 , L2 , and yc /D. In all cases, the Fig. 7 The mean dimensionless Lp and P as a function of the first strand location L1 averaged over all possible L2 „L2 ÌL1 … and yc „see Fig. 2b…. L2 ÌL1 means that the location of the second junction strand L2 is always further than that of the first one L1 to the entrance of the cleft. Journal of Biomechanical Engineering OCTOBER 2003, Vol. 125 Õ 625 Table 1 Comparison of the experimental data with the model predictions for the mean values of the decreased permeability over all possible locations of junction strands and the large pores P/Pnormal Experimental Data Large pore only Two pore Lp /Lpnormal ␣-lactalbumin Sodium fluorescein 0.37 0.32 0.37 0.64 0.47 0.47 0.67 0.16 0.56 further the large pore in the second strand is away from the centerline across the large pore in the first strand, the larger resistance the second strand induces. The largest resistance occurs when the center of the large pore in the second strand is located at 共D-d兲 from the centerline across the large pore in the first strand (yc /D ⫽d/D⫽0.0568). The resistance in this arrangement can be up to 6 folds of that when the second large pore lines exactly with the first large pore (yc /D⫽1), where the lowest resistance appears. We can see from Fig. 5 that when the large pores in two strands are close to each other, yc /D⬎0.6, especially when they are lined up, the effect of junction strand locations is significant. The closer the junction strands are to the cleft entrance, the larger the resistance they induce. When the large pores in two strands are far way from each other, yc /D⬍0.6, the effect of the first strand location L1 can be neglected 共Fig. 5兲, while the effect of relative locations of two strands matters 共Fig. 6兲. Figure 6 shows the mean effect of the second strand location L2 on permeability for a representative case when L1 ⫽100 nm over all possible yc. It indicates that the closer the second strand L2 is to the cleft entrance or to the first strand, the higher the resistance is. Figure 7 shows the mean effect of the first junction strand location L1 on permeability over all possible L2 (L2 ⬎L1 ) and yc. L2 ⬎L1 means that the location of the second junction strand L2 is always further than that of the first one L1 to the entrance of the cleft. It seems that the first strand location L1 共from 25 nm to 300 nm兲 does have some effect on ␣-lactalbumin permeability P␣ -lactalbumin, but not much on Lp and sodium fluorescein permeability Psf. When the first strand is located in the middle of the cleft, L1 ⫽200 nm, the resistance to water and solute transport is minimum. Table 1 shows a comparison of the experimental data with the model predictions for the mean values of decreased permeability over all the cases when changing L1 , L2 , and yc. The mean value for Lp /Lpnormal is obtained through three steps: 共1兲 finding the mean over all possible yc by 兰 10 Lp /Lpnormald共yc /D) for various combinations of L1 and L2 , such as cases shown in Fig. 5; 共2兲 finding the mean over all possible L2 by L 兰 L2bLp /LpnormaldL2 /(L2b⫺L2a) for various L1 , such as cases 2a shown in Fig. 6 共In Fig. 6, L2a⫽150 nm and L2b⫽375 nm); 共3兲 finally finding the mean over all possible L1 by L 兰 L1bLp /LpnormaldL1 /(L1b⫺L1a), such as cases shown in Fig. 7 共In 1a Fig. 7, L1a⫽25 nm and L1b⫽300 nm). The mean values for P and P␣ -lactalbumin are obtained through the same process. The first row in Table 1 shows the experimental data, the second row shows the model predictions for the case when there are only large pores in the strands and the third one shows the predictions for the case when there are two pores in the strands. The experimental data for the decrease in Lp, P␣ -lactalbumin and sf P by the elevation of intracellular cAMP levels are 37%, 64%, and 67% of their control values, respectively in ⬃20 min 关2,18兴. We can see from Table 1 that the mean values for Lp, P in the cases when both strands have two pores fit the experimental results much better than those in cases when there are only large pores in the strands. 626 Õ Vol. 125, OCTOBER 2003 sf Discussion Tight and adherens junctions create a regulated paracellular barrier to the movement of water, solutes, and immune cells between endothelial cells 关9,14,24兴. Very little is known about the assembly of these junctions, but several kinds of evidence suggest that they are very dynamic structures 关10,25兴. Many previous studies have found in a variety of experimental models that increased intracellular cAMP levels can decrease the water and solute permeability by possibly increasing the number of junction strands or complexity in the paracellular cleft 关2兴. However, the quantitative relationship between the permeability and the numbers of junction strands, especially in an in vivo model, has never been investigated. Based on the experimental results of Adamson et al. 