Acid-base balance during lactic acid infusion in the lizard varanus salvator

Blood acid–base balance and branchial fluxes of Na+, Cl−, and acidic equivalents were examined in rainbow trout (Salmo gairdneri) in response to variations in external [NaCl] and following experimental acid or base loads (intravascular infusion of ammonium sulphate, lactic acid, or sodium bicarbonate). NaCl influx, NaCl efflux, and ammonia excretion covaried with external [NaCl]. Large fluxes of acidic equivalents across the gills were produced by infusion of both ammonium sulphate and sodium bicarbonate, but both treatments had little effect upon Na+ and Cl− uptake. We interpret this result as indicating that apical [Formula: see text] and [Formula: see text] exchange played little role in the branchial clearance of acidic equivalents. Instead, the results are consistent with the notion that acidic equivalents were excreted via diffusion through paracellular channels. A model is presented which suggests that the paracellular channels are the normal route for ionic efflux across the gills and that excretion of acidic equivalents results from modulation of the permselectivity of this pathway.

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Production of Lactic Acid in Heavy Exercise and Acid-Base Balance

Lactate ◽

10.1007/978-3-642-67525-6_5 ◽

1980 ◽

pp. 35-45 ◽

Cited By ~ 1

Author(s):

J. Piiper

Keyword(s):

Lactic Acid ◽

Heavy Exercise ◽

Acid Base Balance ◽

Acid Base ◽

Base Balance

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Respiratory and metabolic acidosis correction with the ADVanced Organ Support system

Intensive Care Medicine Experimental ◽

10.1186/s40635-019-0269-7 ◽

2019 ◽

Vol 7 (1) ◽

Cited By ~ 3

Author(s):

Aritz Perez Ruiz de Garibay ◽

John A. Kellum ◽

Johannes Honigschnabel ◽

Bernhard Kreymann

Keyword(s):

Blood Flow ◽

Lactic Acid ◽

Ex Vivo ◽

Organ Support ◽

Acid Base Balance ◽

Acid Base ◽

Ex Vivo Model ◽

Acid Infusion ◽

Blood Ph ◽

Acid Load

Abstract Background The lung, the kidney, and the liver are major regulators of acid-base balance. Acidosis due to the dysfunction of one or more organs can increase mortality, especially in critically ill patients. Supporting compensation by increasing ventilation or infusing bicarbonate is often ineffective. Therefore, direct removal of acid may represent a novel therapeutic approach. This can be achieved with the ADVanced Organ Support (ADVOS) system, an enhanced renal support therapy based on albumin dialysis. Here, we demonstrate proof of concept for this technology. Methods An ex vivo model of either hypercapnic (i.e., continuous CO2 supply) or lactic acidosis (i.e., lactic acid infusion) using porcine blood was subjected to hemodialysis with ADVOS. A variety of operational parameters including blood and dialysate flows, different dialysate pH settings, and acid and base concentrate compositions were tested. Comparisons with standard continuous veno-venous hemofiltration (CVVH) using high bicarbonate substitution fluid and continuous veno-venous hemodialysis (CVVHD) were also performed. Results Sixty-one milliliters per minute (2.7 mmol/min) of CO2 was removed using a blood flow of 400 ml/min and a dialysate pH of 10 without altering blood pCO2 and HCO3− (36 mmHg and 20 mmol/l, respectively). Up to 142 ml/min (6.3 mmol/min) of CO2 was eliminated if elevated pCO2 (117 mmHg) and HCO3− (63 mmol/l) were allowed. During continuous lactic acid infusion, an acid load of up to 3 mmol/min was compensated. When acidosis was triggered, ADVOS multi normalized pH and bicarbonate levels within 1 h, while neither CVVH nor CVVHD could. The major determinants to correct blood pH were blood flow, dialysate composition, and initial acid-base status. Conclusions In conclusion, ADVOS was able to remove more than 50% of the amount of CO2 typically produced by an adult human. Blood pH was maintained stable within the physiological range through compensation of a metabolic acid load by albumin dialysate. These in vitro results will require confirmation in patients.

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Effect of acid-base balance and acetazolamide on ursodeoxycholate-induced biliary bicarbonate secretion

AJP Gastrointestinal and Liver Physiology ◽

10.1152/ajpgi.1985.248.1.g20 ◽

1985 ◽

Vol 248 (1) ◽

pp. G20-G27 ◽

Cited By ~ 1

Author(s):

J. J. Garcia-Marin ◽

M. Dumont ◽

M. Corbic ◽

G. de Couet ◽

S. Erlinger

Keyword(s):

Bile Flow ◽

Carbon Dioxide Tension ◽

Bicarbonate Secretion ◽

Acid Base Balance ◽

Bicarbonate Concentration ◽

Acid Base ◽

Acid Infusion ◽

Base Balance ◽

Rat Livers ◽

Isolated Rat

Biliary bicarbonate secretion may play an important role in canalicular bile flow. The aim of this study was to examine the effect of disturbances in acid-base balance on ursodeoxycholate (UDCA)-induced choleresis and bicarbonate secretion. Isolated rat livers were perfused with an erythrocyte-free solution in a recirculating system. In the absence of bile acid infusion, bicarbonate concentration in bile varied in parallel with that in the perfusate (15.6-35.1 mM), irrespective of the perfusate pH (7.26-7.55). Bicarbonate concentration in bile was not significantly different from that in the perfusate. Under UDCA infusion (2 mumol/min), bicarbonate concentration in bile and perfusate was correlated (P less than 0.001). Bicarbonate concentration in bile was always higher than that in the perfusate. Perfusate pH changes (7.25-7.56) induced by changes in perfusate carbon dioxide tension had no significant effect on bicarbonate secretion or bile flow. A significant correlation was found between bile flow and bicarbonate secretion both with and without UDCA. Acetazolamide (1 mM) significantly decreased both UDCA-stimulated bile flow (-27.7%) and bicarbonate concentration (-51.8%). These results suggest that canalicular bicarbonate secretion includes an equilibrative component that is possibly linked to diffusion of plasmatic CO2 or HCO3- and a concentrative transport that is stimulated by UDCA, is independent of plasma pH, and involves carbonic anhydrase.

