Articles in PresS. J Appl Physiol (May 17, 2012). doi:10.1152/japplphysiol.00369.2012 1 1 Comparison of various approaches to calculating 2 the optimal hematocrit in vertebrates 3 Heiko Stark* and Stefan Schuster 4 5 Friedrich-Schiller-University 7 Department of Bioinformatics 8 Ernst-Abbe-Platz 2 9 07743 Jena 10 Germany 11 12 Abbreviated title: Optimal hematocrit in vertebrates. 13 14 Word count: 5970 15 16 * 17 Dr. Heiko Stark 18 Lehrstuhl für Bioinformatik 19 Friedrich-Schiller-Universität Jena 20 Ernst-Abbe-Platz 2 21 07743 Jena 22 Germany 23 E-mail: [email protected] 24 Phone: ++49-3641-949584 25 Fax: ++49-3641-946452 Corresponding author: Copyright © 2012 by the American Physiological Society. Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 6 2 26 Abstract An interesting problem in hemorheology is to calculate that volume fraction of 28 erythrocytes (hematocrit) that is optimal for transporting a maximum amount of 29 oxygen. If the hematocrit is too low, too few erythrocytes are present to transport 30 oxygen. If it is too high, the blood is very viscous and cannot flow quickly, so that 31 oxygen supply to the tissues is again reduced. These considerations are very 32 important since oxygen transport is an important factor for physical performance. 33 Here, we derive theoretical optimal values of hematocrit in vertebrates and collect, 34 from the literature, experimentally observed values for 57 animal species. It is an 35 interesting question whether optimal hematocrit theory allows one to calculate 36 hematocrit values that are in agreement with the observed values in various 37 vertebrate species. For this, we first briefly review previous approaches in that theory. 38 Then, we check which empirical or theoretically derived formulas describing the 39 dependence of viscosity on concentration in a suspension lead to the best agreement 40 between the theoretical and observed values. We consider both spatially 41 homogeneous and heterogeneous distributions of erythrocytes in the blood, and also 42 possible extensions like the influence of defective erythrocytes and cases where 43 some substances are transported in the plasma. By discussing the results, we 44 critically assess the power and limitations of optimal hematocrit theory. One of our 45 goals is to provide a systematic overview of different approaches in optimal 46 hematocrit theory. 47 Keywords 48 Optimal hematocrit theory, blood viscosity, Einstein's equation, Fåhræus-Lindqvist 49 effect, adaptation to high altitude Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 27 3 50 a Proportionality factor for substances transported in the plasma b Proportionality factor for substances transported in erythrocytes D Tube diameter η Viscosity of fluid (viscosity of suspension) η0 Viscosity of fluid solvent (so-called embedding fluid) ηrel (D,φ) Viscosity relationship between D and φ J Total flow across the blood vessel (Hagen-Poiseuille law) Joxygen Total oxygen flow across the blood vessel l Tube length Δp Pressure difference φ Volume fraction of particles in the suspension φm Maximum volume fraction (maximal packing density) φopt Optimal volume fraction of particles in the suspension φint Volume fraction of intact particles in the suspension φdef Volume fraction of defective particles in the suspension v Fluid velocity Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 51 Glossary 4 52 1. Introduction In higher animals, red blood cells (erythrocytes) transport oxygen. In evolutionary 54 history, oxygen transporting molecules such as heme are as old as the Bilateria (31, 55 36). Erythrocytes belong to the groundplan of the Craniota (108). Moreover, 56 erythrocytes also transport purine nucleotides from organs with a nucleotide surplus 57 to organs in which purines are required (cf. 55, 85). Obviously, it is physiologically 58 favourable when a maximum amount of oxygen and nucleotides is transported at 59 given sizes of the arteries. This can be phrased as an optimality principle. Such 60 principles are often used in biology, based on Darwinian evolutionary theory. For 61 example, the optimal streamlining of the body shape of different species (shark, 62 barracuda/tuna and dolphin) has been computed (8, 93). Other examples are the 63 optimal number of letters of nucleotides (4) in the genome (99), the optimal amount 64 of ATP produced in metabolic pathways (14, 103, 107), and the optimal leaf sizes in 65 relation to the environment (72). 66 The oxygen flow in animals can change by a change in the erythrocyte to blood 67 volume ratio. This ratio is called hematocrit (cf. 26). In healthy humans, it amounts to 68 about 40 %. Note that there is a difference in most hematological parameters of men 69 versus woman; for example, the hematocrit amounts to 45.8 ± 2.7 % vs. 70 40.0 ± 2.4 %, respectively (27). The gender-related variation in parameters of the 71 blood is explained by the difference in age distribution of red blood cells due to 72 menstruation and the subsequent difference in mechanical properties of blood of pre- 73 menopausal women and men (27). The hematocrit values differ considerably across 74 the animal kingdom (4, 5, 7, 18–23, 29, 32, 45–47, 52, 64, 66, 68, 71, 82–84, 101, 75 102, 104–106, 110, 111). The values of several species are given in Table 1. 76 The question arises whether the hematocrit values given above are optimal. If the 77 hematocrit is too low, too few erythrocytes are present to transport oxygen. If it is too 78 high, the blood is very viscous and cannot flow quickly, so that oxygen supply to the 79 tissues is again reduced. Within hemorheology (hydrodynamics of the blood), a 80 theoretical framework called 'optimal hematocrit theory' has been established (6, 15, 81 41, 70, 104, 110). That an optimum has been found in evolution is supported by the 82 observation that the hematocrit values are quite robust against temperature changes 83 (1, 44) and are nearly the same in active sportsmen and control persons (88). On the 84 other hand, there is some dependency on water supply and on altitude (see below). A Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 53 5 85 general problem in optimality considerations in biology is that usually several 86 optimality principles are relevant simultaneously, for which a trade-off must be found. 87 Here, we focus on the criterion of maximum oxygen transport velocity, leaving other 88 criteria for future studies. 89 These considerations are very important since oxygen transport is an important 90 factor for physical performance. They are especially relevant in medicine (e.g. blood 91 transfusion, 92 mountaineering. For example, the non-alcoholic fatty liver disease (NAFLD) 93 correlates with higher hematocrit levels (58). Regrettably, some sportsmen use blood 94 doping by infusing additional erythrocytes (3, 12, 35, 49, 67, 90). 