Acid-base effects on intestinal Cl- absorption and vesicular trafficking

In rat ileum and colon, apical membrane exchange and net Cl^- absorption are stimulated by increases in PCO₂ or . Because changes in PCO₂ stimulate colonic Na⁺ absorption, in part, by modulating vesicular trafficking of the Na⁺/H⁺ exchanger type 3 isoform to and from the apical membrane, we examined whether changes in PCO₂ affect net Cl^- absorption by modulating vesicular trafficking of the exchanger anion exchanger (AE)1. Cl^- transport across rat distal ileum and colon was measured in the Ussing chamber, and apical membrane protein biotinylation of these segments and Western blots of recovered proteins were performed. In colonic epithelial apical membranes, AE1 protein content was greater at PCO₂ 70 mmHg than at PCO₂ 21 mmHg but was not affected by pH changes in the absence of CO₂. AE1 was internalized when PCO₂ was reduced and exocytosed when PCO₂ was increased, and both mucosal wortmannin and methazolamide inhibited exocytosis. Wortmannin also inhibited the increase in colonic Cl^- absorption caused by an increase in PCO₂. Increases in PCO₂ stimulated ileal Cl^- absorption, but wortmannin was without effect. Ileal epithelial apical membrane AE1 content was not affected by PCO₂. We conclude that CO₂ modulation of colonic, but not ileal, Cl^- absorption involves effects on vesicular trafficking of AE1. PCO₂; ileum; colon; anion exchanger 1; Na⁺/H⁺ exchanger type 3     

Small bowel tonometry is more accurate than gastric tonometry in detecting gut ischemia

Gastric tonometerPCO₂ measurement may help identifygut ischemia in critically ill patients but is frequentlyassociated with large measurement errors. We tested the hypothesis thatsmall bowel tonometer PCO₂measurement yields more accurate information. In 10 anesthetized,mechanically ventilated pigs subject to progressive hemorrhage, wemeasured gut oxygen delivery and consumption. We also measuredtonometer PCO₂ minus arterialPCO₂(PCO₂) and calculated the corresponding intracellular pH from tonometers placed in the stomach and jejunum. We found that the correlation coefficient(r²) forbiphasic gut oxygen delivery-PCO₂relationships was 0.29 ± 0.52 for the gastric tonometer vs. 0.76 ± 0.25 for the small bowel tonometer(P < 0.05). In addition, thecritical gastric tonometer PCO₂was excessively high and variable (62.9 ± 39.6) compared with thecritical small bowel tonometerPCO₂ (17.0 ± 15.0, P < 0.01). Small bowel tonometerPCO₂ was closely correlated withsuperior mesenteric vein PCO₂(r² = 0.81, P < 0.001), whereas gastrictonometer PCO₂ was not(r² = 0.13, P = not significant). Weconclude that measurement of gastric tonometerPCO₂ yields excessively noisy andinaccurate data on the onset of gut anaerobic metabolism in hemorrhagicshock. Small bowel tonometer PCO₂ isless noisy and, as a result, is superior in detecting gut hypoperfusionand the onset of anaerobic metabolism.

     

Effects of hyperchloremia on blood oxygen binding in healthy calves

Three different levels of hyperchloremia wereinduced in healthy Friesian calves to study the effects of chloride onblood oxygen transport. By infusion, the calves received either 5 ml/kg of 0.9% NaCl (low-level hyperchloremia; groupA), 5 ml/kg of 7.5% NaCl (moderate hyperchloremia;group B), or 7.5 ml/kg of 7.5% NaCl(high-level hyperchloremia; groupC). Blood was sampled from the jugular vein and thebrachial artery. Chloride concentration, hemoglobin content, arterialand venous pH, PCO₂, and PO₂ were determined. At each timepoint (0, 15, 30, 60, and 120 min), the whole blood oxygen equilibriumcurve (OEC) was measured under standard conditions. Ingroups B andC, hyperchloremia was accompanied by asustained rightward shift of the OEC, as indicated by the significantincrease in the standard PO₂ at 50%hemoglobin saturation. Infusion of hypertonic saline also inducedrelative acidosis. The arterial and venous OEC were calculated, withbody temperature, pH, and PCO₂ valuesin arterial and venous blood taken into account. The degree of blooddesaturation between the arterial and the venous compartments[O₂ exchange fraction(OEF%)] and the amount of oxygen released at tissue level by 100 ml of bovine blood (OEF vol%) were calculated from the arterial andvenous OEC combined with the PO₂ andhemoglobin concentration. The chloride-induced rightward shift of theOEC was reinforced by the relative acidosis, but the alteredPO₂ values combined with the lowerhemoglobin concentration explained the absence of any significantdifference in OEF (% and vol%). We conclude that infusion ofhypertonic saline induces hyperchloremia and acidemia, which canexplain the OEC rightward shift observed in arterial and peripheralvenous blood.

