An electrochemical theory of the glycocalyx surface layer
on capillary endothelial cells is developed as a model to study the
electrochemical dynamics of anionic molecular transport within capillaries. Combining a constitutive relationship for electrochemical transport, derived from Fick's and Ohm's laws, with the conservation of mass and Gauss's law from electrostatics, a system of three nonlinear, coupled, second-order, partial, integro-differential equations is obtained for the concentrations of the diffusing anionic
molecules and the cations and anions in the blood. With the exception
of small departures from electroneutrality that arise locally near the
apical region of the glycocalyx, the model assumes that cations in the
blood counterbalance the fixed negative charges bound to the
macromolecular matrix of the glycocalyx in equilibrium. In the presence
of anionic molecular tracers injected into the capillary lumen, the
model predicts the size- and charge-dependent electrophoretic mobility
of ions and tracers within the layer. In particular, the model predicts
that anionic molecules are excluded from the glycocalyx at equilibrium
and that the extent of this exclusion, which increases with increasing
tracer and/or glycocalyx electronegativity, is a fundamental
determinant of anionic molecular transport through the layer. The model
equations were integrated numerically using a Crank-Nicolson
finite-difference scheme and Newton-Raphson iteration. When the
concentration of the anionic molecular tracer is small compared with
the concentration of ions in the blood, a linearized version of the
model can be obtained and solved as an eigenvalue problem. The results
of the linear and nonlinear models were found to be in good agreement
for this physiologically important case. Furthermore, if the
fixed-charge density of the glycocalyx is of the order of the
concentration of ions in the blood, or larger, or if the magnitude of
the anionic molecular valence is large, a closed-form asymptotic
solution for the diffusion time can be obtained from the eigenvalue
problem that compares favorably with the numerical solution. In either case, if leakage of anionic molecules out of the capillary occurs, diffusion time is seen to vary exponentially with anionic valence and
in inverse proportion to the steady-state anionic tracer concentration in the layer relative to the lumen. These findings suggest several methods for obtaining an estimate of the glycocalyx fixed-charge density in vivo.
 |
INTRODUCTION |
The surface glycocalyx on capillary endothelial
cells has been the subject of considerable controversy and conjecture
in the recent literature on the microcirculation. The focus of much of this attention has been on the mechanical implications of the glycocalyx on microvascular rheology, specifically in terms of its
gross effect on capillary tube hematocrit and apparent viscosity (Klitzman and Duling, 1979
; Desjardins and
Duling, 1990
; Vink and Duling, 1996
;
Damiano et al., 1996
; Pries et al., 1997
;
Damiano, 1998
; Secomb et al., 1998
). Very
little emphasis, however, has been placed on the possible role of the
glycocalyx in determining the electrophoretic mobility of charged
molecules within capillaries. In light of recent experimental evidence
(Vink and Duling, 2000
), it appears as if significant
electrostatic interactions arise between the glycocalyx and anionic
molecular tracers which dramatically influence transport of the
tracers. The potential significance of these findings to microvascular
permeability and exchange motivates the present analysis of
electrochemical molecular transport through the capillary glycocalyx.
Although the composition and structure of the endothelial-cell
glycocalyx are not well characterized, insight into its mechanical and
electrochemical behavior can be gained from what is known about some of
its possible macromolecular constituents. It appears that these
constituents include, but are not limited to, heparan sulfate
proteoglycan, chondroitin sulfate proteoglycan, and hyaluronic acid
(Desjardins and Duling, 1990
; Henry and Duling,
1999
). In this way, the endothelial-cell glycocalyx is similar
to mucopolysaccharide structures arising in other systems (e.g.,
articular cartilage, tectorial membrane, etc.). This similarity
essentially pertains to the fact that these mucopolysaccharide
structures are highly hydrated in an electrolytic solution and are rich
in proteoglycan, glycoprotein, and glycosaminoglycan (GAG) aggregates,
which contain large numbers of solid-bound fixed negative charges. It
also appears likely that the molecular composition of the glycocalyx
varies across its thickness, from the endothelial-cell surface to its apical region within the capillary lumen. Henry and Duling
(1999)
found, through enzymatic reduction of the capillary
glycocalyx with hyaluronidase, that hyaluronan (and perhaps other
constituents that are cleaved by hyaluronidase) may contribute
significantly to the apical glycocalyx. This finding was based on the
fact the very large dextran molecules, having molecular weights (MW)
>580, and red cells remained excluded by the apical glycocalyx; yet smaller dextran molecules, <145 kDa, permeated significantly into the
layer after enzymatic reduction with hyaluronidase. They also reported
a marked increase in capillary tube hematocrit after hyaluronidase
treatment, suggesting that the permeability of the glycocalyx to blood
plasma is strongly dependent upon the presence of those constituents
that are cleaved by hyaluronidase (Damiano, 1998
;
Secomb et al., 1998
).