95 It is an interesting question whether optimal hematocrit theory allows one to calculate 96 hematocrit values that are in agreement with the observed values in various 97 vertebrate species. In this paper, we first briefly review previous approaches in that 98 theory. Then, we check which empirical or theoretically derived formulas describing 99 the dependence of viscosity on concentration in a suspension lead to the best 100 agreement between the theoretical and observed values. We consider both spatially 101 homogeneous and heterogeneous distributions of erythrocytes in the blood. By 102 discussing the results, we critically assess the power and limitations of optimal 103 hematocrit theory. 104 2. Material & Methods dialysis, transplants, stent and shunt implants), sports, and First, we briefly review some fundamentals from rheology needed for the subsequent 106 calculations. 107 2.1.The Hagen-Poiseuille law 108 A central parameter characterizing the flow behaviour of a liquid is its viscosity, η. 109 Consider a blood vessel (e.g. an artery) with circular cross-section. Let R and l 110 denote the radius and length of the tubular vessel. The blood flow is driven by a 111 pressure difference, Δp. A basic assumption in hydrodynamics, which is well justified 112 by experiment, is that the velocity of the liquid very near to a rigid surface is zero (or 113 is the same as that of the surface if that is moving). This is because a thin layer of 114 molecules of the fluid are attached to the surface. Moreover, for symmetry reasons, 115 we can assume that the velocity of a liquid being in a stationary flow in a circular tube Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 105 6 116 forms a profile with rotational symmetry. Thus, it depends only on the radial 117 coordinate r (with 0 < r < R): v = v(r). This is justified as long as the flow is non- 118 turbulent, i.e., for low velocities. To calculate this velocity profile, we can use the 119 equilibrium of forces between driving pressure and resistance due to the viscous 120 properties of the liquid. It is a well-known result from fluid mechanics that the velocity 121 obeys the eq. (1) (33, 75–77, 98). v= 122 R2 − r 2 Δp 4ηl (1) This is a parabolic velocity profile, in which the highest velocity is reached in the 124 middle of the blood vessel (Fig. 1a). It is of interest to know the total flow across the 125 blood vessel. To calculate this, we need to integrate over the cross-section, A, of the 126 tube: J= 127 R R2 − r 2 R2 − r 2 ΔpdA= Δp 2πrdr 4ηl 4ηl 0 J= 128 πΔp R 2 r 2 r 4 R πΔp R 4 R 4 − |0 = − 2ηl 2 4 2ηl 2 4 J= 129 with J = πΔpR 4 8ηl V t (2) (3) (4) 130 Eq. (4) is called the Hagen-Poiseuille law (cf. 26). In a stationary, non-turbulent flow 131 across a cylindrical tube, the total flux of liquid is proportional to the 4th power of the 132 tube radius. 133 2.2. Dependence of viscosity on hematocrit 134 Dilute suspensions 135 The question is now how the viscosity depends on the hematocrit, φ. Blood can be 136 considered as a suspension (rather than a solution) because erythrocytes are much 137 larger than molecules. The solid phase (erythrocytes) is dispersed throughout the 138 fluid phase (plasma) through mechanical agitation. Note that other blood cells such 139 as leukocytes and thrombocytes contribute a negligible volume (< 1%) in comparison 140 to erythrocytes (27). For suspensions of spheric particles with low concentration (but Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 123 7 141 not considering blood at that time), Albert Einstein (24, 25) derived the formula: η = η0 (1 + 2.5φ ) 142 (5) 143 (Fig. 2a) with η = viscosity of suspension, η0 = viscosity of fluid solvent (so-called 144 embedding fluid, e.g. water), φ = volume fraction of particles in the suspension (i.e., 145 hematocrit in the case of blood). 146 Suspensions with higher concentrations 147 Einstein’s formula has been extended in various ways to cope with higher 148 concentrations. For example, the formula of Saitô (86) reads 150 151 152 153 154 (6) while the formula of Gillespie (28) reads η = η0 1+ φ / 2 (1 − φ) (7) 2 and the formulas of Quemeda (80) and Krieger & Dougherty (55) reads η = η0 η = η0 1 (1 − φ / φm ) 2 1 (1 − φ / φm ) 2.5φm (8) (9) 155 respectively, where φm is the maximum volume fraction possible (Fig. 2a). For 156 example, spheres can be packed with a maximum volume fraction of π / √18 ≈ 74 % 157 (43). The formulas (6), (7) and (9) and, with some restriction, formula (8), have the 158 properties that they converge to Einstein’s formula in the case of low φ (as shown 159 below) and obviously diverge in the limit φ → 1 and φ → φm, respectively. In this limit, 160 the suspension becomes practically solid and cannot flow any longer, so that the 161 viscosity becomes infinite. A maximum volume fraction less than 1 can easily be 162 included in Saitô's and Gillespie’s formulas as well by replacing φ by φ/φm. 163 The case of low φ can be treated by a Taylor expansion up to the linear term. In the Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 149 2.5φ η = η0 1+ (1 − φ ) 8 164 case of the Saitô equation, this reads: η ( φ ) η0 + 165 ∂η 2.5 |φ= 0 φ = η0 1+ φ = η0 (1+ 2.5φ ) 2 ∂φ ( 0 − 1) (10) 166 This shows that the formula is consistent with Einstein's equation for low φ. 167 The proof for the case of the Gillespie equation is as follows: η ( φ ) η0 + 168 − (5 + 0) ∂η |φ=0 φ = η0 1 + φ = η0 (1 + 2.5φ ) 2 ( 0 − 1)3 ∂φ (11) For the case of Quemada's formula, we can write a Taylor series, as φ / φm is then a 170 small parameter, 171 η ( φ ) η0 + ∂η 2 |φ=0 φ = η0 1 + (1 − 0 / φ )2+1 φ ∂φ m m 2 φ = η0 1 + φm φ | = η0 (1 + 2.5φ ) φ =0.8 m 172 (12) 173 Thus, Quemada's formula is consistency with Einstein’s formula only for a maximum 174 volume fraction of 80 %. 175 For the Krieger-Dougherty formula, we obtain the more general result: 176 177 η ( φ ) η0 + 2.5φm ∂η |φ=0 φ = η0 1 + 2.5φm+1 ∂φ φm (1 − 0 / φm ) φ = η0 (1 + 2.5φ ) (13) In hemorheology, sometimes exponential functions are used: η = η0 e pφ+q 178 (14) 179 (Fig. 2b) as has first been proposed by Arrhenius (2). However, they have the 180 disadvantage not to diverge in the limit φ → φm. To be consistent with Einstein’s 181 formula in the case of low φ, the parameters must be chosen as follows: p = 2.5, 182 q = 0, as can again be shown by a Taylor series. 183 η ( φ ) η0 + ∂η |φ=0 φ = η0 (1 + e 0∗2.5+0 0 ) φ = η0 (1 + 2.5φ ) ∂φ (15) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 169 9 184 Nearly exponential curves with p values of about 2.5 have indeed been measured in 185 experiments (15, 110). 