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Diabetic Oxygen-Hemoglobin Equilibrium Curves Evaluated by Nonlinear Regression of the Hill Equation

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Oxygen Transport to Tissue-V

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 169))

Summary

Theoxygen-hemoglobin equilibrium curves (OHECs) were measured on hole blood samples from 131 individuals (33 normal and 26 diabetic aduts and 30 normal and 42 diabetic juveniles) using a Radiometer Disociation Curve Analyzer (DCA-1). All measurements were mad in the morning following an overnight fast and without exogenous insulin. The saturation versus Po2 data were fitted to the Hill equation using a previously described nonlinear regression algorithm to yield the parameters describing the position (P50) and shape (n) of each OHEC. It was found that the Hill model could be used to describe OHECs of both normal and diabetic subjects. A small (approximately 10%) but significant decrease in P50 was found for the diabetic juveniles compared to normal juveniles. There appeared to be no change in P50 with diabetes in adults. However, in these diabetic subjects, the P50 had been increased by the somewhat elevated levels of 2,3-DPG. No difference in n was found between either group of diabetics and their corresponding group of normals but n was approximately 5% lower in juveniles than in adults. The ability of blood to release oxygen to tissue may be transiently impaired in diabetic juveniles because of the left shift of their OHECs.

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References

  • Bunn, H.F., and Briehl, R.W., 1970, The interaction of 2,3-Diphos-phoglycerate with various human hemoglobins, J, Clin. Invest., 49: 1088–1095.

    Article  CAS  Google Scholar 

  • Ditzel, J., 1979, Changes in red cell release capacity in diabetes mellitus, Fed. Proc., 38: 2484.

    PubMed  CAS  Google Scholar 

  • Ditzel, J., 1980, Affinity hypoxia as a pathogenic factor of microangiopathy with particular reference to diabetic retinopathy. Acta Endocrinol., 94 Suppl. 238: 39–55.

    CAS  Google Scholar 

  • Ditzel, J., Kawahara, R., Mourits-Andersen, T., Ostergaard, G.Z., and Kjaergaard, J.J., 1981, Changes in blood glucose, glycosylated hemoglobin and hemoglobin-oxygen affinity following meals in diabetic children, Eur. J. Pediatr., 137: 171–174.

    PubMed  CAS  Google Scholar 

  • Duvelleroy, M.A., Buckles, R.G., Rosenkaimer, S., Tung, C, and Laver, M.B., 1970, An oxyhemoglobin dissociation analyzer, J. Appl. Physiol., 28: 227–233.

    PubMed  CAS  Google Scholar 

  • Garby, L., and Meldon, J., 1977, “The Respiration Functions of Blood”, Plenum Medical Book Co., New York, p. 38.

    Book  Google Scholar 

  • Goldstick, T.K., Ernest, J.T., and Engerman, R.L., 1981, Impaired retinal vascular reactivity in diabetic dogs, Invest. Ophthalmol. Vis. Sci., 20 ARVO Suppl.: 92.

    Google Scholar 

  • Hellegers, A.E., and Schruefer, J.J.P., 1961, Nomograms and empirical equations relating oxygen tensions, percentage saturation and pH in maternal and fetal blood, Am. J. Obstet. Gynecol., 81: 377–388.

    PubMed  CAS  Google Scholar 

  • Hill, A.V., 1910, The possible effects of the aggregation of the molecules of hemoglobin on its dissociation curves, J. Physiol. (Lond.), 40: (Proceedings) iv.

    Google Scholar 

  • Hilpert, P., Fleischmann, R.G., Kempe, D., and Bartels, H., 1963, The Bohr effect related to blood and erythrocyte pH, Am. J. Physiol., 205: 337–340.

    PubMed  CAS  Google Scholar 

  • O’Riordan, J.F., Goldstick, T.K., Ditzel, J., and Ernest, J.T., 1982, Characterization of oxygen-hemoglobin equilibrium curves using nonlinear regression of the Hill equation: Parameter values for normal adults, in press.

    Google Scholar 

  • Perutz, M.F., 1970, Stereochemistry of cooperative effects on hemoglobin, Nature, 228: 726–739.

    Article  PubMed  CAS  Google Scholar 

  • Robinson, B., 1981, NLREG-nonlinear Regression Subroutine Package, (Evanston IL: Vogelback Computer Center Document No. 328 (Rev. B), Northwestern University).

    Google Scholar 

  • Rossi-Bernardi, L., Roughton, F.J.W., Pace, M., and Coven, E., 1972, The effects of organic phosphates on the binding of CO2 to human hemoglobin and on CO2 transport in the circulating blood, in: “Oxygen Affinity of Hemoglobin and Red Cell Acid Base Status”, M. Rorth, P. Astrup, eds., Academic Press, New York, pp. 224–235.

    Google Scholar 

  • Roughton, F.J.W., 1964, Transport of oxygen and carbon dioxide, in: “Handbook of Physiology”, Sec. 3 “Respiration”, 3 vols., W. Fenn, H. Rahn, eds., American Physiological Society, Washington.

    Google Scholar 

  • Roughton, F.J.W., DeLand, E.C., Kernohan, J.C., and Severinghaus, J.W., 1972, Some recent studies of the oxyhemoglobin dissociation curve of human blood under physiological conditions and the fitting of the Adair equation to the standard curve, in: “Oxygen Affinity of Hemoglobin and Red Cell Acid Base Status”, M. Rorth, P. Astrup, eds., Academic Press, New York, pp. 73–81.

    Google Scholar 

  • Severinghaus, J.W., 1966, Blood gas calculator, J. Appl. Physiol., 21: 1108–1116.

    PubMed  CAS  Google Scholar 

  • Winslow, R.M., Morrissey, J.M., Berger, R.L., Smith, P.D., and Gibson, C.C., 1978, Variability ot oxygen affinity of normal blood: An automated method of measurement, J. Appl. Physiol.: Respir. Environ. Exercise Physiol., 45: 289–297.

    CAS  Google Scholar 

  • Woodson, R.D., 1979, Physiological significance of oxygen dissociation curve shifts, Crit. Care Med., 7: 368–373.

    Article  PubMed  CAS  Google Scholar 

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© 1984 Plenum Press, New York

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O’Riordan, J.F., Goldstick, T.K., Ditzel, J., Ernest, J.T. (1984). Diabetic Oxygen-Hemoglobin Equilibrium Curves Evaluated by Nonlinear Regression of the Hill Equation. In: Lübbers, D.W., Acker, H., Leniger-Follert, E., Goldstrick, T.K. (eds) Oxygen Transport to Tissue-V. Advances in Experimental Medicine and Biology, vol 169. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-1188-1_12

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  • DOI: https://doi.org/10.1007/978-1-4684-1188-1_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-1190-4

  • Online ISBN: 978-1-4684-1188-1

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