Combining intravital brightfield and fluorescence microscopy of the
capillary glycocalyx, Duling and co-workers (Vink and Duling,
1996
, 2000
;
Henry and Duling, 1999
) have revealed its surprisingly
large in vivo dimension, its unexpected permeability properties, and
the tenuous nature of its structure. They have also shown that the
illumination used to visualize the layer also results in its
eradication if epifluorescent exposure is sustained for >3-5 min.
Their approach consists essentially of obtaining two images
one
brightfield image of a capillary using transillumination, and one image
of fluorescently labeled tracers in the capillary lumen using
epifluorescence illumination an instant later. By subtracting the width
of the fluorescent tracer column from the anatomical diameter of the
capillary imaged under transillumination, one has a measure of either
the instantaneous in vivo thickness of glycocalyx, if the tracers are
sufficiently large so as to be excluded by the layer, or the extent of
diffusion into the layer of tracers small enough to penetrate the
glycocalyx pores. Using this technique, Vink and Duling
(1996
, 2000
)
concluded that the in vivo thickness of the glycocalyx was ~0.4-0.5
µm. This represents a much more substantial structure than previous
estimates derived from electron microscopy studies, which likely
underestimate the thickness due to dehydration of the extracellular
matrix that inevitably accompanies tissue fixation. Consequently, on
the basis of these electron microscopy studies, estimates of the
glycocalyx thickness on capillary endothelial cells were on the order
of only 50-100 nm. It is for this reason, perhaps, more than any other, that the glycocalyx has been almost entirely overlooked in
matters concerning microvascular rheology, permeability, and exchange.
Because the capillary glycocalyx is at the interface between blood and
the luminal endothelial-cell surface, it represents the first barrier
to transvascular exchange. It is evident, therefore, that microvascular
permeability is dependent upon glycocalyx permeability. To probe this,
Vink and Duling (2000)
conducted a series of experiments to study glycocalyx permeability within capillaries. They observed that
dextran molecules >70 kDa remained excluded from the glycocalyx by
virtue of their size for over 3 h, regardless of whether they were
labeled with anionic or neutral fluorescent dyes. However, smaller
anionic dextrans between 4 and 40 kDa invaded the glycocalyx with
size-dependent half-times of between 12 and 60 min, respectively. Even
extremely small anionic dyes between 0.4 and 0.6 kDa showed half-times
of 11 min. Alternatively, neutral dyes of ~0.4 kDa and neutral
dextrans of <40 kDa equilibrated within one capillary transit time.
For neutral dextran molecules <40 kDa, the corresponding Fickian
diffusion time in plasma over the glycocalyx length scale of ~0.4
µm is <20 ms. Thus, diffusion times for charged molecules could
potentially be as much as five orders of magnitude longer than their
neutral counterparts. These results suggest an important role for the
solid-bound fixed charges of the glycocalyx matrix in capillary permeability.
It is in the midst of this rather unsettled state of affairs that we
find ourselves without adequate quantitative explanations for many of
these recent experimental findings. In an attempt to close this gap
between experimental observation and theoretical understanding, we
embark upon an electrochemical analysis of the glycocalyx that is
sophisticated enough to address the salient physical phenomena while
avoiding contrived specificity. We seek to determine whether a
relatively simple electrochemical model of the glycocalyx can account
for the disparity in diffusion times between anionic and neutral
molecular tracers reported by Vink and Duling (2000)
.