186 The question arises what the theoretical basis for the exponential function is. One 187 possible explanation is that it is a simple function showing the appropriate 188 monotonicity properties. Another explanation would be that it is the solution of a 189 differential equation 190 an increase in the volume fraction is proportional to the volume fraction. 191 To comply with a divergence at high volume fractions, Mooney (62) proposed the 192 following formula: (16) (Fig. 2b). At low φ, we can write: η ( φ ) η0 + 195 ∂η |φ=0 ∂φ 2.5 2.5 ∗ 0 φ = η0 1 + + 2 1 − 0 / φm (1 − 0 / φm ) φm 2.5 ∗ 0 1− 0 / φ m e φ = η0 (1 + 2.5φ ) (17) 196 197 Formula based on experimental data 198 Pries (79) has compiled own and literature data to a description of relative apparent 199 blood viscosity as a function of tube diameter and hematocrit. The combined data 200 base comprises measurements at high shear rates in tubes with diameters ranging 201 from 3.3 to 1,978 µm at hematocrit values of up to 90 %. It includes also the 202 Fåhræus-Lindqvist effect (see below), which implies a significant decrease of 203 apparent blood viscosity in tubes with diameters ranging between ~500 and 50 µm. 204 This is important because human blood vessels exhibit diameter variations over four 205 orders of magnitude ranging from ~3 cm in the large systemic vessels down to 3 µm 206 in skeletal muscle capillaries (27). The hematocrit-viscosity relationship (φ and ηrel) is 207 described by the steepness B(D) and curvature C(D) in relation to the tube diameter 208 D: Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 2.5φ 1 − φ / φm η = η0 e 193 194 ∂η = const.φ , which means that the increase in viscosity upon ∂φ 10 ( ηrel = 1 + B ( D ) ∗ (1 − φ ) 209 C( D) ) −1 (18) 210 (Fig. 2c). The parameter C describes the curvature of the relationship between 211 relative apparent blood viscosity and hematocrit. Its dependence on D had been 212 fitted by the empirical equation: 1 1 −1 + C ( D) = + 12 D D12 1 + 11 1 + 11 10 10 213 ( 0.8 + e−0.075∗D ) (19) After solving the relative viscosity eq. (18) (with a measured hematocrit value of 215 45 %) for B (D) ( ηrel0.45 ( D ) = 1 + B ( D ) ∗ (1 − 0.45 ) 216 217 C( D) ) −1 (20) one obtains: ηrel0.45 ( D ) − 1 B ( D) = 218 (1 − 0.45) C( D) (21) −1 219 With substitution of ηrel0.45 (D) from a fit of experimental data with a hematocrit of 220 45 % ηrel0.45 ( D ) = 3.2 − 2.44e −0.06∗D 221 222 223 224 225 0.645 + 220e −1.3∗D (22) into the equation (21) results in: B ( D) = 2.2 − 2.44e−0.06∗D 0.645 ( + 220e −1.3∗D W+( −1 +W ) 0.8 + e−0.075∗D −1 + 0.55 with W = ) 1 D12 1 + 11 10 (23) Substitution of the eqs. (19) and (23) into eq. (18) results in: ηrel ( D,φ ) = 1 + ( 2.2 − 2.44e −0.06D ( ) W+ −1 +W ) 0.8 + e −0.075D + 220e −1.3D −1 + (1 − φ ) ( −0.075D W+( −1 +W ) 0.8 + e −1 + 0.55 0.645 ) ( ) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 214 11 (24) 226 227 2.3. The case of inhomogeneous concentration Above, we have assumed that the concentration of particles is the same everywhere 229 in one given artery. However, when a suspension is flowing, the concentration is 230 becoming inhomogeneous. The mechanistic explanation is that the velocity of the 231 fluid is different at different distances from the artery wall, so that each particle is 232 influenced by different velocities. Different velocities cause different pressures 233 (Bernoulli effect), so that a force acting on the particles in the direction perpendicular 234 to the artery axis results. This force is directed such that the particles are driven 235 towards the centre of the artery because the pressure is the lower the higher the 236 velocity is. 237 An explanation arising from irreversible thermodynamics is the Principle of minimum 238 entropy production (30). It says that non-equilibrium systems that are not too far from 239 thermodynamic equilibrium tend, at constant boundary conditions, to a state at which 240 entropy production is minimal. The flow of a liquid is an irreversible process because 241 mechanical energy is permanently converted into heat due to the inner friction of the 242 liquid. In other words, the flow is producing entropy. If the particles are enriched in the 243 centre, the regions where the velocity gradient is high (low) show a low (high) 244 viscosity (Fig. 1b). Thus, the total entropy production due to inner friction is lower 245 than if the viscosity were the same everywhere. For the case of flows of suspensions, 246 this phenomenon is called Fåhræus-Lindqvist effect (cf. 25). 247 2.4. The optimality principle 248 To phrase the optimality principle in a general way, we take into account that the 249 substance of interest, for example, purine nucleotides, may not only be transported 250 by erythrocytes but also in the plasma. This case is also relevant for insects feeding 251 on blood proteins, which occur both in erythrocytes and in the plasma (16) and for 252 oxygen transport in organisms without red blood cells, for example, arthropods. 253 The optimality principle can be written as a maximization of the flow of the substance 254 of interest: 255 maximize J substance = a (1 − φ ) + bφ J ( η ( φ ) ) (25) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 228 12 256 subject to the side constraint 0 ≤ φ ≤1 257 (26) J is the blood flow as calculated by the Hagen-Poiseuille law (eq. 4). This depends on 259 the viscosity, which in turn depends on hematocrit. Constraint (26) is of importance 260 because otherwise unrealistic values of φ>1 could be obtained. 261 φ is a factor in front of J (formula 25) because the amount of transported substance is 262 proportional to the number of erythrocytes. The proportionality constant is here 263 denoted by a, although it is not really relevant because it does not affect the 264 optimum. The same optimality principle is relevant for the transport of purine 265 nucleotides. 266 Substitution of the Hagen-Poiseuille law (4) into eq. (25) results in: πΔpR 4 J substance = a (1 − φ ) + bφ 8η ( φ ) l 267 (27) 268 It can be seen that φ enters the equation at least twice: once in the numerator and 269 once in the denominator. This can lead to the occurrence of an optimum. 270 3. Results 271 In Section 3, we focus on the case of oxygen transport. Since the transport of 272 oxygen in the blood plasma can be neglected in mammals, we can put the parameter 273 a in eq. (27) equal to zero. Interestingly, the remaining parameter b then does not 274 affect the optimum because it is a proportionality factor. In the general case, the ratio 275 between the substance concentrations in the erythrocytes and plasma needs to be 276 known. 