     

Decreases in organ blood flows associated with increases in sublingual PCO2 during hemorrhagic shock

Earlier studies demonstrated that not only thestomach but also the esophageal wall served as an appropriate site forestimating the severity of circulatory shock by using tonometricmethods. We then conceived of the option of sublingual tonometry. Inthe present study, we tested the hypothesis that the changes insublingual PCO₂ serve as indicatorsof decreases in blood flow to sublingual and visceraltissue. In Sprague-Dawley rats, sublingual PCO₂ increased from 50 to 127 Torrand arterial blood lactate increased from 0.9 to 11.2 mmol/l duringbleeding. Sublingual blood flow simultaneously decreased to ~32% ofpreshock values. After reinfusion of shed blood, organ blood flows andsublingual PCO₂ were promptlyrestored to near-baseline values. There were corresponding decreases inblood flows in the tongue, stomach, jejunum, colon, and kidneys duringhemorrhagic shock. Increases in sublingualPCO₂ were highly correlated with decreases in sublingual blood flow (r = 0.80), tongue blood flow (r = 0.81),gastric blood flow (r = 0.74), jejunalblood flow (r = 0.65), colon bloodflow (r = 0.80), and renal blood flow (r = 0.75). Unbled control animalsdemonstrated no significant changes. Therefore, we anticipate thatsublingual tonometry will provide a useful, noninvasive alternative formonitoring visceral PCO₂.

     

Effect of changes in respiratory blood parameters on equine red blood cell K-Cl cotransporter

K influx intoequine red blood cells (RBCs) was measured using⁸⁶Rb as a tracer for K underconditions designed to mimic the changes in respiratory bloodparameters that occur in vivo during strenuous exercise. The effects onK influx of physiological changes in pH, cell volume,O₂ tension(PO₂),CO₂ tension(PCO₂), and bicarbonate and lactateconcentrations were defined. Physiological PO₂ exerted a dominant controllinginfluence on the H⁺-stimulatedCl-dependent K influx, consistent with effects on the K-Clcotransporter; PO₂ required forhalf-maximal activity was 37 ± 3 mmHg (4.9 kPa). AlthoughRBCs were swollen at low pH, results showed explicitly that the volumechange per se had little effect on K influx. Lactate had no effect onvolume- or H⁺-stimulated Kinfluxes, nor did bicarbonate or PCO₂affect the magnitude of K influxes after these stimuli or aftertreatment with protein kinase/phosphatase inhibitors. These resultsrepresent the first detailed report ofO₂ dependence ofH⁺-stimulated K-Cl cotransport inRBCs from any mammalian species. They emphasize the importance ofPO₂ in control of RBC K-Clcotransport.

     

Alkalization of the Medium by Unicellular Green Algae during Uptake Dissolved Inorganic Carbon

