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代谢性碱中毒和酸中毒期间的脑谷氨酸代谢

Brain glutamate metabolism during metabolic alkalosis and acidosis.

作者信息

Ang R C, Hoop B, Kazemi H

机构信息

Pulmonary and Critical Care Unit, Massachusetts General Hospital, Harvard Medical School, Boston 02114.

出版信息

J Appl Physiol (1985). 1992 Dec;73(6):2552-8. doi: 10.1152/jappl.1992.73.6.2552.

Abstract

Glutamate modifies ventilation by altering neural excitability centrally. Metabolic acid-base perturbations may also alter cerebral glutamate metabolism locally and thus affect ventilation. Therefore, the effect of metabolic acid-base perturbations on central nervous system glutamate metabolism was studied in pentobarbital-anesthetized dogs under normal acid-base conditions and during isocapnic metabolic alkalosis and acidosis. Cerebrospinal fluid transfer rates of radiotracer [13N]ammonia and of [13N]glutamine synthesized de novo via the reaction glutamate+NH3-->glutamine in brain glia were measured during normal acid-base conditions and after 90 min of acute isocapnic metabolic alkalosis and acidosis. Cerebrospinal fluid [13N]ammonia and [13N]glutamine transfer rates decreased in metabolic acidosis. Maximal glial glutamine efflux rate jm equals 85.6 +/- 9.5 (SE) mumol.l-1 x min-1 in all animals. No difference in jm was observed in metabolic alkalosis or acidosis. Mean cerebral cortical glutamate concentration was significantly lower in acidosis [7.01 +/- 0.45 (SE) mumol/g brain tissue] and tended to be larger in alkalosis, compared with 7.97 +/- 0.89 mumol/g in normal acid-base conditions. There was a similar change in cerebral cortical gamma-aminobutyric acid concentration. Within the limits of the present method and measurements, the results suggest that acute metabolic acidosis but not alkalosis reduces glial glutamine efflux, corresponding to changes in cerebral cortical glutamate metabolism. These results suggest that glutamatergic mechanisms may contribute to central respiratory control in metabolic acidosis.

摘要

谷氨酸通过改变中枢神经兴奋性来调节通气。代谢性酸碱紊乱也可能局部改变脑内谷氨酸代谢,从而影响通气。因此,在正常酸碱条件下以及等碳酸代谢性碱中毒和酸中毒期间,对戊巴比妥麻醉的犬进行了代谢性酸碱紊乱对中枢神经系统谷氨酸代谢影响的研究。在正常酸碱条件下以及急性等碳酸代谢性碱中毒和酸中毒90分钟后,测量了放射性示踪剂[¹³N]氨以及通过脑胶质细胞中谷氨酸 + NH₃→谷氨酰胺反应从头合成的[¹³N]谷氨酰胺的脑脊液转运速率。代谢性酸中毒时脑脊液[¹³N]氨和[¹³N]谷氨酰胺转运速率降低。所有动物的最大胶质细胞谷氨酰胺流出速率jm等于85.6±9.5(标准误)μmol·L⁻¹×min⁻¹。在代谢性碱中毒或酸中毒时未观察到jm有差异。与正常酸碱条件下的7.97±0.89 μmol/g相比,酸中毒时大脑皮质谷氨酸平均浓度显著降低[7.01±0.45(标准误)μmol/g脑组织],碱中毒时则有升高趋势。大脑皮质γ-氨基丁酸浓度也有类似变化。在本方法和测量的范围内,结果表明急性代谢性酸中毒而非碱中毒会降低胶质细胞谷氨酰胺流出,这与大脑皮质谷氨酸代谢的变化相对应。这些结果表明,谷氨酸能机制可能在代谢性酸中毒时对中枢呼吸控制起作用。

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