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1 Department of Physiology, University of the Witwatersrand, Johannesburg 2193, South Africa; and 2 Department of Physiology, University of Western Australia, Crawley 6009, Australia
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ABSTRACT |
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Selective brain cooling (SBC) is defined as a brain temperature cooler than the temperature of arterial blood from the trunk. Surrogate measures of arterial blood temperature have been used in many published studies on SBC. The use of a surrogate for arterial blood temperature has the potential to confound proper identification of SBC. We have measured brain, carotid blood, and rectal temperatures in conscious sheep exposed to 40, 22, and 5°C. Rectal temperature was consistently higher than arterial blood temperature. Brain temperature was consistently cooler than rectal temperature during all exposures. Brain temperature only fell below carotid blood temperature during the final few hours of 40°C exposure and not at all during the 5°C exposure. Consequently, using rectal temperature as a surrogate for arterial blood temperature does not provide a reliable indication of the status of the SBC effector. We also show that rapid suppression of SBC can result if the animals are disturbed.
brain temperature; heat exposure; heat stress; thermoregulation
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INTRODUCTION |
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SOME MAMMALS CAN MAINTAIN the brain, or at least parts of it, at a temperature cooler than that of the arterial blood supply from the trunk (1, 20). This phenomenon has been termed selective brain cooling (SBC). It is most conspicuous in mammals possessing a carotid rete. In these mammals, arterial blood on its way to the brain is cooled in the carotid rete via heat exchange with cool venous blood returning from the respiratory surfaces of the nasal cavity (1). It is thus postrete arterial blood temperature that is affected by SBC with the cooled arterial blood lowering the temperature of perfused regions of the brain. Quantification of SBC therefore requires knowledge of prerete blood temperature and brain temperature. Hayward and Baker (18) found that in monkeys, no difference in temperature existed between arterial blood in the aorta and at other sites as distant as the anterior cerebral artery, basilar artery, or abdominal aorta. On that basis, Baker and Hayward (3) proposed that carotid blood temperature provides a reliable measure of prerete arterial blood temperature.
Measurement of carotid blood temperature is not a simple task, and many investigators have relied on other measures of trunk temperature as a surrogate for prerete arterial blood temperature. If these surrogate temperatures were the same as arterial blood temperature, then using them to decide the degree to which an animal was using SBC would entail no error. However, temperatures measured at different trunk sites are not identical (5, 6, 19, 30, 40), so using surrogate temperatures may confound the determination of SBC. For example, there is a definite threshold of arterial blood temperature for onset of SBC in goats (27), but using rectal and brain temperature to estimate SBC, Mitchell et al. (33) concluded that a related artiodactyl, the sheep, always used SBC even during cold exposure. Rectal temperature (Tre) often exceeds arterial blood temperature in sheep (19, 40, personal observation), so the results of studies using Tre to estimate SBC require reinterpretation. Most of the studies that report apparent SBC in mammals that do not possess a rete, and in birds, have used some surrogate trunk temperature rather than arterial blood temperature to estimate SBC and so may be similarly confounded.
The main aim of our study was to evaluate the utility of Tre in estimating whether an animal is using SBC. We have used the adult sheep as the model for this study, because all published studies reporting SBC in sheep have relied on Tre as a surrogate for arterial blood temperature. We have measured brain temperature in the hypothalamus (Thyp), arterial blood temperature in a common carotid artery (Tcar), and Tre in sheep exposed to 40, 22, and 5°C. We also report observations on some nonthermal factors that influence SBC in the laboratory.
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MATERIALS AND METHODS |
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Animals. Four Dorper-cross ewes (average mass ± SD = 54.9 ± 8.4 kg) were used. The sheep were housed individually in connecting indoor pens where ambient temperature varied between 21 and 25°C and a natural light-dark cycle was maintained. Water was provided ad libitum, and commercial feed (Epol, Johannesburg, South Africa) and lucerne chaff were provided in the morning. Fresh straw was provided daily. The procedures were approved by the Animal Ethics Screening Committee of the University of the Witwatersrand (protocol 95/14/5).
