Studies on the Elimination of Exogenous Lipids from the Blood Stream The Kinetics of the Elimination of a Fat Emulsion Studied by a Constant Infusion Technique in Man

1965 ◽  
Vol 64 (4) ◽  
pp. 299-305 ◽  
Author(s):  
DAG HALLBERG
Keyword(s):  
Blood Stream ◽  
Constant Infusion ◽  
Fat Emulsion ◽  
Infusion Technique ◽  
Kinetics Of

Δ5-androstenediol: kinetics of metabolism and binding to plasma proteins in normal post-menopausal women

1982 ◽  
Vol 99 (2) ◽  
pp. 309-313 ◽  
Author(s):  
Charles E. Bird ◽  
John Tremblay ◽  
Valerie Masters ◽  
Albert F. Clark
Keyword(s):  
Young Women ◽  
Plasma Proteins ◽  
Constant Infusion ◽  
Metabolic Clearance ◽  
Androgenic Activity ◽  
Menopausal Women ◽  
Post Menopausal ◽  
Infusion Technique ◽  
Kinetics Of ◽  
Free Plasma

Abstract. Δ5-androstenediol (Δ5-diol) while having minimal androgenic activity is of potential biological importance because it binds to oestrogen receptors and has oestrogenic activity in several systems. We have examined Δ5-diol metabolism in post-menopausal women utilizing the constant infusion technique. The metabolic clearance rate for 11 subjects was 763 ± 50 1/24 h or 467 ± 30 1/m2/24 h. Labelled dehydroepiandrosterone, testosterone, Δ4-androstenedione, androsterone and the sulphates of Δ5-diol, dehydroepiandrosterone and androsterone were found in the plasma. Of all the kinetic parameters only the conversion ratio for dehydroepiandrosterone sulphate was different from that for young women (4.958 ± 0.410 for young women vs 3.084 ± 0.220 for older women). The plasma concentration of Δ5-diol was 0.94 ± 0.19 ng/ml and the calculated blood production rate was 686 ± 80 μg/24 h. The per cent free plasma Δ5-diol was 4.6 ± 0.25. These values are slightly lower but not significantly different from those previously reported for normal young women.

Intravenous Alimentation and Insensible Water Loss in Low-Birth- Weight Infants

PEDIATRICS ◽  
1979 ◽  
Vol 63 (4) ◽  
pp. 543-546
Author(s):  
Keith H. Marks ◽  
Timothy P. Farrell ◽  
Zvi Friedman ◽  
M. Jeffrey Maisels
Keyword(s):  
Amino Acid ◽  
Acid Solution ◽  
Water Loss ◽  
Caloric Intake ◽  
Constant Infusion ◽  
Fat Emulsion ◽  
Low Birth Weight Infants ◽  
Amino Acid Solution ◽  
Intravenous Fat Emulsion ◽  
Multiple Measurements

Insensible water loss (IWL) was measured in six premature infants, betWeen 4 and 21 days of age, by continuous weight monitoring on an electronic balance inside an incubator. Multiple measurements of IWL were made during the sequential infusion of 10% dextrose in 0.225% NaCl, 10% dextrose-amino acid solution, or 10% dextrose-amino acid and a commercial intravenous fat emulsion. Each solution was administered for three hours by constant infusion through a scalp vein needle. The order of the infusion was random and a 30-to 60-minute infusion with 5% dextrose water was given between each solution. During the infusion of 10% dextrose in 0.225% NaCl and 10% dextrose + amino acid solution, IWL was 1.0 ± 0.8 gm/kg/ hr and 1.1 ± 0.8 gm/kg/hr, respectively. In contrast, IWL increased significantly to 1.6 ± 0.7 gni/kg/hr when additional calories were given using the 10% dextrose-amino acid with the intravenous fat emulsion (P < .005). There was a positive correlation between caloric intake and IWL. These data suggest that parenteral nutrition solutions with intravenous fat emulsion are rapidly metabolized and the increase in IWL is probably secondary to an increase in thermogenesis.

Kinetics of Vascular and Extravascular Protein Exchange in Unbled and Bled Dogs

1955 ◽  
Vol 184 (1) ◽  
pp. 175-182 ◽  
Author(s):  
Karlman Wasserman ◽  
Jeanne D. Joseph ◽  
H. S. Mayerson
Keyword(s):  
Specific Activity ◽  
Blood Stream ◽  
Separate Entity ◽  
Approach To Equilibrium ◽  
Plasma Albumin ◽  
Compartment System ◽  
Specific Activities ◽  
Almost All ◽  
Kinetics Of ◽  
Extravascular Compartment

Unanesthetized, healthy greyhounds were infused with 25% albumin or bled, injected with I131-labeled albumin and albumin specific activities determined. It is shown that the albumin specific activity curves can be altered by changing the ratio of the vascular to extravascular albumin masses in a manner predicted from the mathematics of a two-compartment system. Increase of vascular albumin mass relative to extravascular mass results in a smaller initial disappearance of albumin specific activity from the blood stream and a faster approach to equilibrium. Decrease of vascular albumin mass relative to extravascular mass by bleeding shows that 50% of albumin replacement after hemorrhage appears to be accomplished within 24 hours. Almost all of this protein comes from the extravascular compartment. Rapid anabolism accounts for the replenishment of protein for the next 2–5 days, during and after which there is a reduced catabolism of the existing plasma albumin. The results indicate that an extravascular albumin mass exists as a separate entity and net movements may occur from this mass into the plasma when the equilibrium between the vascular and extravascular masses is disturbed.