When Chlorella vulgaris 11h, Chlorella vulgaris C-l, Chlamydomonasreinhardtii, Chlamydomonas moewusii, Scenedesmus obliquus, orDunaliella tertiolecta were illuminated in with 0.5 mM NaHCO₃,the pH of the medium increased in a few minutes from 6 to about9 or 10. The alkalization, which was accompanied by O₂ evolution,was dependent on light, external dissolved inorganic carbon(DIC) as HCO^-₃, and algae grown or adapted to a low, air-levelCO₂ in order to develop a DIC concentrating mechanism. Therewas little pH increase by algae without a DIC concentratingprocess from growth on 3% CO₂ in air. Photosynthetic O₂ evolutionwithout alkalization occurred using either internal DIC or externalCO₂ at acidic pH. The PH increase stopped between pH 9 to 10,but the alkalization would restart upon re-acidification betweenpH 6 and 8. Alkalization was suppressed by the carbonic anhydraseinhibitors, acetazolamide, ethoxyzolamide or carbon oxysulfide.The pH increase appeared to be the consequence of the externalconversion of HCO^–₃ into CO₂ plus OH^– during photosynthesisby cells with a high affinity for CO₂ uptake. Cells grown onhigh CO₂ to suppress the DIC pump, when given low levels ofHCO^–₃ in the light, acidified the medium from pH 10 to7. Air adapted Scenedesmus cells with a HCO^–₃ pump, aswell as a CO₂ pump, alkalized the medium very rapidly in thelight to a pH of over 10, as well as slower in the dark or inthe light with DCMU or without external DIC and O₂ evolution.Alkalization of the medium during photosynthetic DIC uptakeby algae has been considered to be part of the global carboncycle for converting H₂CO₃ to HCO^–₃ and for the formationof carbonate salts by calcareous algae from the alkaline conversionof bicarbonate to carbonate. These processes seem to be a consequenceof the algal CO₂ concentrating process. ¹Present address: Department of Biology, Faculty of Science,Niigata University, Niigata, 950-21 Japan.     

Dopamine, sensory discharge, and stimulus interaction with CO2 and O2 in cat carotid body

It is hypothesized that carotid bodychemosensory activity is coupled to neurosecretion. The purpose of thisstudy was to examine whether there was a correspondence between carotidbody tissue dopamine (DA) levels and neuronal discharge (ND) measured from the carotid sinus nerve of perfused cat carotid bodies and tocharacterize interaction betweenCO₂ andO₂ in these responses. ND andtissue DA were measured after changing from normoxic, normocapnic control bicarbonate buffer (PO₂>120 Torr, PCO₂ 25-30 Torr, pH ~ 7.4) to normoxic hypercapnia(PCO₂ 55-57 Torr, pH7.1-7.2) or to hypoxic solutions(PO₂ 30-35 Torr) withnormocapnia (PCO₂ 25-30 Torr, pH ~ 7.4) or hypocapnia (PCO₂10-15 Torr, pH 7.6-7.8). Similar temporal changes for ND and tissue DA were found for all of the stimuli, although there was a much different proportional relationship fornormoxic hypercapnia. Both ND and DA increased above baseline valuesduring flow interruption and normocapnic hypoxia, and both decreasedbelow baseline values during hypoxic hypocapnia. In contrast, normoxichypercapnia caused an initial increase in ND, from a baseline of 175 ± 12 (SE) to a peak of 593 ± 20 impulses/s within 4.6 ± 0.9 s, followed by adaptation, whereas ND declined to 423 ± 20 impulses/s after 1 min. Tissue DA initially increased from a baselineof 17.9 ± 1.2 µM to a peak of 23.2 ± 1.2 µM within 3.0 ± 0.7 s, then declined to 2.6 ± 1.0 µM. The substantialdecrease in tissue DA during normoxic hypercapnia was not consistentwith the parallel changes in DA with ND that were observed for hypoxic stimuli.

     

Model for the Relationships betweenCO2-Concentrating Mechanism, CO2 Fixation, and Glycolate Synthesis during Photosynthesis in Chlamydomonas reinhardtii

We constructed a mathematical model for simulating the relationshipsof extracellular concentration of dissolved inorganic carbon(DIC), the rates of photosynthetic CO₂ fixation and glycolatesynthesis, and the concentrations of intrachloroplast CO₂ andO₂ in Chlamydomonas reinhardtii. When we compared the photosyntheticrates of I0W-CO₂ (air)-grown C. reinhardtii measured experimentallyand the rates simulated with the incubation conditions in themodel, the model was found to function well. The calculatedrates for glycolate synthesis also matched the measured ratesbetween 80 to 200 µM extracellular DIC, found in the presenceof 1 mM aminooxyacetate. The conformity of the calculated ratesto the measured ones of the glycolate synthesis encouraged usto estimate the O₂ concentration at the active site of ribulosebisphosphate carboxylase/oxygenase; the results were 0.36 and0.40 mM at 80 and 200 µM extracellular DIC, respectively.These high concentrations of O₂ were due to stimulation of photosyntheticCO₂ fixation and further O₂ evolution by a CO₂- concentratingmechanism in the low-CO₂-grown cells. These cells were calculatedto consume 43% of ATP formed photosynthetically for CO₂ concentrationat 200 µM extracellular DIC. The model modified to simulatethese relationships in high-CO₂ (3 to 5% CO₂)-grown C. reinhardtiipredicted O₂ concentration in chloroplasts to be 0.36 mM ina 1% CO₂ atmosphere. This high concentration of O₂ caused activeglycolate synthesis at the measured rate in the high-CO₂-growncells even in the presence of 1% CO₂. The comparisons of themeasured and simulated rates of photosynthesis in low- and high-CO₂-grownC. reinhardtii indicated that no matter how the CO₂ accumulatedin the chloroplasts, it increased the O₂ concentration in theorganelles, and consequently enhanced glycolate synthesis. ¹This paper is the twenty-first in a series on glycolate metabolismin Euglena gracilis. (Received March 11, 1987; Accepted August 17, 1987)     

