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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/6194691","sourcedb":"PMC","sourceid":"6194691","source_url":"https://www.ncbi.nlm.nih.gov/pmc/6194691","text":"17 The concentrations in plasma and CSF have been measured in samples of the fluids, but those in ISF have been measured using microdialysis. In the microdialysis procedure a probe is inserted and fluid perfused through the probe. To avoid grossly disturbing the ISF around the probe, the composition of the perfusion fluid must be close to that of ISF. The perfusate comes into contact with ISF only through a dialysis membrane. The diffusable solutes to be measured enter the perfusate during the relatively brief time that it is within the probe, and thus the slower the perfusion rate, the closer the concentration emerging from the probe is to the concentration in ISF in the region surrounding it. The ISF data in Table 3 were obtained by measuring concentrations at several different flow rates and extrapolating back to zero flow. However, even with these precautions, without measurements for substances whose concentrations are already known it is difficult to be certain that the ISF concentration measured is the same as that in ISF that isn't close to the probe. Because in all the studies in Table 3 the probe removes the substance being measured, there is an obvious risk of bias towards values that are too low. Evidence that these concerns are not just theoretical is provided by measurements for glucose. The early microdialysis measurements yielded values, e.g. 0.47 mM [631] or 0.35 mM [632], that are substantially smaller than the lower limit of ISF concentration obtained from NMR data, ca 1.2 mM for 6 mM in plasma (see Sect. 5.3). More recent microdialysis measurements have yielded larger concentrations [314], e.g 1 mM [633]; 1.66, [634]; 1.26 [635] and 1.4 [636].","divisions":[{"label":"label","span":{"begin":0,"end":2}}],"tracks":[]}