277 278 279 3.1. Einstein’s formula We now try to substitute the formula (5) into the eq. (27) for the oxygen flow: J oxygen = πΔpR 4 bφ 8η0 (1+ 2.5φ ) l (28) 280 We now look for a maximum of Joxygen with respect to varying φ. It becomes clear that 281 all the factors such as Δp, R4, l etc. do not play any role. In the Hagen-Poiseuille law, Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 258 13 282 it is only important for our purpose here that the flow is proportional to 1 / η. The 283 function φ 1+ 2.5φ 284 (29) is monotonic increasing in the form of a saturation function (Fig. 3a). So, it would lead 286 to the erroneous result that φ should have its maximum value, 100 %. Then, 287 however, the blood would consist of erythrocytes only. The reason for this failure of 288 the calculation is that Einstein’s equation cannot be applied to our case because 289 blood is not a dilute suspension, that is, the concentration of erythrocytes is not low 290 enough to allow usage of this equation. 291 292 3.2. Saitô' formula Now we substitute Saitô's formula in the equation for the oxygen flow: J oxygen = 293 const.φ φ η0 1+ 2.5 (1 − φ) (30) 294 As the function is continuous and differentiable (Fig. 3a), we can find the maximum 295 by differentiation. ∂J oxygen 296 297 298 299 300 ∂φ 2.5 2.5φ −φ + 2 const. 1 − φ (1 − φ ) = 2 η0 2.5φ 1 + 1− φ + 1 − 2φ − 1.5φ2 =0 1+1.5φ2 1 =0 2.5φ 1 + 1 − φ (31) (32) Equating the numerator with zero leads to a quadratic equation, which has two zeros: φ1,2 = 1 −2 ± 10 3 ( Only the positive solution is relevant. We obtain ) (33) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 285 14 φopt = 301 −2 + 10 ≈ 0.387 3 (34) 302 Thus, an optimal hematocrit of about 39 % is obtained. This is already quite near to 303 the experimentally determined value of 40 %. 304 305 3.3. Gillespie’s formula Now we substitute Gillespie’s formula: J oxygen = 306 const.φ (1 − φ ) 2 η0 (1+ φ / 2 ) (35) It can be seen that this formula has a maximum because it is zero for φ = 0 and φ = 1 308 and positive in between (Fig. 3a). As the function is continuous and differentiable, we 309 can find the maximum by differentiation. ∂J oxygen 310 ∂φ 2 2 1 1 − φ ) − 2φ (1 − φ ) (1 + φ / 2 ) − φ (1 − φ ) const. ( 2 =0 = 2 η0 (1+ φ / 2 ) (36) 311 The numerator involves the factor (1 - φ). Therefore, φ = 1 is a solution, but certainly 312 not a maximum. The remainder of the numerator gives 313 (1 − φ − 2φ )(1 + φ / 2 ) − φ (1 − φ ) / 2 = 0 314 1 + φ / 2 − 3φ − 3φ2 / 2 − φ / 2 + φ2 / 2 = 0 315 1 − 3φ − φ 2 = 0 316 317 318 319 (37) (38) (39) This quadratic equation has two zeros: 3 9 4 3 13 φ1,2 = − ± + =− ± 2 4 4 2 2 (40) Only the positive solution is relevant. We obtain φopt = −3 + 13 ≈ 0.303 2 (41) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 307 15 320 This is fairly close to the experimentally observed value of 40 %, but less close than 321 the result from Saitô's formula. 322 323 3.4. Krieger-Dougherty formula Now we try the Krieger-Dougherty formula: J oxygen = 324 const. φ (1 − φ / φm ) 2.5φm (42) η0 325 This has a maximum as well because it is zero for φ = 0 and φ = φm (Fig. 3a). 326 Differentiation gives 327 328 ∂φ = const. 2.5φ 2.5φ −1 (1 − φ / φm ) m − 2.5φm φ (1 − φ / φm ) m / φm = 0 η0 (43) We can divide by the term in parentheses to the power of 2.5 φm -1 and obtain: 329 φ 1 − φm = 2.5φ (44) 330 2.5φm +1 1= φ φm (45) 331 φm φ= 1+ 2.5φm (46) 332 The solution strongly depends on the packing density of blood. It can be assumed 333 that this is the range from the packing density of spheres, π / √18, and the maximum 334 value of 100 %. The latter can, as an extreme case, nearly be reached when blood is 335 centrifuged. 336 In the extreme case where φm = 1, the optimal value would be 337 338 339 φopt = 2 ≈ 0.286 7 (47) and for the sphere packing, where φm = π / √18, we obtain φ1,opt = 2π 6 2 + 5π ≈ 0.260 (48) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 ∂J oxygen 16 340 The other solution is a minimum. 341 Generally, when φm < 1, then φopt would be smaller than the value given in Eq. (47). 342 In any case, it is smaller than the result based on Gillespie’s formula. 343 3.5. A surprisingly simple solution 344 A solution that is very near to the experimental value can be derived as follows. The 345 factor 2.5 in Einstein’s formula would give the desired result of 40 % just by dividing 1 346 by 2.5. This results indeed from the formula proposed by Arrhenius (2): η = η0 e 2.5φ 347 Substituting this formula into the equation for the oxygen flow gives J oxygen ∝ φe −2.5φ 349 (50) 350 This formula has a maximum, since it is zero for φ = 0, tends to zero for φ → ∞ and is 351 positive in between (Fig. 3b). The question is whether the maximum lies at a value 352 smaller than 1. Differentiation gives ∂J oxygen 353 ∂φ = e −2.5φ − 2.5φe −2.5φ = 0 1 − 2.5φ = 0 354 φopt = 0.4 355 (51) (52) (53) 356 This is a surprisingly simple and excellent solution. The derivation does not take into 357 account the criterion that η should diverge for φ → 1 (or even earlier, when the 358 maximal packing density φm of cells is reached). 359 The more complex formula (16) of Mooney leads to results less consistent with reality 360 (see Fig. 3b and Tab. 2). 361 362 363 3.6. Pries formula Now we try the Pries formula: J oxygen = const. φ η0 ηrel ( D,φ ) (54) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 348 (49) 17 364 For values of D > 1,000 µm we obtain an optimal hematocrit of φopt ≈ 0.392 366 Note that the Pries formula has an asymptotic behaviour such that the viscosity does 367 not practically depend on D anymore for D values above 1,000 µm. 368 The good agreement of the calculated optimal value with the real hematocrit is not 369 surprising, since the Pries formula is based on experimental data. Interesting is the 370 region below 1,000 µm, were we obtain optimal values from 0.392 up to 1 (see 371 Fig. 4). The Fåhræus-Lindqvist effect, which occurs mainly at tube diameters of less 372 than 300 µm, leads to an increase in the optimal hematocrit (see Discussion for 373 further explanation). 374 3.7. Possible extensions of the theory 375 An approximative solution in the spatially inhomogeneous case 376 Now we include the Fåhræus-Lindqvist effect. The extreme situation is reached when 377 all particles are shifted to the middle axis and compressed there so that a quasi-solid 378 cylinder occurs (Figs. 1c and 5). This has indeed been discussed for the case of 379 blood for sufficiently wide vessels (26, 37, 38, 78). The cylinder (with radius R0) can 380 have a certain packing density, φ*, e.g. the maximal packing density, φm. This 381 cylinder then moves as a whole without velocity gradients in its interior. Outside of it, 382 the pure liquid (water, or blood serum in our case) is flowing. 