The model assumes that the glycocalyx consists of a multicomponent
mixture that includes a fluid constituent (blood plasma), mobile ions
(cations and anions), and a solid proteoglycan/glycoprotein/GAG matrix
containing fixed negative charges. The negative charges bound to the
solid matrix are assumed to have a fixed-charge distribution in the
reference configuration given by
|zFcF(x,
t0)|, where zF and
cF are, respectively, the mean valence and
concentration distribution associated with the molecular constituents
of the glycocalyx. In equilibrium, it is expected that the mobile ions
establish a distribution that nearly counterbalances the fixed charges
on the solid matrix such that a state of electroneutrality exists throughout the vessel, except for a slight departure localized near the
apical glycocalyx, i.e., near the interface between the glycocalyx and
vessel lumen. When integrated over the vessel cross section, however,
these local charge imbalances should cancel such that global
space-charge neutrality exists within the capillary. Therefore,
throughout the vessel lumen where there is no glycocalyx, the
concentration distributions of mobile anions and cations should be
equal. The mobile ions in this region can be thought of as a neutral
salt (Lai et al., 1991
), which has no net effect on the
total charge density within the capillary. However, near the glycocalyx
interface, the mobile cation concentration is expected to increase to
nearly neutralize the fixed negative charges on the glycocalyx, while
the mobile anion concentration should decrease. These concentration
gradients in the mobile ion distributions must be supported in
equilibrium by the electric field generated by the glycocalyx. As we
shall see, this electric field exerts its effect on the diffusing
anionic molecular tracers by partially excluding them from the
glycocalyx. The degree to which this exclusion occurs is primarily
dependent upon the molecular tracer valence and glycocalyx fixed-charge density.
In what follows, a constitutive relationship derived from Fick's and
Ohm's laws is proposed for the electrochemical flux of an anionic
molecular tracer. Together with the conservation of mass, Gauss's law
from electrostatics, and appropriate boundary conditions, a closed
model is obtained for electrochemical transport through the capillary
glycocalyx. This model is solved numerically for the one-dimensional,
axisymmetric, spatiotemporal concentration distributions of the
molecular tracer and mobile ions in the blood. Furthermore, a linear
analysis is developed which is valid whenever the molecular tracer
concentration is small compared with the ion concentration in the
blood. From this analysis, a closed-form asymptotic expression is
derived for the molecular tracer diffusion time that is valid if either
the fixed-charge density is large compared with the ion concentration
in the blood or the electronegativity of the anionic molecular tracer
is large. Following this is a discussion of analytical results where we
consider specific parameter values (e.g., molecular tracer valence,
glycocalyx fixed-charge density, and glycocalyx distribution) required
to reproduce the recent experimental findings of Vink and Duling
(2000)
. We conclude with a discussion of the model's
implications for the system in equilibrium and propose several
alternative experimental approaches to finding the glycocalyx
fixed-charge density in vivo that are independent of molecular
diffusion times or the reaction-diffusion kinetics of the system.