Kinetics of CO2 excretion and intravascular pH disequilibria during carbonic anhydrase inhibition

Cardenas, Victor, Jr., Thomas A. Heming, and Akhil Bidani.Kinetics of CO₂ excretion andintravascular pH disequilibria during carbonic anhydrase inhibition.J. Appl. Physiol. 84(2): 683-694, 1998.Inhibition of carbonic anhydrase (CA) activity (activity in redblood cells and activity available on capillary endothelium) results indecrements in CO₂ excretion(CO₂) and plasma-erythrocyteCO₂--H⁺disequilibrium as blood travels around the circulation. To investigate the kinetics of changes in blood PCO₂and pH during progressive CA inhibition, we used our previouslydetailed mathematical model of capillary gas exchange to analyzeexperimental data of CO₂ and blood-gas/pH parameters obtained from anesthetized, paralyzed, andmechanically ventilated dogs after treatment with acetazolamide (Actz,0-100 mg/kg iv). Arterial and mixed venous blood samples werecollected via indwelling femoral and pulmonary arterial catheters, respectively. Cardiac output was measured by thermodilution. End-tidal PCO₂, as a measure of alveolarPCO₂, was obtained from continuousrecords of airway PCO₂ above thecarina. Experimental results were analyzed with the aid of amathematical model of lung and tissue-gas exchange. Progressive CAinhibition was associated with stepwise increments in the equilibratedmixed venous-alveolar PCO₂ gradient(9, 19, and 26 Torr at 5, 20, and 100 mg/kg Actz, respectively). Themaximum decrements in CO₂were 10, 24, and 26% with 5, 20, and 100 mg/kg Actz, respectively,without full recovery ofCO₂ at 1 h postinfusion. Equilibrated arterial PCO₂overestimated alveolar PCO₂, andtissue PCO₂ was underestimated by themeasured equilibrated mixed venous bloodPCO₂. Mathematical model computations predicted hysteresis loops of the instantaneousCO₂--H⁺relationship and in vivo bloodPCO₂-pH relationship due to thefinite reaction times forCO₂--H⁺reactions. The shape of the hysteresis loops was affected by the extentof Actz inhibition of CA in red blood cells and plasma.

     

Accumulation and Utilization of Dissolved Inorganic Carbon by a Marine Unicellular Coccolithophorid, Emiliania huxleyi

The mechanism for utilization of dissolved inorganic carbon(DIC) was investigated in the marine unicellular calcareousalga Emiliania huxleyi, grown with constant aeration. The apparentK_0.5 (DIC), the concentration of DIC which attains one-halfof the maximum velocity of apparent photosynthesis, for photosyntheticevolution of O₂, measured under saturating light, was 5.5 mM(55 µM for CO₂) at pH 8.0 and 25°C. The value of K_0.5was not affected by inhibitors of carbonic anhydrase (CA), andan electrometric assay of CA showed that the enzyme was notinvolved in photosynthesis in this alga. The rate of photosyntheticfixation of ¹⁴C-DIC into acid-stable products was about 20 timeshigher than that into CaCO₃, irrespective of the external concentrationof DIC. In short-term experiments, ¹⁴C-DIC was usually incorporatedinto the internal pool of DIC (IIC) to concentrations up to13 to 16 times higher than that of the external DIC. CO₂ addedexternally was utilized mainly for fixation of CO₂ and accumulationof IIC. By contrast, HCO^-₃ was utilized mainly for productionof CaCO₃ and accumulation of IIC. Incorporation of ¹⁴C intoIIC was partially suppressed by DCMU or in darkness but itstransfer to CaCO₃ was unaffected. These results suggest thataccumulation of IIC in this alga, even under ordinary circumstances,is only partially responsible for increasing the efficiencyof utilization of DIC by photosynthetic fixation but may bemost useful for the production of CaCO₃. (Hydroxyethylidene) bisphosphonic acid, an inhibitor of thegrowth of CaCO₃ crystals, completely suppressed production ofCaCO₃. The accumulation of IIC was also partially suppressed,but photosynthetic fixation of CO₂ was enhanced. In a pulse-chaseexperiment with ¹⁴CDIC, ¹⁴C incorporated into IIC and CaCO₃in darkness was transferred to acid-stable products of photosynthesisin the light. These results suggest that ¹⁴C-DIC in IIC andpre-formed CaCO₃ may be useful sources of carbon for fixationof CO₂. (Received July 2, 1993; Accepted January 10, 1994)     