A Comparative Study on the Metabolism of Human Insulin and Porcine Proinsulin in Man

1973 ◽  
Vol 45 (5) ◽  
pp. 633-654 ◽  
Author(s):  
P. H. Sönksen ◽  
Christine V. Tompkins ◽  
M. C. Srivastava ◽  
J. D. N. Nabarro
Keyword(s):  
Human Insulin ◽  
Normal Subjects ◽  
Constant Infusion ◽  
Metabolic Clearance ◽  
Priming Dose ◽  
Metabolic Clearance Rate ◽  
Serum Growth Hormone ◽  
Biological Potency ◽  
Infusion Technique ◽  
Apparent Distribution

1. The metabolism of unlabelled monocomponent human insulin and porcine proinsulin was studied in ten normal subjects (five males and five females) by using a priming dose-constant-infusion technique. In each subject, the metabolic clearance rate (MCR) was measured at four separate steady-state hormone concentrations averaging 16–216 μunits/ml (insulin) and 4·2–42·8 ng/ml (proinsulin). 2. For insulin the MCR fell progressively from 34 ml kg−1 min−1 at a mean fasting insulin concentration of 3·8 μunits/ml to 11·4 ml kg−1 min−1 at the highest concentration achieved (280 μunits/ml); for proinsulin MCR averaged 3·7 ml kg−1 min−1 at a mean plasma concentration of 4·2 ng/ml and fell to 2·71 ml kg−1 min−1 at 10·7 ng/ml, remaining constant thereafter at concentrations up to 71 ng/ml. 3. The half-disappearance time (T½) from the plasma, after the end of the infusion, averaged 4·3 min for insulin and 25·6 min for proinsulin. 4. The apparent distribution space (DS) was similar for both hormones (83 ml/kg of insulin and 98·9 ml/kg of proinsulin). 5. There was a direct correlation between T½ and DS for both hormones. 6. Although the higher MCR of insulin was reflected in its shorter T½ there was, for each hormone, no relationship between MCR and T½. 7. The biological potency of porcine proinsulin, as judged by its effect on plasma glucose, was approximately 5% of that of insulin. 8. The responses of serum growth hormone and Cortisol were shown to be directly related to the degree of hypoglycaemia induced.

Assessment of methods for improving tracer estimation of non-steady-state rate of appearance

1999 ◽  
Vol 87 (5) ◽  
pp. 1813-1822 ◽  
Author(s):  
A. Gastaldelli ◽  
A. R. Coggan ◽  
R. R. Wolfe
Keyword(s):  
Steady State ◽  
Infusion Rate ◽  
Traditional Approach ◽  
Volume Of Distribution ◽  
Constant Volume ◽  
Constant Infusion ◽  
Steady State Condition ◽  
Fixed Volume ◽  
The One ◽  
Infusion Technique

The most common approach for estimating substrate rate of appearance (Ra) is use of the single-pool model first proposed by R. W. Steele, J. S. Wall, R. C. DeBodo, and N. Altszuler. ( Am. J. Physiol. 187: 15–24, 1956). To overcome the model error during highly non-steady-state conditions due to the assumption of a constant volume of distribution (V), two strategies have been proposed: 1) use of a variable tracer infusion rate to minimize tracer-to-tracee ratio (TTR) variations (fixed-volume approach) or 2) use of two tracers of the same substrate with one infused at a constant rate and the other at a variable rate (variable-volume approach or approach of T. Issekutz, R. Issekutz, and D. Elahi. Can. J. Physiol. Pharmacol. 52: 215–224, 1974). The goal of this study was to compare the results of these two strategies for the analysis of the kinetics of glycerol and glucose under the non-steady-state condition created by a constant infusion of epinephrine (50 ng ⋅ kg−1 ⋅ min−1) with the traditional approach of Steele et al., which uses a constant infusion and fixed volume. The results showed that for glucose and glycerol the estimates of Raobtained with the constant and the variable tracer infusion rate and the equation of Steele et al. were comparable. The variable tracer infusion approach was less sensitive to the choice of V in estimating Ra for glycerol and glucose, although the advantage of changing the tracer infusion rate was greater for glucose than for glycerol. The model of Issekutz et al. showed instability when the ratio TTR1/TTR2approaches a constant value, and the model is more sensitive to measurement error than the constant-volume model for glucose and glycerol. We conclude that the one-tracer constant-infusion technique is sufficient in most cases for glycerol, whereas the one-tracer variable-infusion technique is preferable for glucose. Reasonable values for glucose Ra can be obtained with the constant-infusion technique if V = 145 ml/kg.

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