title: Decrease in ureagenesis by partial hepatectomy does not influence acid-base balance.
abstract: It has been suggested that urea synthesis participates directly in body pH homeostasis by removal of bicarbonate. To elucidate this hypothesis sodium bicarbonate or sodium chloride was infused (11.5 mumol/min) for 90 min into control rats and into rats that had undergone an 85% hepatectomy immediately before starting the infusion. Urea synthesis rate was 2.6 +/- 0.3 mumol/min (mean +/- SE) in controls, and was significantly (P less than 0.01) reduced to 1.0 +/- 0.2 mumol/min in partially hepatectomized rats. At the start of bicarbonate infusion, pH was 7.38 and 7.34 in control and partially hepatectomized rats, respectively, and at the end of infusion, pH was 7.56 and 7.51. Standard bicarbonate at start of bicarbonate infusion was 21.9 and 21.3 mM in controls and partially hepatectomized, respectively, and it increased to 32.7 and 29.9 mM at end of infusion. In saline-infused rats a slight decrease of approximately 0.05 pH units was observed during the experiment, but again no difference emerged between control and partially hepatectomized rats. It is concluded that a major role of the liver in the regulation of acid-base balance is unlikely.
authors.affiliation: Division of Hepatology, Rigshospitalet, Copenhagen, Denmark.
authors.forename: T
authors.initials: T
authors.lastname: Almdal
authors.forename: H
authors.initials: H
authors.lastname: Vilstrup
authors.forename: K
authors.initials: K
authors.lastname: Bjerrum
authors.forename: L O
authors.initials: LO
authors.lastname: Kristensen
mesh_terms: D000136:Acid-Base Equilibrium / Q000187:drug effects; D000641:Ammonia / Q000378:metabolism; D000818:Animals; D001639:Bicarbonates / Q000378:metabolism / Q000494:pharmacology; D005260:Female; D006498:Hepatectomy; D007700:Kinetics; D007773:Lactates / Q000378:metabolism; D008099:Liver / Q000502:physiology*; D009392:Nephrectomy; D051381:Rats; D011919:Rats, Inbred Strains; D012016:Reference Values; D012964:Sodium / Q000494:pharmacology; D017693:Sodium Bicarbonate; D012965:Sodium Chloride / Q000494:pharmacology; D014508:Urea / Q000378:metabolism*
chemical_list: D001639:Bicarbonates; D007773:Lactates; D012965:Sodium Chloride; D000641:Ammonia; D017693:Sodium Bicarbonate; D014508:Urea; D012964:Sodium