关2兴 and Fu et al. 关18兴 for frog mesenteric microvessel permeability, we test in this paper the hypothesis that the decrease in hydraulic conductivity Lp and solute permeability P␣ -lactalbumin and Psf by elevation of intracellular cAMP levels is due to the formation of new junction strands in the interendothelial cleft. Figure 5 shows how locations of two strands and large pores in the strands affect Lp and P. Table 1 gives an averaged value over all the possible locations. It clearly shows that in order to explain the experimental results for water and solute permeability measured by Adamson et al. 关2兴 and Fu et al. 关18兴, the mean number of the junction strand in the cleft would be increased from one to two, and there must be two types of pores in the junction strands. The model predicted values in Table 1 appear to be smaller than the measured values. The explanation for this is that there is an overestimation in the model predictions because the number of junction strands was in fact only increased by 29% 共from 1.7 to 2.2, 关2兴兲 instead of 100% 共from 1 to 2兲 in the model. The model presented in this manuscript is based on the assumption that there are no other structural changes in the cleft such as the number of large pores, the large pore size, the height and the length of the cleft, and the thickness and arrangement of the surface glycocalyx. This assumption has been validated by direct and indirect evidences using electron microscopy and reflection coefficient measurements. After examining and surveying their samples in the electron microscopy study, Adamson et al. 关2兴 concluded that cAMP did not close preexisting gaps 共junction pores兲 and in contrast to cell culture studies, in vivo the action of cAMP did not increase cell to cell overlap or endothelial cell spreading. Although there have been no direct investigations to test the effect of cAMP on the structure of cell surface glycocalyx, the reflection coefficient of ␣-lactalbumin was not changed by cAMP 关18兴. In summary, we have developed a new model that predicts the effect of the junction strands on microvessel permeability. In conjunction with the experimental observations, this model can successfully explain the effect of enhancement of intracellular cAMP levels on microvessel permeability to water, small- and intermediate-sized solutes in in vivo measurements on frog mesenteric microvessels. Acknowledgments This work was supported by National Institutes of Health 共NCI R15CA86847兲, National Science Foundation CAREER award and University of Nevada New Investigator Award. Nomenclature a ⫽ fiber radius B ⫽ half cleft width bs ⫽ half width of the continuous small slit along the junction strand C共i) ⫽ concentration in fiber layer 共i⫽f兲 and in the cleft 共i⫽1,2,3兲 CL ⫽ concentration in the lumen CA ⫽ concentration in the tissue D ⫽ half spacing between adjacent large breaks Transactions of the ASME Dsfree Dsc Dsf Dssl ⫽ ⫽ ⫽ ⫽ Kp ⫽ L ⫽ L1 ⫽ L2 ⫽ L3 ⫽ Lf Ljun Lp P p共i) ⫽ ⫽ ⫽ ⫽ ⫽ pL pA Q2D s Q2D rs Sf V V0 V̄ ⌬ ⫽ ⫽ ⫽ ⫽ ⫽ ⫽ ⫽ ⫽ ⫽ ⫽ ⫽ free diffusion coefficient in aqueous solution effective diffusion coefficient in the cleft effective diffusion coefficient in the fiber layer effective diffusion coefficient in the small slit of the junction strand Darcy permeability total length of the cleft region the distance between the first junction strand and the luminal front of the cleft in the new model the distance between the second junction strand and the luminal front of the cleft in the new model the distance between the junction strand and the abluminal front of the cleft in the previous model thickness of fiber layer thickness of junction strand hydraulic conductivity solute permeability pressure in the cleft 共i⫽1, 2, 3 for regions 1, 2 and 3兲 pressure in the lumen pressure in the tissue volume flow rate through a period 2D solute flow rate through a period 2D solute radius fiber density 共u,v,w兲 velocity (u0 ,v0 ) velocity at the center plane 共ū,v̄兲 average velocity over cleft height spacing between adjacent fibers viscosity References 关1兴 Fu, B. 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