 |
THE MODEL |
The glycocalyx is modeled here as a continuously distributed
anionic matrix made up of proteoglycans, glycoproteins, and GAGs containing fixed-bound negative charges through which a solution of
anionic molecular tracers in blood plasma can diffuse. Of fundamental importance to the model is that it account for the presence of ionic
salts (Na+, Cl
, etc.) in the blood. The
validity of the continuum approximation used here for the glycocalyx
matrix depends not only upon the instantaneous spatial distributions of
the matrix and fixed charge groups, but also upon the temporal
variations in those distributions arising from Brownian motion of the
matrix. In fact, if it were not for these temporal variations, the
continuum approximation might not be reasonable. In particular, we
assume that in its hydrated state, the glycocalyx is extremely diffuse
and resembles other collagen-poor mucopolysaccharide extracellular
matrix structures with solid-volume fractions below 1% (Levick,
1987
). The instantaneous fixed-charge distribution in such a
structure is therefore likely to be quite heterogeneous. Furthermore,
the Debye length in normal saline is <0.2 nm, and thus the electric
field induced by the fixed charges bound to the glycocalyx is very
efficiently shielded by the counter cations in the blood. At such high
cation concentrations relative to cf the
strength of the electric field, at a distance of 1 nm or more from one
of the fixed-charge groups, would be reduced to <1% of its maximum
value if the glycocalyx matrix were a static scaffold with
fixed-bound-negative charges. Indeed, if it were not for Brownian
motion of the glycocalyx matrix itself, the instantaneous electric
field distribution in a system with such a low solid-volume fraction
and such a high cation concentration would likely be extremely
nonuniform. However, when one accounts for Brownian motion of the
proteoglycan/glycoprotein/GAG aggregates at 310 K, the time-averaged
spatiotemporal distribution of the electric field would certainly be
more uniform than the instantaneous distribution, making the continuum
approach more reasonable. Therefore, we assume that variations in the
electric field arising from cationic charge shielding and sparsity of
the individual fixed charges bound to the glycocalyx matrix are offset,
in a time-averaged sense, by Brownian motion of the matrix. We
therefore model the glycocalyx as having a continuous concentration
distribution and continuous fixed-charge density distribution (with at
most a finite number of discontinuities at interfaces) such that
spatial variations in the electric field are solely a result of spatial
variations in the time-averaged fixed-charge density distribution.
By invoking the continuum approximation, we bring to bear the classical
theory of electrochemical ionic transport in solution, which has its
origins in the Nernst-Planck equation (Bockris and Reddy,
1970
). In the context of this theory, transport is driven principally by chemical gradients and electrostatic forces. In the case
of transport of anionic molecular tracers through the glycocalyx, the
results of Vink and Duling (2000)
suggest a strong dependence on tracer valence; thus, the important contributions to
molecular transport that are considered here are derived from chemical
and electrostatic potentials.
Conservation of mass
In the absence of chemical reactions, the time rate of change of
the concentration, c
, of species
is
related to its flux, J
, relative to a
quiescent solvent, by the conservation equation given by
|
(1)
|
The various flux contributions mentioned above must be specified
by appropriate constitutive relations.
Constitutive flux laws
For any mass transport problem there is a flux,
J
, associated with the chemical
potential of the diffusing species that is proportional to the
concentration gradients of the species
. Typically, this is modeled
using Fick's law of diffusion. To account for the strong charge
dependence in the results of Vink and Duling (2000)
, a
flux, J
, due to electrostatic
interactions of species
with the electric field induced by the
glycocalyx is also introduced. The constitutive flux law for
electrostatically driven transport is derived from Ohm's law, and is
obtained by considering electrostatic and viscous forces that act on a
diffusing particle in suspension due to the effect of all charges in
the system. Thus, we model the total electrochemical flux,
J
, of species
as the sum of Fick's and
Ohm's laws given by
|
(2)
|
|
(3)
|
where D
is the diffusion coefficient,
z
is the ionic valence,
f
is the Stokes drag coefficient, q is the elementary charge, and E is the electric
field vector. This expression forms the basis for the model presented here. It should be noted that z
represents
the effective valence, which provides the correct electrophoretic
mobility of the charged molecule in solution. The effect of charge
shielding is then accounted for in the valence, which may take on
noninteger values.
Electrochemical transport equations
The Stokes drag coefficient, f
, is
related to the diffusion coefficient according to the Einstein relation, D
= kBT/f
, where
kB is Boltzmann's constant and T is
the absolute temperature (Reif, 1965
). Thus, the flux and species conservation equations become
|
(4)
|
|
(5)
|
The index
makes explicit the fact that there are
different diffusing species in the system. Namely,
may take the
values +,
, and L, for the mobile cations
(Na+), the mobile anions (Cl
), and anionic
molecular tracers, respectively.