383 The value φ is now an averaged, effective quantity. It is related to the packing density 384 φ* in the moving cylinder by the following formula, which corresponds to the cross- 385 section area of the blood vessel: 386 387 388 389 πR02 φ* = πR 2 φ (55) This allows us to calculate the radius of the cylinder: R0 = φ 2 R φ* (56) We use the formula (1) and substitute r within formula (56) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 365 18 φ R2 − R2 φ* Δp v= 4ηl 390 391 392 393 After integration over the entire tube radius we obtain: J= πΔpR 4 ( φ − φ*) 4ηlφ* πΔpR 4 φ 1 − 4ηl φ* (58) With the formula (25) for the optimality principle we can write: J oxygen = ∂J oxygen 395 = ∂φ const. φ φ 1 − η0 φ* =− 1 φ φ+ 1 − = 0 φ* φ* 2φ =1 φ* 396 φopt = 397 φ* 2 (59) (60) (61) (62) 398 The maximal packing density depends on the shape of the particles. Let us assume 399 that the erythrocytes are deformed approximately into spheres, so that the maximal 400 packing density is π / √18. This yields φopt = 37 % 401 (63) 402 which is very near to the experimental value of 40 %. If it were assumed that the 403 erythrocytes are compressed completely (like in the centrifuge), φ* would be 100 %, 404 so that φopt = 50 % would be obtained. 405 Influence of defective erythrocytes 406 As mentioned above, the observed hematocrit in humans differs between women and 407 men. Typical values are 40.0 ± 2.4 % and 45.8 ± 2.7 %, respectively (27, 50, 51). A 408 straightforward explanation is menstruation. This causes a periodic outflow of 409 erythrocytes including defective ones in women. Since they are replaced by new Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 394 (57) 19 410 erythrocytes, the percentage of defective erythrocytes is lower in women than in 411 men. This explanation is supported by the observation that the hematocrit in women 412 increases after the menopause (10). 413 To compute the optimal value in the presence of defective erythrocytes, eq. (27) (with 414 a = 0) needs to be modified. Let φint and φdef denote the hematocrit values 415 corresponding to intact and defective erythrocytes, respectively. Then the numerator 416 in eq. (27), which describes oxygen transport, should involve φint only. In contrast, the 417 demoninator, which corresponds to the viscous flow, should involve the sum φint + 418 φdef, so that eq. (27) should be extended as: J oxygen (64) 420 This equation can now be used to compute the optimal values based on the different 421 formulas given in Table 2. However, this is beyond the scope of this paper and will be 422 done in a sequel paper. Here, we show, by way of example, the calculation for the 423 Arrhenius equation. φdef is assumed to be a given parameter determined by 424 physiological properties. J oxygen ∝ φint e 425 426 (65) The optimum is computed to be ∂J oxygen 427 ( +φdef ) −2.5 φint ∂φint =e ( +φdef ) −2.5 φint − 2.5φint e 428 1 − 2.5φint = 0 429 φint, opt = 0.4 ( +φdef ) −2.5 φint =0 (66) (67) (68) 430 It can be seen that the optimal total hematocrit is, in the case of the Arrhenius 431 equation, simply the sum of the ideal optimal hematocrit (in the case where no 432 defective erythrocytes would occur) and the volume fraction of defective erythrocytes: 433 434 φtot, opt = 0.4 + φdef (69) Case where some substance is transported in the plasma Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 419 πΔpR 4 = a (1 − φint ) + bφint 8η ( φint + φdef ) l 20 435 As mentioned in Section 2, the substance of interest may not only be transported by 436 erythrocytes but also in the plasma. To analyse this case, non-zero values of the 437 parameter a should be used. Again, the different formulas given in Table 2 can be 438 used. This will be done in a sequel paper. Here, we only use, by way of example, 439 the Arrhenius equation. We have J substance ∝ a (1 − φ ) + bφ e −2.5φ 440 441 (70) The optimum is computed to be 443 [ −1+ b] − 2.5 a (1 − φ ) + bφ = 0 φopt = 444 445 446 7a − 2b 5a − 5b (71) (72) (73) In the special case a = 0, this leads again to Eq. (53). 4. Discussion 447 Here, we have derived theoretical optimal values of hematocrit in vertebrates and 448 collected, from the literature, experimentally observed values for 57 animal species. 449 The theoretical values are based on different formulas for the dependence of 450 viscosity on the volume fraction of suspended particles taken from the literature. We 451 have shown that relatively simple approaches based on Newtonian fluid dynamics 452 provide results that are consistent with experimentally observed values. Although 453 blood is, of course, a non-Newtonian fluid, the simplification to Newtonian properties 454 appears to be justified here. 455 Similar considerations are certainly of interest also in the suction of nectar by insects 456 (cf. 15, 39, 51, 52, 71, 72) and in technological applications with respect to 457 suspensions other than blood. This concerns, for example, the question which 458 concentration a cement-water suspension should have to enable a maximum 459 pumping flow of cement along tubes (65, 85). 460 We started with trying Einstein’s formula for dilute suspensions. Although this has not 461 led to realistic results, we included it into the paper to show the step-wise way of Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 442 ∂J substance = [ − a + b ] e −2.5φ − 2.5 a (1 − φ ) + bφ e −2.5φ = 0 ∂φ 21 finding good descriptions in science. 463 The observed values differ considerably among species, ranging from 19 % 464 (estuarine crocodylus) to 63 % (weddell seal). Also the theoretical values differ in 465 about that range. The deviations between theoretical and observed values may 466 provide an indication of the extent to which other optimality criteria are relevant as 467 well, so that a trade-off must have been found in evolution, as discussed earlier in the 468 case of optimal stoichiometries of metabolic pathways (107). As for the weddell seal 469 and beluga (white) whale, the rather large hematocrit value may be due to an 470 additional criterion relevant for diving animals. Since they have to store as much 471 oxygen as possible before diving, the storage capacity of the blood for oxygen needs 472 to be particularly high. However, this does not appear to be a consistent feature for 473 all diving animals since the killer and beluga whales show hematocrit values below 474 50 % (Table 1). Also for birds, the values differ considerably. This might be due to a 475 different activity, although Optimal Hematocrit Theory would not predict any 476 dependency on activity. It may be assumed that again additional criteria are relevant. 