Temperature measurements. Under halothane general anesthesia (8% for induction, 2% for maintenance) and in sterile conditions, each animal was fitted with blind-ended thermocouple guide tubes for measurement of carotid blood and brain temperature. The carotid guide tube consisting of a polythene core ensheathed in silicone rubber (1.4 mm internal diameter, 1.9 mm outer diameter) was inserted into the left common carotid artery through a puncture made with a hypodermic needle. The puncture was sealed, and the guide tube was secured in place, with a purse string suture around the tube that did not occlude the artery. Outside the artery, the guide tube was enclosed in a thicker silicon rubber tube that was secured to muscle near the site of insertion, exited the skin on the neck, and was attached to a cloth collar. The brain guide tube consisted of a length of acetate tubing (1.6 mm internal diameter, 3 mm outer diameter) through a nylon head plate. Anatomic markers were used to direct the guide tube toward the hypothalamus via a hole drilled in the skull 3 mm left of the midline. The nylon head plate was secured to the skull with bone screws. Correct positioning in the hypothalamus was confirmed post mortem.
During experiments, copper/constantan thermocouples were inserted into each guide tube to measure Thyp and Tcar. An additional thermocouple, ensheathed in vinyl tubing, was used to measure Tre 100 mm beyond the anal sphincter. The reference junction of each thermocouple was maintained at 0°C (Omega Ice-Point, Omega), and thermocouple voltage was measured by a Hewlett-Packard model 8410 voltmeter to microvolt resolution. The voltmeter was interfaced to a personal computer that was programmed to scan the relevant channels on the voltmeter multiplexer every 30 s to convert voltage to temperature using calibration equations obtained for each thermocouple against a certified quartz thermometer (Quat 100, Heraeus, Germany) and to record temperatures to file. Resolution of thermocouple measurement was 0.025°C. In comparisons of thermocouple temperature against known (Quat 100) temperatures in a water bath, maximum error never exceeded 0.07°C.Procedures. Beginning 10 days after surgery, several sets of measurements were made on each animal. Sheep were placed individually into cage trolleys, transported to a temperature-controlled room, and had thermocouples inserted by 0730 local time. There were always two animals in separate trolleys in the climate chamber during an experiment. Initial ambient temperature was maintained at 22-23°C. On different days, the animals were exposed in random order to different ambient temperatures after 0900. The animals either remained in the same climate room where ambient temperature was maintained at 22°C until 1500, remained in the same climate room where ambient temperature was increased to 40°C over ~1 h and then maintained at 40°C until 1500, or wheeled into a cool room maintained at 5°C until 1500. Every 30 min, an investigator entered the climate chamber to measure dry and wet-bulb temperatures with a whirling psychrometer and to time 30 respiratory movements.
After completion of the experiments, the sheep were killed with an overdose of pentobarbital sodium and guide tubes were checked. All common carotid arteries containing guide tubes were patent.Statistical analysis.
Two-way, repeated-measures ANOVA, followed by
Student-Newman-Keuls tests where appropriate, was used to compare
hourly means of Thyp, Tcar, and Tre
during 40, 22, and 5°C exposures. Trunk
brain temperature
differences (Tcar
Thyp and
Tre
Thyp) were compared in the same
manner. One-tailed t-tests were performed on the hourly
means of Tcar
Thyp and
Tre
Thyp to test the null hypothesis
that they were greater than zero. Breath frequency during heat exposure
was tested with a repeated-measures ANOVA. Probabilities <0.05 were
taken to indicate that effects were greater than could be accounted for
by random variation. All data reported are means ± SE or
means ± SD, as stated.
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RESULTS |
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During 40°C exposure (Fig. 1),
temperatures varied among the three sites of measurement
[F(2,6) = 13.78, P = 0.006] with Tre always being significantly higher than
Tcar and Thyp. The temperature at all three
sites increased with duration of the exposure
[F(6,18) = 29.5, P < 10
6]. There was a significant interaction between
duration of exposure and measurement site
[F(12,36) = 6.1, P < 10
4], but only in the case of Tcar and
Thyp, which started not different, rose at different rates,
and ended with Thyp significantly lower than
Tcar when Tcar exceeded 39.5°C after 1300.
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Breath frequency during heat exposure increased significantly at 1000 when all three body temperatures began to rise, and then again at 1030, when body temperatures had risen by ~0.4°C, wherein it remained
stable until 1500 (Fig. 2).
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During 5°C exposure (Fig. 1), temperatures also varied between
measurement sites [F(2,6) = 15.6, P = 0.004] with Tre always being
significantly greater than Tcar and Thyp,
whereas the latter two temperatures were not significantly different at
any time. The temperature at all three sites decreased with duration of the exposure [F(6,18) = 10.5, P < 10
4]. There was no significant
interaction [F(12,36) = 0.8].
During 22°C exposure (Fig. 1), there were no changes in temperatures over time [F(6,18) = 0.14, P = 0.98], and the difference between measurement sites approached significance [F(2,6) = 3.5, P = 0.09]. The interaction was not significant [F(12,36) = 0.88, P = 0.57]. Three of the animals maintained Tre on average 0.30°C greater than Tcar, whereas in the other animal, the two temperatures were similar.
