Isolated, perfused rat livers were examined by single-quantum (SQ) and doub
le-quantum-filtered (DQ-filtered) Na-23 spectroscopy during prolonged globa
l ischemia and during perfusion with ouabain, low-buffer potassium, or lith
ium-enriched buffer. Baseline separation of the intracellular (Na-i(+)) and
extracellular (Na-e(+)) sodium resonances using TmDOTP5- allowed a direct
comparison of temporal changes in So versus Do-filtered Na-i(+). The SQ Na-
i(+) signal increased similar to 150% during the first 15 min of global isc
hemia and then remained relatively constant over the next 45 min, while the
Do-filtered signal steadily increased similar to 400% over the same 60 min
period. In similar experiments in which all perfusate sodium was replaced
by lithium, the DQ-filtered Na-i(+) signal increased similar to 180% over a
similar period of ischemia. Exposure of livers to ouabain also resulted in
larger increases in Do-filtered versus so signal of Na-i(+). The similar t
o 290% increase in Do-filtered sodium observed during perfusion of livers w
ith a hypokalemic buffer (1.2 mM K+) could be completely reversed by contin
ued perfusion with a buffer containing normal levels of K+ (4.7 mM). These
data suggest that the Do-filtered Na-i(+) signal of liver does not simply r
eport an increase in [Na-i (+)], but may be exquisitely sensitive to other
intracellular events initiated by altered physiology. (C) 1999 Wiley-Liss,
Inc.