477 The exponential function (Arrhenius' formula) and Saitô's formula lead to the 478 surprisingly simple solutions of 40 % and 39 %, respectively, which excellently match 479 the observed values in humans, chimpanzee, gorilla, rabbit, cat, pig, and several 480 other species. Mooney's equation leads to a value of 23 % (assuming a maximal 481 packing density of 1), which is in perfect agreement with the observed value in the 482 rainbow trout. The Krieger-Dougherty and Gillespie formulas yield about 30 %, 483 matching with llama, tiger, armadillo, pea fowl and quail. 484 The question arises why more complex formulas such as the Gillespie and Krieger- 485 Dougherty equations do not give such good results for the species with high 486 hematocrit as the simple exponential function, while they may be relevant for species 487 with lower hematocrit. 488 A possible answer is that blood is a very complicated fluid involving a lot of effects, 489 while most of the formulas used here for the dependence of viscosity on volume 490 fraction had been derived for other types of suspensions such as plastic globules or 491 cement (60, 61, 63, 69, 81, 85). Erythrocytes are not usually spheres. In humans and 492 many animals they are biconcave disks, while in camels and llamas, they are 493 elliptical (97). They aggregate to each other, orient and are deformed in flowing 494 blood. Brinkman et al. (9) found that erythrocyte aggregation could be divided into Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 462 22 four types: no rouleaux formation type (ox, sheep, and goat), slight rouleaux 496 formation type (rabbit), moderate type (human, pig, dog, cat, and rat), and excessive 497 type (horse) (cf. 66). Due to all these effects, blood is a non-Newtonian fluid. That 498 means that viscosity depends on the velocity gradient. 499 Interestingly, for complex situations or processes, simple formulas sometimes lead to 500 better results than complicated ones, even if the simple ones do not have a firm 501 theoretical basis. This is, in fact, the essence of modelling, since a model is a 502 simplified representation of some aspect of reality. Different models can be built for 503 the same process, and it is decided by the practical application which one works 504 best. As mentioned above, in hemorheology, many effects play a role such the 505 dependence on flow velocity, diameter etc. Here, we have simplified things 506 considerably to concentrate on the essential properties. In spite of these 507 simplifications, realistic results can be derived in optimal hematocrit theory. 508 Red blood cells of camels and llamas are elliptical, as contrasted to the disc-shaped 509 biconcave red cells of other mammals (97). The resistance to flow which is offered by 510 a suspension of asymmetric particles, such as blood cells, must depend upon their 511 orientation with respect to the direction of flow. It is possible that elliptical cells might 512 orient in the direction of flow more easily than discoidal cells, but with the methods 513 used in this study we did not find differences in viscosity that could be attributed to 514 the difference in shape. The rationale behind the study was that the elliptical cells of 515 camel and llama might be of advantage in their respective environments, desert and 516 high altitude (97). The camel is confronted with intense heat and potential 517 dehydration with hemoconcentration, and the llama encounters low oxygen 518 pressures where a high red cell concentration is an advantage. 519 It is interesting to discuss the physiological advantages of the emergence of 520 erythrocytes during evolution. One advantage over oxygen-transporting molecules 521 dissolved in the plasma is the Fåhræus-Lindqvist effect, which allows the blood cells 522 to concentrate in the centre of the vessels and, thus, to decrease effective viscosity. 523 Moreover, the kidneys can filter blood cells much more easily than heme molecules 524 (11). A further advantage is that the interaction of heme with other molecules is 525 avoided. 526 A phenomenon worth being discussed here is blood doping (12, 49, 88, 90). First of 527 all, we stress that we are against such a practice for legal and medical reasons. Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 495 23 528 Nevertheless, it is of academic interest to discuss why this doping is efficient (within 529 certain limits) in spite of the assumed optimality property of hematocrit in the 530 physiological standard situation. This assumption is supported by the observation 531 that the hematocrit is nearly the same in active sportsmen and control persons (88). 532 Böning et al. (12) called the effect of blood doping the Hematocrit Paradox. 533 Blood doping (induced erythrocythemia) is the intravenous infusion of more 534 concentrated blood to produce an increase in the blood’s oxygen carrying capacity. 535 This can increase the hemoglobin level and hematocrit by up to 20 %. Does this 536 falsify our above calculations? There are at least three factors to be considered. 1. The addition of erythrocytes increases blood volume. As the blood vessels are 538 rather elastic, they can be dilated, so as to take up the increased volume. This, 539 however, increases the parameter R (artery radius) in our calculations. 540 2. We assumed the pressure difference, Δp, to be constant. However, the heart does 541 not produce the same pressure under all conditions. If blood viscosity and, thus, the 542 resistance against heart contraction increase, the heart tries to pump harder, to 543 reach the same blood flow velocity. However, this is possible only over a small 544 range of viscosity above the optimal one. Above that range, the increased viscosity 545 indeed reduces oxygen transport. And even in the range where increasing the 546 hematocrit seems to be beneficial, the heart is more stressed. There is a 547 hyperviscosity syndrome, which can lead to heart failure in the long term. 548 3. We cannot completely be sure that the hematocrit found in humans or other animals 549 is really optimal. One has to be careful that no circular reasoning is used. Such a 550 reasoning would be to ask whether the hematocrit is optimal, then try various 551 calculations until one of them gives the experimental value and then say the answer 552 is positive - the hematocrit is optimal. It might be that the hematocrit is slightly below 553 the optimum in order to give the organism the chance to realize a better oxygen 554 flow under special circumstances. For example, at high altitudes, where oxygen 555 pressure is lower, the hematocrit indeed increases. The hematocrit also changes in 556 camels during longer dry seasons and after drinking much water (95). 