Cerebral vasomotor reactivity at high altitude in humans

The purpose of this study was twofold:1) to determine whether at highaltitude cerebral blood flow (CBF) as assessed during CO₂ inhalation and duringhyperventilation in subjects with acute mountain sickness (AMS) wasdifferent from that in subjects without AMS and2) to compare the CBF as assessedunder similar conditions in Sherpas at high altitude and in subjects atsea level. Resting control values of blood flow velocity in themiddle cerebral artery (V_MCA), pulseoxygen saturation (Sa_O2), andtranscutaneous PCO₂ were measured at4,243 m in 43 subjects without AMS, 17 subjects with AMS, 20 Sherpas,and 13 subjects at sea level. Responses ofCO₂ inhalation andhyperventilation onV_MCA,Sa_O2, and transcutaneous PCO₂ were measured, and the cerebralvasomotor reactivity (VMR = V_MCA/PCO₂)was calculated as the fractional change ofV_MCA per Torrchange of PCO₂, yielding ahypercapnic VMR and a hypocapnic VMR. AMS subjects showeda significantly higher resting controlV_MCA than didno-AMS subjects (74 ± 22 and 56 ± 14 cm/s, respectively;P < 0.001), andSa_O2 was significantly lower (80 ± 8 and 88 ± 3%, respectively; P < 0.001). Resting control V_MCA values inthe sea-level group (60 ± 15 cm/s), in the no-AMS group, and inSherpas (59 ± 13 cm/s) were not different. Hypercapnic VMR valuesin AMS subjects were 4.0 ± 4.4, in no-AMS subjects were 5.5 ± 4.3, in Sherpas were 5.6 ± 4.1, and in sea-level subjects were 5.6 ± 2.5 (not significant). Hypocapnic VMR values were significantly higher in AMS subjects (5.9 ± 1.5) compared with no-AMS subjects (4.8 ± 1.4; P < 0.005) but werenot significantly different between Sherpas (3.8 ± 1.1) and thesea-level group (2.8 ± 0.7). We conclude that AMS subjects havegreater cerebral hemodynamic responses to hyperventilation, higherV_MCAresting control values, and lower Sa_O2 compared with no-AMSsubjects. Sherpas showed a cerebral hemodynamic patternsimilar to that of normal subjects at sea level.     

Active uptake of inorganic carbon by Chlorella saccharophila is not repressed by growth in high CO2

Regulation of transport of dissolved inorganic carbon (DIC)in response to CO₂ concentration in the external medium hasbeen compared in two closely-related green algae, Chlorellaellipsoidea and Chlorella saccharophila. C. ellipsoidea, whengrown in high CO₂, had reduced activities of both CO₂ and transport and DIC transport activitieswere increased after the cells had acclimated to air. However,high CO₂-grown C. saccharophila had a comparable level of photosyntheticaffinity for DIC to that of air-grown C. ellipsoidea and thiswas accompanied by a capacity to accumulate high internal concentrationsof DIC. The high photosynthetic affinity and the high intracellularDIC accumulation did not change in cells grown in air exceptthat the occurrence of external carbonic anhydrase (CA) in air-grownC. saccharophila stimulated the intracellular DIC accumulationin the absence of added CA. These data indicate that activeDIC transport is constitutively expressed in C. saccharophila,presumably because this alga is insensitive to the repressiveeffect of high CO₂ on DIC transport. This strongly supportsthe existence of a direct sensing mechanism for external CO₂in Chlorella species, but also indicates that external CA isregulated independently of DIC transport in Chlorella species. Key words: Carbonic anhydrase, Chlorella, CO₂-insensitive, DIC transport, wild type     