It remains now to determine the electric field E due to the
presence of charge imbalances in the system. From the outset it should
be noted that there will be global charge balance, so that the total
charge in the system is zero. There may, however, be local charge
imbalances due to gradients in the concentrations of the various
species. The electric field due to a system of charges may be
determined using Gauss's law from electrostatics. The divergence of
the electric field depends on the local charge density,
,
according to
|
(6)
|
where
is the permittivity of the surrounding medium, which is
taken to be the same as that of water (1.57 × 10
11
F/m).
At this point, the effect of the glycocalyx may be included. The
glycocalyx is assumed to be a charged porous matrix of macromolecules, each with valence zF. The concentration of
macromolecules in the glycocalyx is denoted by
cF, which varies over the cross section of the
capillary. The glycocalyx fixed-charge density is then denoted by
|zFcF|. In this
analysis, deformations of the glycocalyx are considered negligible, so
the initially specified concentration, cF, does
not vary with time. For convenience, we introduce the quantity
=
/q, which represents the local charge
imbalance per unit charge and corresponds to the valence-weighted
sum of constituent concentrations given by
|
(7)
|
where, for convenience, we have introduced the parameters
m =
zL and n =
zF. Gauss's law, given in terms of
by
· E = q
/
, taken together with
the three second-order, nonlinear, partial differential equations
represented by Eq. 5, provide a system of four scalar equations in the
four unknowns, c+(x, t),
c
(x, t),
cL(x, t), and
(x, t).
Axisymmetric form of the equations
In all of what follows, axisymmetric conditions will be imposed
and axial variations in the field variables will be neglected. With
this approximation, all variables depend only on the radial coordinate,
r, and time. This simplifies the governing equations substantially since Gauss's law is then integrable. Omitting uniform additive contributions to the electric field in the
êr, ê
, and
êz directions, Eq. 6 reduces to
|
(8)
|
where, by axisymmetry, the electric field has only a radial
component such that E = Er(r t)êr. Furthermore,
in the axisymmetric case, the electric field must vanish at
r = 0. If there is zero net charge in the system, the
electric field must also vanish at the system boundary at r =
. This global electroneutrality condition requires that
|
(9)
|
The conservation equations contained in Eq. 5 may be written in
cylindrical coordinates, and upon substitution of Eq. 8 for Er, they become
|
(10)
|
for
= +,
, and L. The fourth equation needed
for closure is just the definition of
given by Eq. 7. Thus,
substitution of Eq. 7 into Eq. 10 provides a coupled system of three
scalar, second-order, nonlinear, partial integro-differential equations in the three unknowns, c+, c
, and
cL.
Boundary conditions
Because the equations represented by Eq. 10 have one time
derivative and two space derivatives, an initial condition and two boundary conditions are needed. For a closed system, the flux of any
species across the system boundary must vanish. In particular, if the
closed boundary of the system is at r =
, then the
radial component of the flux must satisfy
J
(
, t) = 0.
Expressing Eq. 4 for the flux in axisymmetric cylindrical coordinates,
this boundary condition takes the form
|
(11)
|
Recalling the charge balance requirement of Eq. 9, this boundary
condition simplifies to
|
(12)
|
The second boundary condition arises from the geometry of the
problem. Because the system is presumed to be axisymmetric, odd
derivatives of the concentration vanish at r = 0, which
provides the second boundary condition given by
|
(13)
|
Initial conditions
We assume a Gaussian radial distribution for the initial
concentration,
cL(r, t0), of molecular
tracers. As we will see, the diffusion time is insensitive to the exact
form of this initial distribution. However, the initial distributions
of the mobile salt ions, Na+ and Cl
, present
a more difficult problem. Because it is assumed that salts in the blood
plasma are in equilibrium before molecular tracers are added, the
condition that determines the initial c+ and
c
distributions is that the flux vanish
identically. Therefore, we must solve Eq. 4 subject to the constraint
that J±
0. The electric
field for these equations is given by Eq. 8, but with
cL = 0 in Eq. 7 defining
. In
cylindrical coordinates, the two zero-flux equations become
|
(14)
|
and the expression for
in equilibrium becomes
|
(15)
|
As for the unsteady case, the boundary conditions for Eq. 14 are
given by Eqs. 12 and 13. From Eqs. 12-15, steady-state solutions can
be obtained that represent the equilibrium configurations for
c±(r, t0) immediately before
molecular tracers are added.