557 4. Böning et al. (12) mention the following additional potential factors: augmented 558 diffusion capacity for oxygen in lungs and tissues because of the enlarged red cell 559 surface area, increased buffer capacity, vasoconstriction, reduced damage by Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 537 24 560 radicals, and even perhaps placebo effects. They suggested that blood doping has 561 multifactorial effects not restricted to the increase in blood oxygen content. In summary, blood doping is dangerous (and anyway illegal). One of the risks in the 563 hyperviscosity syndrome is blood clotting inside of the blood vessels due to higher 564 density of erythrocytes. 565 It is an empirical fact that hematocrit increases at higher altitudes. In the case of 566 humans, this can be easily observed in mountaineering (39, 89, 100); for the llama, 567 see Table 1. At first sight, this is intuitively understandable because the lower oxygen 568 pressure should be compensated. One of the most documented physiological 569 adaptations to a reduced O2 uptake is the increased release of erythropoietin, which 570 causes an increase in red blood cell mass (91, 100). On the other hand, it may seem 571 to contradict optimal hematocrit theory because a higher hematocrit makes the blood 572 more viscous. The paradox can be resolved by the observation that the increase in 573 hematocrit at higher altitudes is partly due to a decrease in the amount of blood 574 plasma (cf. 89, 96). This is first caused by dehydration and later by a shift of 575 intravasal fluid to the interstitial space. Thus, the total blood volume decreases, while 576 in the above calculations, blood volume was considered constant. A lower volume 577 makes it easier for the heart to drive blood circulation, so that an increase in viscosity 578 can be tolerated. 579 There are a number of additional effects. It has been shown that the native 580 highlander is characterised by a larger pulmonary diffusion capacity (17) and 581 adaptations in the structural and metabolic organisation of skeletal muscle that result 582 in a tighter coupling between ATP hydrolysis and oxidative phosphorylation (42). 583 From the above reasoning about blood doping and adaptation to high altitudes, it 584 may be concluded that the observed hematocrit values are slightly suboptimal. 585 Suboptimal states were also discussed in the optimal kinetics of oxygen binding to 586 hemoglobin (109) and in the optimal degree of redundancy in metabolism (56, 96). 587 This allows to increase the hematocrit under stress conditions and, thus, to reach a 588 better performance. This is worth being studied further. 589 At the end of the Results section, we have outlined several interesting extensions of 590 the theory. One extension concerns the consideration of spatially heterogeneous 591 distributions of erythrocytes. Here, we have modelled the Fåhræus-Lindqvist effect by Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 562 25 considering the extreme case where all particles move in the middle of the blood 593 vessel as a quasi-solid cylinder. This leads to higher optimal hematocrit values than 594 in spatially homogeneous suspensions. This can be explained as follows: The 595 cylinder moves as a whole without velocity gradients in its interior. Thus, a high 596 erythrocyte concentration can be reached without inner friction. At the boundary of 597 the cylinder, a steep velocity gradient occurs because there, viscosity is lower. A 598 similar reasoning can be applied to spatially heterogeneous suspensions in general. 599 To simulate continuous spatial concentration gradients, variational calculus (13, 34, 600 48, 59, 80, 94) can be used (not done here). Both the velocity and the concentration 601 would then be written as functions of the radial coordinate r. From the Principle of 602 minimum entropy production (30), a minimization principle can be written, from which 603 the optimal velocity and concentration profiles can be computed by variational 604 calculus. Averaging the concentration over the cross-section leads to the optimal 605 hematocrit. 606 The second potential extension concerns the difference in the observed hematocrit 607 values of men vs. women. A straightforward explanation is the different percentage of 608 defective erythrocytes in the two genders due to menstruation. A similar effect has 609 been discussed for the case of blood doping by erythropoietin - the percentage of 610 young red blood cells with good functional properties increases. This gender 611 difference can be included in the equations relatively easily. 612 The third generalization concerns the case where the substance of interest is not 613 only transported by erythrocytes but also in the plasma. We have considered this in 614 the equations from the outset, but focussed for most calculations on the case where 615 the substance (e.g. oxygen) is only transported by erythrocytes. The general case 616 requires an additional parameter: the ratio between the substance concentrations in 617 the erythrocytes and plasma. 618 A promising calculation is the following. Based on the theory presented here, the 619 additional pumping power of the heart necessary to achieve the same oxygen 620 transport in the case of high hematocrit values (larger than 40%) can be calculated. 621 Optimal hematocrit theory can be extended also in other ways. For example, non- 622 Newtonian fluid mechanics can be used (16), although Newtonian approaches lead 623 to very good results, as shown here. 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Journal of Comparative Physiology B: Biochemical, Systemic, and Environmental Physiology 157: 1-9, 1987. 929 Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 890 891 892 35 930 Figures 931 Figure 1: a) Parabolic velocity profile (blue) in the case of homogeneous 932 concentration. b) Oblate velocity profile in the case where particles are concentrated 933 in the middle (Fåhræus-Lindqvist effect). c) Extreme situation with a blood thread 934 moving in the middle of the vessel. 935 Figure 2: Plots of viscosity vs. hematocrit based on different formulas. a) Einstein ( 936 ), Saito ( 937 Arrhenius ( 938 the direction of arrow (5 µm, 50 µm, 500 µm for solid lines and 10 µm, 100 µm, 939 1,000 µm for dashed lines). 940 Figure 3: Plot of the oxygen transport flux vs. hematocrit. a) Einstein ( 941 Gillespie ( 942 Mooney ( 943 Figure 4: Optimal hematocrit in relation to the tube diameter after Pries et al. 1992. 