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代谢性碱中毒和酸中毒时犬工作状态腓肠肌中的乳酸渗透速率

Lactic acid permeation rate in working gastrocnemii of dogs during metabolic alkalosis and acidosis.

作者信息

Hirche H J, Hombach V, Langohr H D, Wacker U, Busse J

出版信息

Pflugers Arch. 1975;356(3):209-22. doi: 10.1007/BF00583833.

Abstract

In isolated, blood perfused, supramaximally stimulated, isotonically working gastrocnemii of dogs lactic acid (LA) output and O2-consumption (V O2) were measured according to the Fick principle. Simultaneously concentration of muscle tissue was determined at rest and at different times during exercise. In one series of experiments metabolic alkalosis was induced by infusions of THAM of Na bicarbonate. As a result arterial pH increased to about 7.5 and standard [HCO3-1] to 31-35 mmol per 1. In another group of experiments metabolic acidosis was induced by HCl infusions. In these experiments pH decreased to 7.0-7.1 and standard [HO301] to 8-11 mmol per 1. During the first 3-4 min after the onset of exercise LA concentration of muscle tissue rose to 18-19 mumol per g wet weight in both series of experiments. During acidosis the highest average values for LA release from the muscle were about 1.1 mumoles per g per minute. During alkalosis LA permeation rate was nearly three times as high. As a consequence of increased rate of permeation, LA concentration of muscle tissue decreased more rapidly in alkalosis than in acidosis. In both series of experiments work per time and VO2 were practically equal during the first 5-6 min of exercise. Thereafter work per time and VO2 decreased more rapidly in acidosis than in alkalosis, a result which probably is due to higher LA concentration in muscle at this time in acidosis. It is concluded that LA permeation rate across muscle cell membrane is increased by high extracellular HCO3- concentration in combination with low H+ activity and vice versa.

摘要

在分离的、血液灌注的、受到超强刺激且等张收缩的犬腓肠肌中,根据菲克原理测量乳酸(LA)输出量和耗氧量(V O2)。同时,测定静息状态和运动过程中不同时间点的肌肉组织浓度。在一系列实验中,通过输注三羟甲基氨基甲烷(THAM)或碳酸氢钠诱导代谢性碱中毒。结果,动脉血pH值升至约7.5,标准[HCO3-1]升至每升31 - 35毫摩尔。在另一组实验中,通过输注盐酸诱导代谢性酸中毒。在这些实验中,pH值降至7.0 - 7.1,标准[HO301]降至每升8 - 11毫摩尔。在运动开始后的最初3 - 4分钟内,两组实验中肌肉组织的LA浓度均升至每克湿重18 - 19微摩尔。在酸中毒期间,肌肉释放LA的最高平均值约为每分钟每克1.1微摩尔。在碱中毒期间,LA的渗透速率几乎是酸中毒时的三倍。由于渗透速率增加,碱中毒时肌肉组织中LA浓度的下降速度比酸中毒时更快。在两组实验中,运动开始后的前5 - 6分钟内,单位时间的做功量和V O2实际上相等。此后,酸中毒时单位时间的做功量和V O2下降速度比碱中毒时更快,这可能是由于此时酸中毒时肌肉中LA浓度较高所致。得出的结论是,高细胞外HCO3-浓度与低H+活性相结合可增加LA跨肌肉细胞膜的渗透速率,反之亦然。

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