Nondimensional form of the equations
So that reasonable order-of-magnitude approximations can be made,
we make the relative size of each term in the equations apparent by
nondimensionalizing the variables and equations. The parameters that
characterize the problem are given in Table
1. Using an asterisk to denote
dimensionless variables, the dependent and independent variables are
nondimensionalized as follows:
|
(16)
|
|
(17)
|
Taking D
to be constant, and assuming
D+
D
, we
have
|
(18)
|
|
(19)
|
|
(20)
|
where we have introduced the following dimensionless groups:
|
(21)
|
Henceforth, the nondimensional form of the governing equations
will be used, and for convenience, the asterisks will be dropped.
Glycocalyx distribution
The concentrations of proteoglycan, glycoprotein, and GAG
macromolecules in the glycocalyx are assumed to increase continuously from zero in the lumen to a nearly constant (but unknown) value near
the endothelial-cell wall. Leakage of the tracer molecules from the
capillary into the extravascular space might also play an important
role in the electrochemical dynamics. The glycocalyx distribution is
thus approximated by an expression of the form:
|
(22)
|
The dagger indicates that the distribution is symmetrized about
r = 0; that is, p(r)
= p(r) + p(
r), and
is a scaling factor so that
max{cF(r)} = 1. The radii,
rg and rec, denote the
locations of the lumen-glycocalyx and glycocalyx-endothelial
boundaries, respectively, and are known approximately from experimental
results of Vink and Duling (1996
, 2000
). Near rg, 99% of
the rise in cF occurs over a distance
rg, while 99% of its fall occurs near rec over a distance
rec. Fig. 1
shows a schematic diagram of this distribution. Setting both
rg and
rec to zero
results in a box-shaped distribution, with discontinuities in
glycocalyx concentration at rg and
rec. In dimensional variables, the maximum concentration of the glycocalyx corresponds to
c
.

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|
FIGURE 1
The assumed form of the cF
distribution, as in Eq. 22, showing the parameters
rg, rg,
rec, and rec. Not to
scale.
|
|
 |
EQUILIBRIUM CONFIGURATION |
A few observations can be made about the three equations
represented by Eqs. 18 and 19. They are clearly coupled through Eq. 20
for
, and are nonlinear. The nonlinearity appears in the flux contribution associated with the electric potential, and is bilinear and quadratic. The integral term complicates the problem considerably because it means that local charge imbalances have global influence. Here we derive some exact and asymptotic relations of the equilibrium solutions, including an asymptotic expression for
as a function of
cF. These results are used in the next section
to derive a linearized set of equations.
Product of concentrations at equilibrium
For two different diffusing species at equilibrium, having
concentrations cu and cv
and valences zu and zv,
the product
(cu)1/zu(cv)
1/zv
is constant over space. To see this, consider the steady-state version
of the flux equations given by
|
(23)
|
|
(24)
|
Dividing Eq. 23 by
zucu and Eq. 24 by
zvcv and subtracting, we
obtain
from which it follows that
|
(25)
|
For a salt solution with zu = +1 and
zv =
1, this result says that the product
c+c
is constant at equilibrium. In
dimensional variables, the constant is equal to unity; dimensionally,
it is given by c
. Furthermore, from
Eq. 25 it follows that at any two radial distances, r1 and r2,
from which we conclude
|
(26)
|
This result becomes useful when solving for the equilibrium
distribution of a species because it can be used to uncouple the
zero-flux equations.
Implication for tracer exclusion in equilibrium
The results of the previous section have important implications
for the exclusion of molecular tracers from regions where the
glycocalyx fixed-charge density is large. To illustrate this, we
initially restrict consideration to z+ = 1
and z
=
1. Subsequently, we will give
an argument to generalize the results to arbitrary values of
z+ and z
.
