Yc. Li et al., INFLUENCE OF ALKALINE BUFFERS ON CYTOPLASMIC PH IN MYOCARDIAL-CELLS EXPOSED TO METABOLIC-ACIDOSIS, Resuscitation, 32(1), 1996, pp. 33-44
The influence of different clinically used alkaline buffers on cytopla
smic pH in normal as well as acidotic rat myocardial cells was investi
gated in this study by means of the fluorescent intracellular probe 2'
,7'-bis-(carboxyethyl)-5,6-carboxyfluorescein acetoxymethyl ester (BCE
CF-AM). It was shown that both sodium bicarbonate and Tris buffer mixt
ure (Tribonat(R)) caused a significant and dose-dependent acidificatio
n of the cytoplasm of suspended myocardial cells with normal initial i
ntracellular pH. This decrease was followed by a slow increase during
the observation period. The initial cytoplasmic pH value was more easi
ly reached when Tris buffer mixture was used. Ringer's acetate also ca
used a decrease of intracellular pH, but this change persisted and was
further amplified during the experiment. Carbicarb in larger dosages
as well as pure trometamol (Tris) caused a pronounced dose-dependent a
nd lasting intracellular alkalinization. Intracellular acidosis was ac
hieved by preincubating the cells in sodium acetate. Addition of sodiu
m bicarbonate caused an initial and dose-dependent acidification of th
e cytoplasm followed by a slow increase to values slightly above the i
nduced acidosis. In contrast, Tris buffer mixture showed a tendency to
wards an initial acidification only when larger dosages were used, and
correction of the induced acidosis was possible by use of moderate to
large volumes. Ringer's acetate produced a lasting and dose-dependent
decrease of cytoplasmic pH, while Carbicarb and pure trometamol cause
d an immediate, pronounced and persistent alkalinization. Myocardial c
ells with low initial cytoplasmic pH due to preincubation in an acid b
uffer also showed an early decrease of intracellular pH after addition
of sodium bicarbonate and Tris buffer mixture. In the case of sodium
bicarbonate correction of the acid-base disturbance was not achieved d
uring the observation period, while this was accomplished by use of la
rger volumes of Tris buffer mixture. Carbicarb in larger volumes cause
d an increase in intracellular pH. The most significant and persistent
increases of cytoplasmic pH was achieved by use of pure trometamol. I
n conclusion, the present in vitro study implies that Tris buffer mixt
ure (Tribonat(R)) is well-suited for correction of intracellular acido
sis since it acts without causing a pronounced initial intracellular a
cidosis or a later potentially hazardous huge cytoplasmic alkalinizati
on.