Pulmonary gas-exchange analysis by using simultaneous deposition of aerosolized and injected microspheres

Numerical methods for determining end-capillarygas contents for ventilation-to-perfusion ratios were first developedin the late 1960s. In the 1970s these methods were applied to validate distributions of ventilation-to-perfusion ratios measured by the multiple inert-gas-elimination technique. We combined numerical gasanalysis and fluorescent-microsphere measurements of ventilation andperfusion to predict gas exchange at a resolution of~2.0-cm³ lung volume in pigs.Oxygen, carbon dioxide, and inert gas exchange were calculated in551-845 compartments/animal before and after pulmonaryembolization with 780-µm beads. Whole lung gas exchange was estimatedfrom the perfusion- and ventilation-weighted end-capillary gascontents. Before lung injury, no significant difference existed betweenmicrosphere-estimated arterial PO₂and PCO₂ and measured values. Afterlung injury, the microsphere method predicted a decrease in arterialPO₂ but consistently underestimatedits magnitude. Correlation between predicted and measured inert gasretentions was 0.99. Overestimation of low-solubility inert gasretentions suggests underestimation of areas with low ventilation-to-perfusion ratios by microspheres after lung injury. Regional deposition of aerosolized and injected microspheres is a validmethod for investigating regional gas exchange with high spatial resolution.

     

Two Polypeptides Inducible by Low Levels of CO2 in Soluble Protein Fractions from Chlorella regularis Grown at Low or High pH

Previous studies suggested that certain protein(s) other thancarbonic anhydrase might play an important role in the facilitatedtransport of dissolved inorganic carbon (DIC) from the mediumto the site of CO₂ fixation by ribulose-1,5-bisphosphate carboxylase/oxygenasein the unicellular green alga Chlorella regularis adapted tolow-CO₂ (ordinary air) conditions [Shiraiwa et al. (1991) Jpn.J. Phycol. 39: 355; Satoh and Shiraiwa (1992) Research in Photosynthesis,Vol. III, p. 779]. The proteins that might be involved in thisfacilitated transport of DIC were investigated by pulse-labelingof induced proteins with ³⁵S-sulfate during adaptation of cellsgrown under high-CO₂ conditions to low CO₂. Analysis by SDS-PAGErevealed that synthesis of two polypeptides, with molecularmasses of 98 and 24 kDa, respectively, was induced under low-CO₂conditions. The 24-kDa polypeptide was induced at pH 5.5 butnot at pH 8.0, whereas the 98-kDa polypeptide was induced atboth pH 5.5 and pH 8.0. The possible role of these polypeptidesin the facilitated transport of DIC in Chlorella regularis isdiscussed. (Received October 30, 1995; Accepted February 26, 1996)     

Periodic breathing induced on demand in awake newborn lamb

Canet, Emmanuel, Jean-Paul Praud, and Michel A. Bureau.Periodic breathing induced on demand in awake newborn lamb. J. Appl. Physiol. 82(2): 607-612, 1997.Spontaneous periodic breathing, although a common feature infullterm and preterm human infants, is scarce in other newborn mammals.The aim of this study was to induce periodic breathing in lambs. Four10-day-old and two <48-h-old awake lambs were instrumented withjugular catheters connected to an extracorporeal membrane lung aimed atcontrolling arterial PCO₂(Pa_CO2). ArterialPO₂(Pa_O2) was set and maintained at thedesired level by changing inspiredO₂ fraction and providingO₂ through a small catheter intothe "apneic" lung. At a criticalPa_O2/Pa_CO2combination, the four 10-day-old lambs exhibited periodic breathingthat could be initiated, terminated, and reinitiated on demand. In the2-day-old lambs with low chemoreceptor gain, periodic breathing washardly seen, regardless of the trials done to find the criticalPO₂/PCO₂combination. We conclude that periodic breathing can be induced inlambs and depends on criticalPa_O2/Pa_CO2combinations and maturity of the chemoreceptors.