Using Eq. 26, and letting r1 = 0, r2 = r, u = +, and v = L (so
that z+ = 1 and
zL =
m), we
obtain
|
(27)
|
Similarly,
|
(28)
|
Recalling the definition of
from Eq. 20, we note that
B
4000 in blood plasma, and also that nF
is presumed to be large compared with m, which is <~5 in
the experiments of Vink and Duling (2000)
. Because all
concentrations are nondimensional, they are of order unity so
mcL is negligible compared with the other terms.
Also, because modest charge imbalances result in large forces,
is
generally assumed to be very small. Therefore,
|
(29)
|
In the lumen, cF is also negligible because
the glycocalyx is assumed not to extend across the entire vessel
(Vink and Duling, 1996
, 2000
). Since cF(0) = 0, then at the center of the lumen
z+c+(0)
z
c
(0). Using this in Eq. 28, and
recalling the assumptions that z+ = +1 and
z
=
1, Eq. 29 becomes
|
(30)
|
from which it follows that the nonnegative value of
c+(r) is given by
|
(31)
|
Now, for convenience we define
|
(32)
|
and substitute Eq. 31 into Eq. 27 to obtain
|
(33)
|
for z+ =
z
= 1.
Because the concentrations are nondimensional,
c+(0) = 1, and if r = r0 is chosen where the glycocalyx is most concentrated, then cF(r0) = 1. Thus,
0 = nF/(z+B)
measures the ratio of the glycocalyx fixed-charge density to the
luminal concentration of free salts, and
|
(34)
|
This quantity will be referred to as the exclusion factor because
it gives the factor by which anionic molecular tracers are suppressed
within the glycocalyx compared with the lumen. It is plotted against
0 for several different values of m in Fig.
2. If
0 and m
are small, then
cL(r0)/cL(0)
approaches unity. If
0 and m are large, then
cL(r0)/cL(0)
approaches zero, implying that the molecular tracers are excluded from
the glycocalyx. Thus, if the fixed-charge density of the glycocalyx is
large compared with the concentration of free salts in the blood, or if
m is large, then anionic tracers are excluded from the
glycocalyx. This plays a very important role in suppressing the flux of
tracers through the glycocalyx, and thereby lengthening the diffusion
time.
Equilibrium distribution for
The equilibrium configuration for
can be determined from the
zero-flux equation for c+ corresponding to the
dimensionless form of Eq. 14 given by
|
(35)
|
We divide the zero-flux equation by c+,
which vanishes nowhere, and differentiate with respect to r
to find
|
(36)
|
This immediately gives
in terms of the distribution of
c+ such that
|
(37)
|
Using Eq. 31, and recalling that c+(0) = 1, we substitute for c+ in Eq. 37 to obtain
|
(38)
|
|
(39)
|
where
|
(40)
|
Equation 38 shows that
is related to the second derivative of
the glycocalyx distribution, cF. Since
Q = 72300 for a typical capillary,
is a small
quantity, as assumed in the derivation of Eq. 29, making the assumption
self-consistent. Based on dimensional considerations discussed earlier,
this estimate for
should be accurate to within one part in
z+cblood/(mc
) = B/m
1000 even during the diffusion process. Next
it will be shown that f is closely related to the voltage
field induced in the neighborhood of the glycocalyx.
Induced voltage
Although electroneutrality has been imposed
globally, concentration of the glycocalyx on the endothelial-cell wall
gives rise to small departures from electroneutrality near the
interface between the glycocalyx and the plasma in the lumen. The
resulting electric field that arises from these charge imbalances can
be calculated directly from
using Eq. 8. Substituting the
approximate analytic expression for
, given by Eq. 39, into Eq. 8,
and redimensionalizing, gives the electric field explicitly:
|
(41)
|
The voltage is then given by:
|
(42)
|
where V0 is a constant of integration.
