Abstract : Acidosis may alter hepato-splanchnic amino acid metabolism during uremia.26 uremic rats and 30 controls were studied for portal and arterial acid-base balance and urea synthesis during enteral nutrition. Uremic rats exhibited increased (p < 0.05) portal H(+) (47.20 +/- 0.018 vs 43.05 +/- 0.49 nmol/I) and decreased HCO(3)(-) (19.45 +/- 0.69 vs 23.01 +/- 0.57 mmol/l) without significant change in arterial H(+) (45.29 +/- 1.13 vs 43.15 +/- 0.49) and HCO(3)(-) (18.41 +/- 0.64 vs 19.59 +/- 0.49). Porto-arterial difference showed an intestinal HCO(3)(-) release in controls only (3.53 +/- 0.64 mmol/l). Urea synthesis rate was significantly enhanced by enteral nutrition in controls only: 54.33 +/- 17.3 vs -11.8 +/- 20 micromol/min 100g body mass. Thus, during uremia, portal acidosis was associated with a decrease in enteral nutrition-induced urea synthesis.
https://www.hal.inserm.fr/inserm-00390251 Contributor : Sarah HamantConnect in order to contact the contributor Submitted on : Monday, June 1, 2009 - 1:09:50 PM Last modification on : Friday, November 6, 2020 - 3:46:41 AM
Noël J. Cano, Xavier M Leverve, Jeanne Di Costanzo-Dufetel, Robert Novaretti, Jean-Pierre Reynier. Splanchnic acid-base status and urea metabolism in uremic rats.. Clinical Nutrition, Elsevier, 1995, 14 (2), pp.116-22. ⟨inserm-00390251⟩