During 40°C exposure (Fig. 3),
Tre
Thyp was always significantly
greater than Tcar
Thyp
[F(1,3) = 40.0, P = 0.008]. Time had a significant statistical effect, with
Tre
Thyp and Tcar
Thyp increasing during the last 2 h of the exposure
when Tcar exceeded 39.5°C
[F(6,18) = 7.9, P < 0.001]. The interaction was not significant
[F(6,18) = 1.6, P = 0.19]. During 5°C exposure (Fig. 3), Tre
Thyp was always significantly greater than
Tcar
Thyp
[F(1,3) = 553.7, P = 0.0001]. The effect of time was not significant
[F(6,18) = 0.22, P = 0.96] nor was the interaction [F(6,18) = 1.5, P = 0.22]. During 22°C exposure (Fig. 3), the effect of time and the interaction were not significant [time F(6,18) = 0.9, P = 0.51;
interaction F(6,18) = 0.86, P = 0.54]. Mean Tre
Thyp was always greater than Tcar
Thyp, but the difference did not quite reach significance
[F(1,3) = 7.5, P = 0.07].
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Comparison of the trunk and brain temperature differences with zero
revealed that during 40°C exposure, Tre
Thyp was always greater than zero, except between 1000 and
1100 when all temperatures were rising rapidly, whereas
Tcar
Thyp was greater than zero only
for the final 2 h of the heat exposure. During 5°C exposure, Tre
Thyp was greater than zero for the
last 5 h of exposure, whereas at no time was Tcar
Thyp greater than zero. During exposure to 22°C,
neither Tre
Thyp nor
Tcar
Thyp was significantly greater
than zero at any time.
Figure 4 shows for one animal the average
Thyp at each 0.1°C category of Tcar during
40, 22, and 5°C exposure. The intersection of the regression line
fitted to the 40°C data and the line of identity (i.e., the threshold
for SBC) occurred at 39.0°C. The threshold for SBC varied between
animals, with the values for the other three animals being 38.7, 39.4 (this animal depicted in Fig. 5), and
39.7°C, but the shape of the relationship was the same in all four
animals. The four animals entered the chamber with similar body
temperatures (Tcar = 38.6
38.8°C), but
Tcar at the end of the 6-h exposure to 40°C varied from
39.6 to 40.5°C. There was a tendency for the animals with the lowest
SBC threshold to experience the larger increases in Tcar
during 40°C exposure, but there was no significant relationship
between SBC threshold and final Tcar
[F(1,2) = 3.7, P = 0.19], change in Tcar
[F(1,2) = 1.29, P = 0.37], or body mass [F(1,2) = 5.1, P = 0.15] during 40°C exposure.
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The plots showing 30-min averages for each body temperature (Fig. 1)
mask variability at a fine time scale, especially the variability in
Thyp reflected in the SD error bars and range of Thyp in Fig. 4. As an example of the short-term variability
in Thyp, Fig. 5 shows the 30-s records of Thyp,
Tcar, and Tre in one animal during the final
4 h of heat exposure (top) and the calculated SBC over
this time (Tcar
Thyp;
bottom). The figure shows regular oscillations in
Thyp over a 0.5°C range resulting in periods where the
animal was using SBC of up to 0.3°C, interspersed with periods where
SBC was abolished and Thyp exceeded Tcar by 0.2°C. The other three animals showed similar variability. The arrows
on the abscissa indicate the times when an investigator entered the
climate chamber to measure psychometric data and breath frequency,
which took on average 5 min. In every instance, the entry of the
investigator into the climate chamber led to a decrease in SBC and a
consequent increase in Thyp.
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DISCUSSION |
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Our results are the first reports of carotid blood and brain temperature in sheep and show that this species can use SBC as part of the response to thermal stress. The occurrence and magnitude of SBC depend on body temperature but also on nonthermal factors such as the presence of an investigator. The study has highlighted the consequences of using Tre as a surrogate for arterial blood temperature, and we concur with the advice originally offered by Baker and Hayward (3) that because it is postrete arterial blood temperature that is altered by the SBC effector mechanism, Tcar is the temperature that should be used to calculate SBC. As judged by the difference between Thyp and Tcar, the sheep selectively brain-cooled only during the final few hours of 40°C exposure and not at all during exposure to 22 or 5°C. If we had used Tre to estimate SBC, we would have erroneously concluded that the animals always were using SBC even after 6 h exposed to 5°C.