Substituting for f in this expression from Eq. 40
gives
|
(43)
|
The reference voltage has been chosen to make the voltage zero
within the lumen. This expression agrees with the interface potential
quoted by Masaki et al. (2000)
.
 |
LINEARIZED SOLUTION |
In this section we invoke the approximation that B/m
1 and use the results of the previous section to decouple and
linearize the governing equations. This permits an eigenfunction
solution to the problem. The value of the first nonzero eigenvalue,
1, is shown to have important implications for the
diffusion time, and an asymptotic expression for
1 is
found for a box-shaped distribution of the glycocalyx.
Quasi-static approximation for
The key observation is that although mcL
might significantly exceed
throughout the system,
varies only
slightly as cL changes with time. The physical
justification for this is somewhat subtle. Before the addition of
anionic molecular tracers, c+ and
c
have been in the system sufficiently long to
attain equilibrium with the glycocalyx molecules. This means that the
electric field set up by the fixed charges bound to the glycocalyx is
already supporting concentration gradients in
c± near the glycocalyx. When tracers are added,
they also diffuse through the glycocalyx; however, because
c
cblood the
presence of tracers introduces only a small perturbation to the free
salt ion concentration. Thus, c± does not
change significantly, and neither does the electric field, which
continues to support concentration gradients in
c±. Therefore,
is perturbed only slightly
around its equilibrium value and remains nearly unchanged throughout
the diffusion process. Essentially, the presence of anionic molecular
tracers may only perturb
by around one part in B/m
1000.
This result can be derived formally by considering Eq. 37 in
conjunction with the requirement of global charge balance. Because the
additional cations must globally balance the charge on the anionic
molecular tracers, we have
|
(44)
|
where c+(r, t0)
is the equilibrium distribution of cations before the tracers are
added. Thus, the temporal variation of c+ must
be of order m/B, so we write
c+(r, tf) = c+(r, t0) + (m/B)
c+(r), where
c+(r, tf) is the cation equilibrium
distribution after the tracers have equilibrated, and
c+(r) is of order unity (in the sense that
its volumetric integral on 0
r
1 is unity).
Substituting this expression into Eq. 37 gives
|
(45)
|
|
(46)
|
|
(47)
|
Thus, consistent with the qualitative arguments made previously,
the fractional variation in
is of order m/B
1/1000, and is therefore negligible. Thus,
can be considered
quasi-static, and is well-approximated by the steady-state result given
by Eq. 39.
Eigenvalue problem for static
Using the quasi-static approximation for
in Eq. 39, the
governing equations can be linearized and decoupled. Recalling Eq. 19,
the conservation of mass for cL is given by
|
(48)
|
Substituting Eq. 39 for
and integrating provide
|
(49)
|
This equation is linear in cL and
homogeneous, and is uncoupled from the conservation equations governing
the other species. Separation of variables provides a series solution
in terms of orthogonal functions. Thus, we seek multiplicatively
separable solutions of the form R(r)T(t) that satisfy Eq. 49
and the boundary conditions. Using standard methods (Boyce and
DiPrima, 1992
), a linear superposition of such solutions will
provide an eigenfunction expansion that will be made to satisfy the
initial condition at t = t0. Substituting
into Eq. 49 and separating r and t dependence we
find
|
(50)
|
where
is a real constant. In this form it is evident that
R(r) depends only on
and f(r), which in turn
depend only on m,
0, and
cF(r). Because Eq. 49 is homogeneous,
we conclude from the second of Eq. 50 that T(t) = e
2t/D.
Because the flux must vanish at r = 0 and r = 1, according to Eqs. 12 and 13, the boundary conditions on
R(r) are simply R'(0) = R'(1) = 0.
Imposing these boundary conditions provides a denumerable infinite set
of eigenvalues, {
n}
, corresponding to the set of eigenfunctions,
{Rn(r)}
, where each Rn(r) must satisfy the
ordinary differential equation (ODE) given by the first of Eq. 50. For
0 = 0, an analytic expression for
R0(r) is found to within a multiplicative
constant to be
|
(51)
|
This corresponds to the equilibrium distribution for
cL after transients have decayed. To within a
multiplicative constant factor, it is the same as Eq. 33. For the
remaining eigenfunctions, Rn(r),
however, there is no analytic expression for general f(r).