Cm. Pastor et al., OXYGEN-SUPPLY DEPENDENCE OF UREA PRODUCTION IN THE ISOLATED-PERFUSED RAT-LIVER, American journal of respiratory and critical care medicine, 157(3), 1998, pp. 796-802
Citations number
21
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
To determine whether hepatic urea production is limited at low hepatic
O-2 delivery (DO2) by O-2 itself or by the availability of substrate
for urea synthesis, we isolated livers from normal rats and perfused t
hem with Krebs-Henseleit bicarbonate (KHB) buffer, KHB + 5 mM NH4Cl, o
r KHB + 5 mM glutamine (Gin) as an NH3 donor. The pump flow was lowere
d in stages, and we determined at each flow rate inflow and outflow O-
2 content and urea levels in the outflow perfusate. Urea production in
Gln-perfused livers remained constant at high Do, and declined in dir
ect proportion to DO2 below a critical oxygen delivery (DO(2)crit, the
point below which the hepatic O-2 consumption [(V) over dot O-2] beco
mes limited by the hepatic DO2). The DO(2)crit calculated from the ure
a release-DO2 relationship (147 +/- 32 mu l/min/ dry g) was similar to
the DO(2)crit calculated from the (V) over dot O-2-DO2 relationship (
158 +/- 26 mu l/min/dry g). When Gln concentration and flow rate were
maintained constant while decreasing PO2 in the inflow perfusate (as w
ell as hepatic DO2), urea production declined below the DO(2)crit. Fur
thermore, when Gln concentration in the perfusate was gradually reduce
d while keeping hepatic DO2 constant, urea production decreased propor
tionally with Gln concentrations in the perfusate. Consequently, urea
production is dependent on Gln and O-2 availability and becomes limite
d at the same DO(2)crit determined by the (V) over dot O-2-DO2 relatio
nship.