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The effect of increasing the acidity or osmolality of grass silage by the addition of free or partially neutralized lactic acid on silage intake by sheep and upon osmolality and acid-base balance

Animal Science ◽

10.1017/s1357729800013825 ◽

1995 ◽

Vol 61 (2) ◽

pp. 285-292 ◽

Cited By ~ 9

Author(s):

J. A. Rooke

Keyword(s):

Lactic Acid ◽

Sodium Hydroxide ◽

Acid Treatment ◽

Block Design ◽

Sodium Lactate ◽

Acid Base Balance ◽

Acid Base ◽

Grass Silage ◽

Normal Ranges ◽

Base Balance

AbstractA well fermented grass silage was mixed with 9·3 g lactic acid per kg silage supplied either as the free acid (lactic acid) or partially neutralized to pH 5·2 with sodium hydroxide (sodium lactate) to give three dietary treatments. Treatment with lactic acid reduced silage pH (P < 0·05) from 4·03 to 3·80 and increased (P < 0·01) the amount of sodium hydroxide required to raise silage pH to 6·5 (neutralizing value) from 167 to 261 mmol/kg silage and osmolality (P < 0·01) from 712 to 854 mosmoljkg silage; sodium lactate treatment increased (P < 0·05) silage pH to 4·15 and osmolality (P < 0·01) to 964 mosmoljkg silage but did not change neutralizing value.Wlien fed in a randomized-block design to either six intact lambs or to four rumen fistulated sheep lactic acid treatment reduced (P < 0·05) silage dry matter (DM) intake (g/kg weight0·75) from 34·7 to 27·8 for intact sheep and from 35·5 to 29·9 for fistulated sheep. Intakes of the sodium lactate-treated silage tended to be higher (39·2, intact and 40·1, fistulated sheep, g/kg weight0·75) than the control silage. Silage DM intake was correlated more closely with neutralizing value (r2 = 0·34) than pH (rz = 0·24).Treatment of silage with lactic acid or sodium lactate did not change rumen pH, volatile fatty acid patterns or osmolality. Blood pH, pCO2 and bicarbonate concentrations were not changed by the diets offered and were within normal ranges. Urine acid-base balance was not affected by lactic acid treatment whereas urine pH, and bicarbonate and sodium excretion were (P < 0·01) increased by sodium lactate treatment of the silage.

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Higher Dietary Acidity is Associated with Lower Bone Mineral Density in Postmenopausal Iranian Women, Independent of Dietary Calcium Intake

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000207 ◽

2014 ◽

Vol 84 (3-4) ◽

pp. 0206-0217 ◽

Cited By ~ 8

Author(s):

Seyedeh-Elaheh Shariati-Bafghi ◽

Elaheh Nosrat-Mirshekarlou ◽

Mohsen Karamati ◽

Bahram Rashidkhani

Keyword(s):

Calcium Intake ◽

Dietary Calcium ◽

Dietary Calcium Intake ◽

Dietary Intakes ◽

Iranian Women ◽

Acid Base Balance ◽

Mineral Density ◽

Acid Base ◽

Base Balance ◽

Dietary Acid

Findings of studies on the link between dietary acid-base balance and bone mass are relatively mixed. We examined the association between dietary acid-base balance and bone mineral density (BMD) in a sample of Iranian women, hypothesizing that a higher dietary acidity would be inversely associated with BMD, even when dietary calcium intake is adequate. In this cross-sectional study, lumbar spine and femoral neck BMDs of 151 postmenopausal women aged 50 - 85 years were measured using dual-energy x-ray absorptiometry. Dietary intakes were assessed using a validated food frequency questionnaire. Renal net acid excretion (RNAE), an estimate of acid-base balance, was then calculated indirectly from the diet using the formulae of Remer (based on dietary intakes of protein, phosphorus, potassium, and magnesium; RNAERemer) and Frassetto (based on dietary intakes of protein and potassium; RNAEFrassetto), and was energy adjusted by the residual method. After adjusting for potential confounders, multivariable adjusted means of the lumbar spine BMD of women in the highest tertiles of RNAERemer and RNAEFrassetto were significantly lower than those in the lowest tertiles (for RNAERemer: mean difference -0.084 g/cm2; P=0.007 and for RNAEFrassetto: mean difference - 0.088 g/cm2; P=0.004). Similar results were observed in a subgroup analysis of subjects with dietary calcium intake of >800 mg/day. In conclusion, a higher RNAE (i. e. more dietary acidity), which is associated with greater intake of acid-generating foods and lower intake of alkali-generating foods, may be involved in deteriorating the bone health of postmenopausal Iranian women, even in the context of adequate dietary calcium intake.

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