Previous reports have claimed that sheep used SBC of up to 0.8°C
during heat exposure and 1.3°C during fever (29, 33, 35,
36), a much larger magnitude than we observed for
Tcar
Thyp in this study. In all of
these previous studies, SBC was estimated using Tre.
Because Tre always exceeded Tcar (under the conditions of our study), the use of Tre to estimate SBC
will result in an overestimate of SBC. The magnitude of SBC we observed in sheep is consistent with that reported in other ungulates where Tcar has been used to calculate SBC (11, 15, 21, 23,
27, 28, 34).
Not only will using Tre to estimate SBC lead to false
conclusions regarding the magnitude of SBC, but it could also lead to the conclusion that the SBC effector mechanism was activated when it
was not. Nijland et al. (35) concluded that because
angularis oculi vein occlusion in heat-stressed sheep did not alter
Tre
Thyp, this vessel was not a major
source of cool blood to the cavernous sinus. We later reported that in
anesthetized sheep, blood flow in the angularis oculi vein accounted
for over 80% of the cooling responsible for SBC (31). We
can now explain the discrepancy. Figure 1 shows that after a 3-h
exposure to 40°C, Thyp and Tcar were only
beginning to diverge after becoming equal during the preceding hour. It
was after 3 h of 40°C exposure that Nijland et al.
(35) occluded the vein. Thus there was no SBC to be
inhibited. But Tre was 0.4°C greater than
Thyp, leading to the false conclusion that SBC was present
at the time of occlusion. A similar explanation presumably accounts for
the conclusion reached by Mitchell et al. (33). With the
use of Tre to estimate SBC in cold-exposed sheep, they
concluded that sheep always selectively brain-cooled in the cold.
Proper estimates using Tcar show that SBC did not occur in
our animals exposed to 5°C (Fig. 3). Indeed, SBC in the sheep has a
threshold temperature in the upper normothermic range as is observed in
other species.
Nijland et al. (36) showed that superior cervical sympathectomy in the sheep led to a decrease in Thyp, which they attributed to an increase in SBC under conditions of heat exposure, cold exposure, and fever. Our present results raise doubts about their estimated magnitude of the SBC but do not affect the conclusion that sympathectomy led to a decrease in Thyp. Sympathetic mechanisms could explain the phenomena illustrated in Fig. 5, a rapid increase in Thyp independent of any change in Tcar subsequent to an investigator entering the climate chamber. Sympathetic activity is an important nonthermal input to the SBC controller (4, 14, 21, 23, 34) with increased activity suppressing SBC even at high body temperatures. It appears that entry of an investigator caused activation of the sympathetic nervous system and suppression of SBC in our experimental animals. Sympathetically mediated attenuation of SBC may account for the observed increase in SBC threshold in some species during exercise (12, 28, 34). Two scenarios have been proposed to explain the effect of sympathetic stimulation on SBC: constriction of either the angularis oculi vessels or arteriovenous anastomotic shunts in the nasal mucosa (3, 24, 31).
An implication of suppression of SBC by the presence of an investigator is that the magnitude of SBC indicated by Fig. 4 underestimates the true nature of the thermally driven relationship between Tcar and Thyp in sheep. A similar implication may apply to other laboratory studies so that the "thresholds" for SBC we and others have calculated should be viewed with caution. The magnitude of SBC was periodically suppressed by the experimental protocol that influenced the mean Thyp at each category of Tcar. For example, the calculated SBC threshold for the animal depicted in Fig. 5 was 39.4°C, but the animal was selectively brain-cooling with a Tcar of 39.25°C at the start of the trace.
The effect of sympathetic activity on SBC onset was proposed by Jessen et al. (23) to account for the absence of SBC in free-ranging black wildebeest during intense exercise. Such an effect may also underlie differences in SBC patterns between field and laboratory studies. The SBC threshold is ~38.8-38.9°C in tame goats in the laboratory (26, 27). However, when measurements were made on goats in outdoor enclosures, the threshold was less predictable and there was a range of Tcar from 38.6 to 39.3°C over which the animals may or may not have been employing SBC (21, 22). Similarly, laboratory studies on reindeer reveal a precise threshold of 38.7°C (28), whereas free-ranging wildebeest and springbok have ranges for SBC onset between 38.7-39.3 and 39.0-39.3°C, respectively (23, 34). Presumably, this discrepancy reflects the additional stressors that free-ranging animals experience. As a corollary, determining the true nature of the thermally driven relationship between central blood and brain temperature requires elimination of the stress on experimental animals.