     

Sources of error in A-aDO2 calculated from blood stored in plastic and glass syringes

Wu, Eugene Y., Khalid W. Barazanji, and Robert L. Johnson,Jr. Sources of error in A-aD_O2calculated from blood stored in plastic and glass syringes.J. Appl. Physiol. 82(1):196-202, 1997.We studied the effects of time delay on bloodgases, pH, and base excess in blood stored in glass and plasticsyringes on ice and the effects of resulting errors on calculatedalveolar-to-arterial PO₂ difference(A-aD_O2).Matched samples of dog whole blood were tonometered with gasmixtures of 5% CO₂-12%O₂-83% N₂ (mixtureA), 10% CO₂-5%O₂-85%N₂ (mixtureB), and 2.88%CO₂-4% O₂-93.12%N₂ (mixtureC). Tonometered blood samples were transferred to5-ml glass (5G), 5-ml plastic (5P), and 3-ml plastic (3P) syringes andstored on ice. Blood gases were measured every 1 h up to 6 h. In 5G,PO₂ progressively decreased in bloodtonometered with mixture A but rose inblood tonometered with mixtures B and C.O₂ saturation progressively fellin all cases. In 5G, blood PCO₂progressively rose regardless of which gas mixture was used, and pH aswell as base excess progressively fell. The rise inPO₂ was faster in plastic than inglass syringes, and O₂ saturationalways rose in plastic syringes. Differences between storage in plasticand glass syringes on PO₂ change weregreatest when initial blood PO₂ washighest (mixture A). At the highestPO₂,O₂ exchange was faster in 3P thanin 5P. The rise of PCO₂ was just asfast in plastic as in glass syringes, but in both the rise inPCO₂ was faster at a higher initialPCO₂ (mixtureB) than at lower initialPCO₂ (mixturesB and C). Rates ofPO₂ andPCO₂ change in matched samples weresignificantly faster in 3P than in 5P. Errors due to rises inPCO₂ andPO₂ cause additive errors incalculatedA-aD_O2,and when blood is stored in plastic syringes for >1 h significant errors result. Errors are greater in normoxic blood, in which estimatedA-aD_O2decreased by >10 Torr after 6 h on ice in plastic syringes, than inhypoxic blood.

     

Effects of carotid body hypocapnia during ventilatory acclimatization to hypoxia

Dwinell, M. R., P. L. Janssen, J. Pizarro, and G. E. Bisgard. Effects of carotid body hypocapnia during ventilatory acclimatization to hypoxia. J. Appl.Physiol. 82(1): 118-124, 1997.Hypoxicventilatory sensitivity is increased during ventilatory acclimatizationto hypoxia (VAH) in awake goats, resulting in a time-dependent increasein expired ventilation (E). Theobjectives of this study were to determine whether the increasedcarotid body (CB) hypoxic sensitivity is dependent on the level of CB CO₂ and whether the CBCO₂ gain is changed during VAH.Studies were carried out in adult goats with CB blood gases controlled by an extracorporeal circuit while systemic (central nervous system) blood gases were regulated independently by the level of inhaled gases. Acute E responsesto CB hypoxia (CB PO₂ 40 Torr) and CBhypercapnia (CB PCO₂ 50 and 60 Torr)were measured while systemic normoxia and isocapnia were maintained. CBPO₂ was then lowered to 40 Torr for 4 h while the systemic blood gases were kept normoxic and normocapnic.During the 4-h CB hypoxia, E increasedin a time-dependent manner. Thirty minutes after return to normoxia,the ventilatory response to CB hypoxia was significantly increasedcompared with the initial response. The slope of the CBCO₂ response was also elevatedafter VAH. An additional group of goats(n = 7) was studied with asimilar protocol, except that CB PCO₂was lowered throughout the 4-h hypoxic exposure to prevent reflexhyperventilation. CB PCO₂ wasprogressively lowered throughout the 4-h CB hypoxic period to maintainE at the control level. After the 4-hCB hypoxic exposure, the ventilatory response to hypoxia was alsosignificantly elevated. However, the slope of the CBCO₂ response was not elevatedafter the 4-h hypoxic exposure. These results suggest that CBsensitivity to both O₂ andCO₂ is increased after 4 h of CBhypoxia with systemic isocapnia. The increase in CB hypoxic sensitivityis not dependent on the level of CBCO₂ maintained during the 4-hhypoxic period.