944 Figure 5: Extreme situation with a blood thread moving in the middle of the vessel. ) and Mooney ( ), Quemada ( ), Quemada ( ) and Krieger-Dougherty ( ). b) ). c) For the Pries formula the diameter increase in ) and Krieger-Dougherty ( ), Saito ( ). b) Arrhenius ( ) and ). Tables 946 Table 1: Literature values of the hematocrit in 57 vertebrate species. 947 Table 2: Optimal Hematocrit values calculated by different formulas. ), Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 945 ), Gillespie ( 36 948 949 950 Disclosures No conflicts of interest, financial or otherwise, are declared by the author(s). Author contributions S.S. and H.S. conception and design of research; S.S. and H.S. analysed formulas; 952 H.S. and S.S. interpreted results of experiments in literature; H.S. prepared figures 953 and tables; H.S. and S.S. drafted manuscript; H.S. and S.S. edited and revised 954 manuscript; H.S. and S.S. approved final version of manuscript. 955 We (H. Stark & S. Schuster) certify that we have made a direct and substantial 956 contribution to the work reported in the manuscript in all of the following three areas: 957 1) conception and design of the study; 2) data acquisition, and analysis and 958 interpretation of the data; 3) drafting of the manuscript or providing critical revision of 959 the manuscript for intellectual content. We also certify that all authors approved the 960 final version of the manuscript. Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 951 Figure 1: a) Parabolic velocity profile (blue) in the case of homogeneous concentration. b) Oblate velocity profile in the case where particles are concentrated in the middle (FåhræusLindqvist effect). c) Extreme situation with a blood thread moving in the middle of the vessel. Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Figure 2: Plots of viscosity vs. hematocrit based on different formulas. a) Einstein ( ), Saito ( ), Gillespie ( ), Quemada ( ) and Krieger-Dougherty ( ). b) Arrhenius ( ) and Mooney ( ). c) For the Pries formula the diameter increase in the direction of arrow (5 µm, 50 µm, 500 µm for solid lines and 10 µm, 100 µm, 1,000 µm for dashed lines). Figure 4: Optimal hematocrit in relation to the tube diameter after Pries et al. 1992. Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Figure 3: Plot of the oxygen transport flux vs. hematocrit. a) Einstein ( ), Saito ( ), Gillespie ( ), Quemada ( ) and Krieger-Dougherty ( ). b) Arrhenius ( ) and Mooney ( ). Figure 5: Extreme situation with a blood thread moving in the middle of the vessel. Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Table 1: Literature values of the hematocrit in 57 vertebrate species. Animal Hematocrit (%) Sample Size References Mammalia (Mammals) 63.2 9 Guard & Murrish, 1975 Kangaroo 53.0 1 Bartels et al., 1966 Beluga whale 52.6 46.0 2 3 Shaffer et al., 1997 Dhindsa et al., 1974 Mixed dog breeds 52.1 45.9 44.1 5 12 6 Ohta et al., 1992 Nemeth et al., 2009 Usami et al., 1969 Mongolian Gerbil 49.6 5 Ohta et al., 1992 Leopard Seal 49.2 5 Guard & Murrish, 1975 Mole 47.2 5 Bartels et al., 1969 Hedgehog 47.0 5 Bartels et al., 1969 Tasmanian devil 47.0 1 Bartels et al., 1966 Crabeater Seal 46.5 2 Guard & Murrish, 1975 Mixed rat breeds 45.5 44.5 6 12 Ohta et al., 1992 Nemeth et al., 2009 Human 44.8 44.4 44.0 44.0 40.0 45.3 48 14 21 19 40 36 Ohta et al., 1992 Guard & Murrish, 1975 Usami et al., 1969 Weng et al., 1996 Kameneva et al., 1998 Kameneva et al., 1998 Goat 43.0 28.9 3 12 Yamaguchi et al., 1987 Usami et al., 1969 Mixed rabbit breeds 42.9 39.8 5 6 Ohta et al., 1992 Kato, 1991 Lemur 42.8 42.5 16 13 Dhindsa et al., 1972 Dhindsa et al., 1972 Pronghorn antelope 42.7 4 Dhindsa et al., 1974 Lion 42.5 2 Parer et al., 1970 Elephant 42.1 38.7 35.9 7 5 15 Dhindsa et al., 1972 Riegel et al., 1967 Usami et al., 1969 Cat 42.0 15 Ohta et al., 1992 Gorilla 42.0 2 Riegel et al., 1966 Pig 41.0 22 Weng et al., 1996 Orang utan 40.9 1 Riegel et al., 1966 Killer whale 40.1 3 Dhindsa et al., 1974 Women Men Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Weddell Seal 39.8 1 Riegel et al., 1966 Galago 39.4 38.4 8 8 Dhindsa et al., 1982 Dhindsa et al., 1982 Sheep 37.0 37.0 9 10 Usami et al., 1969 Weng et al., 1996 Alpaca 36.0 3 Yamaguchi et al., 1987 Shrew 35.5 11 Bartels et al., 1969 Horse 35.0 12 Weng et al., 1996 Cow 34.0 10 Weng et al., 1996 Vicuña 34.0 1 Yamaguchi et al., 1987 Camel 34.0 22.1 2 1 Yamaguchi et al., 1987 Riegel et al., 1967 Llama 30.0 26.8 (3420 m) 24.4 (0 m) 3 3 3 Yamaguchi et al., 1987 Banchero et al., 1971 Banchero et al., 1971 Tiger 29.8 2 Parer et al., 1970 29 4 Dhindsa et al., 1971 Armadillo Aves (Birds) Blue-eyed Shag 55.9 8 Guard & Murrish, 1975 Gentoo Penguin 52.6 13 Guard & Murrish, 1975 Pigeon 52.5 8 Munday & Blane, 1961 Adelie Penguin 47.8 11 Guard & Murrish, 1975 Turkey 47.0 Chinstrap Penguin 47.0 2 Guard & Murrish, 1975 South Polar Skua 45.5 11 Guard & Murrish, 1975 Giant Petrel 44.9 12 Guard & Murrish, 1975 Ostrich 42.6 not given Isaacks & Harkness, 1980 Mixed chicken breeds 40.5 30.9 not given Isaacks et al., 1976 (53) 5 Ohta et al., 1992 Mallard Duck 38.4 31 Guard & Murrish, 1975 Guinea Fowl 33.7 4 Isaacks et al., 1976 (55) Quail 33.5 not given Isaacks & Harkness, 1980 Pea Fowl 29.0 not given Isaacks & Harkness, 1980 Pheasant 24.0 not given Isaacks & Harkness, 1980 not given Isaacks & Harkness, 1980 Crocodilia (Crocodiles) Estuarine Crocodile 19.2 (~25°C) 11 Wells et al., 1991 Testudina (Turtles) & Serpentes (Snakes) Green Sea Turtle 38.9 (~25°C) 2 Isaacks & Harkness, 1980 Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Chimpanzee Grass snake Loggerhead Sea Turtle 37.0 (21-24°C) 6 Munday & Blane, 1961 27.2 (~25°C) 2 Isaacks & Harkness, 1980 Amphibia (Amphibians) American Bullfrog 27.2 (22°C) 24.5-28.2 (20°C) 24.4-26.9 (5°C) 6 17 17 Withers et al., 1991 Weathers, 1976 Weathers, 1976 Osteichthyes (Bony Fishes) Yellowfin Tuna 35.0 (25°C) Rainbow Trout 30.1-37.0 (12°C) 23.0 (15°C) not given Brill and Bushnell, 1994 24 7 Gingerich et al., 1987 Tetens and Christensen, 1987 Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Table 2: Optimal hematocrit values calculated by different formulas. Einstein 1906; Einstein 1911 Saitô, 1950 Gillespie 1983 Quemada 1977 Krieger & Dougherty 1959 Mooney 1951 Pries et al. 1992 Optimal hematocrit (%) η = η0 (1+ 2.5φ ) - φ η = η0 1 + 2.5 (1 − φ ) 38.7 η = η0 η = η0 η = η0 1+ φ / 2 (1 − φ ) 2 30.3 1 2 24.7 (φm=π / √18) 33.3 (φm=1) 2.5φm 26.0 (φm=π / √18) 28.6 (φm=1) (1 − φ / φm ) 1 (1 − φ / φm ) η = η0 e2.5φ 40.0 2.5φ 1 − φ / φm η = η0e 20.7 (φm=π / √18) 23.4 (φm=1) See equation (24) 39.2 (D=10,000 µm) 39.3 (D=1,000 µm) 39.7 (D=500 µm) 44.5 (D=100 µm) 48.4 (D=50 µm) 60.6 (D=10 µm) Downloaded from http://jap.physiology.org/ by 10.220.33.2 on July 28, 2017 Arrhenius 1917 Viscosity formula
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