Because our experimental protocol evoked regular unplanned increases in brain temperature, the breath frequencies reported in Fig. 2 probably are overestimates. The rapid rise in Thyp when the investigator entered the climate chamber would have enhanced heat-loss effectors including panting (26). So, in our study, as in any other study on artiodactyls, attenuation of SBC by experimenter presence would have resulted in an increase in panting rate compared with that which would have prevailed when an experimenter was not present.
If the relationship between Tre and Tcar was predictable, then the state of the SBC effector could be deduced using measures of Tre. However, in our study, the relationship between the two temperatures was not consistent between treatments. The situation is complicated further when extended to other species. For example, Tre in the horse was similar to or higher than Tcar under thermoneutral conditions but consistently lower than Tcar during heat exposure and also during exercise (32). We conclude that surmising the state of the SBC effector without actually measuring arterial blood temperature is not possible, and studies that have used surrogate measures of arterial blood temperature are all likely to have reached erroneous conclusions regarding the occurrence and magnitude of SBC.
The process leading to the constant positive temperature difference between the rectum and arterial blood in sheep is not known. The difference could be due to either a heat source in the rectum or a heat sink in the carotid artery. Given the constancy of arterial blood temperature even at sites distant from the heart (18), a source of heat to the rectum is the likely explanation. Heat of microbial activity in the rectum may lead to an increase in rectal relative to other body temperatures (30). Although this hypothesis has been tested and discounted in humans (37), the protocol used can be criticized. The research compared the Tre of people before and after antibiotic treatment and showed no change in Tre. However, the relationship between rectal and other body sites was not measured. Another potential heat source to the rectum is venous blood draining from active leg muscles in the standing posture. To our knowledge, the influence of changes in external ileac vein temperature on Tre has not been addressed in any species.
The effect of a surrogate measure for arterial blood temperature is pertinent to the arguments concerning SBC in animals that do not possess a carotid rete. Most studies tendering support for SBC in nonrete mammals have used rectal, abdominal, or interscapular temperature as a surrogate for arterial blood (7-10, 17, 25, 38, 39). If a difference exists in these species between arterial blood and other trunk temperatures, as exists in sheep, then the SBC reported in these studies may be an artifact. The experimental problem of measuring arterial blood temperature in small animals presently precludes investigation of SBC in many nonrete species.
Only four studies have measured arterial blood and brain temperature concurrently in conscious nonrete mammals, two on equids, and one each on the rabbit and a primate. McConaghy et al. (32) found evidence of SBC in the horse during exercise and heat exposure in the laboratory, but Fuller et al. (13) found no evidence of SBC in free-ranging zebra, a close relative of the horse. Selective brain cooling in the horse either is a laboratory phenomenon or the two closely related equids exhibit a very different thermal physiology. In exercising rabbits, brain temperature was lower than Tre but not lower than aortic blood temperature (2). Hayward and Baker (18) measured carotid arterial blood and brain temperature in the rhesus monkey under thermoneutral and hot conditions and found no evidence of SBC. A later study compared rectal and brain temperature in squirrel monkeys and concluded the animals did use SBC in the heat, which was augmented by face fanning (16). That study also measured mixed venous and hypothalamic temperature in anesthetised squirrel monkeys exposed to 25°C, concluding that the animals were capable of SBC. It is not known what influence anesthesia had on these results, but Thyp was more than a degree cooler than the calculated onset for SBC in conscious monkeys (Figs. 1 vs. 4 of Ref. 16). Thus the onset and control of SBC, if present, were distinctly different from those seen in conscious rete mammals. That study also showed that Tre was consistently higher than mixed venous blood temperature in monkeys. Given that this relationship is similar to that in sheep, the SBC reported in conscious monkeys may be an artifact.
In conclusion, we have shown that sheep in the laboratory exhibit SBC with characteristics very similar to that of laboratory goats. Previous studies describing SBC in sheep generated artifacts, because Tre was used as a surrogate for arterial blood temperature. Assessing the status of the SBC effector is not possible without a measure of prerete arterial blood temperature. We further show that investigator presence can influence the SBC effector mechanism in experimental animals and possibly lead to erroneous conclusions regarding the magnitude of SBC and even thermal effector responses employed during heat stress.
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ACKNOWLEDGEMENTS |
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We thank D. Makoa for technical assistance and the staff of the Wits Central Animal Service for animal care.
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FOOTNOTES |
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The project was funded by the South African Foundation for Research Development.
Address for reprint requests and other correspondence: S. Maloney, Dept. of Physiology, Univ. of Western Australia, Crawley 6009, Australia (E-mail: shanem{at}cyllene.uwa.edu.au).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 5 October 2000; accepted in final form 19 February 2001.
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