     

Effects of inhaled CO2 and added dead space on idiopathic central sleep apnea

Xie, Ailiang, Fiona Rankin, Ruth Rutherford, and T. DouglasBradley. Effects of inhaledCO₂ and added dead space on idiopathic central sleep apnea. J. Appl.Physiol. 82(3): 918-926, 1997.We hypothesizedthat reductions in arterial PCO₂ (Pa_CO2) below the apnea threshold play akey role in the pathogenesis of idiopathic central sleep apnea syndrome(ICSAS). If so, we reasoned that raisingPa_CO2 would abolish apneas in thesepatients. Accordingly, patients with ICSAS were studied overnight onfour occasions during which the fraction of end-tidalCO₂ and transcutaneous PCO₂ were measured: during room airbreathing (N1), alternating room airand CO₂ breathing(N2),CO₂ breathing all night(N3), and addition of dead space viaa face mask all night (N4).Central apneas were invariably preceded by reductions infraction of end-tidal CO₂. Bothadministration of a CO₂-enrichedgas mixture and addition of dead space induced 1- to 3-Torr increasesin transcutaneous PCO₂, whichvirtually eliminated apneas and hypopneas; they decreased from43.7 ± 7.3 apneas and hypopneas/h onN1 to 5.8 ± 0.9 apneas andhypopneas/h during N3(P < 0.005), from 43.8 ± 6.9 apneas and hypopneas/h during room air breathing to 5.9 ± 2.5 apneas and hypopneas/h of sleep duringCO₂ inhalation during N2 (P < 0.01), and to 11.6% of the room air level while the patients werebreathing through added dead space duringN4 (P < 0.005). Because raisingPa_CO2 through two different meansvirtually eliminated central sleep apneas, we conclude that centralapneas during sleep in ICSA are due to reductions inPa_CO2 below the apnea threshold.

     

Utilization of Sediment CO2 by Selected North American Isoetids

The photosynthetic uptake of root-zone CO₂ was determined forEriocaulon septangulare, Gratiola aurea, Isoetes macrospora,Littorella uniflora var. americana and Lobelia dortmanna aspart of a study of the photosynthetic carbon economy of submergedaquatic isoetids. The pH and dissolved inorganic carbon (DIC)of the sediment interstitial water in four Wisconsin lakes reflectedthe water column character, where the DIC increased with depthin the sediment to concentrations five to ten times those ofthe water column. Sediment free CO₂ concentrations were 5–50times those in the water column and were similar at all sites(about 05–1.0mM CO₂ in the root-zone). In ‘pH-drift’studies these plants were unable to take up HCO₂^–. Laboratory determinations of the carbon uptake from the rootand shoot-zones were made for all five species. These experimentsshowed that CO₂ in the root-zone accounted for 65–95 percent of external carbon uptake for the five species. For G.aurea and E. septangulare, root-zone CO₂ was > 85 per centof carbon uptake. Carbon, CO₂, photosynthesis, sediment, isoetid, Eriocaulon septangulare, Gratiola aurea, Isoetes macrospora, Littorella uniflora, Lobelia dortmanna     

Hypoproteinemia, strong-ion difference, and acid-base status in critically ill patients

Thepresent study was a prospective, nonrandomized, observationalexamination of the relationship among hypoproteinemia and electrolyteand acid-base status in a critical care population of patients. A totalof 219 arterial blood samples reviewed from 91 patients was analyzedfor arterial blood gas, electrolytes, lactate, and total protein.Plasma strong-ion difference ([SID]) was calculated from[Na⁺] + [K⁺]  [Cl]  [La].Total protein concentration was used to derive the total concentration of weak acid([A]_tot).[A]_tot encompassed arange of 18.7 to 9.0 meq/l, whereas [SID] varied from 48.1 to 26.6 meq/l and was directly correlated with[A]_tot. The decline in[SID] was primarily attributable to an increase in[Cl]. A directcorrelation was also noted betweenPCO₂ and [SID], but notbetween PCO₂ and[A]_tot. The decrease in [SID] and PCO₂ wassuch that neither [H⁺]nor [HCO₃] changedsignificantly with[A]_tot.