Acidosis modifies metabolic functions but does not affect vascular resistances in perfused rat livers

Abstract

Background : Few data exist concerning the consequences of acidosis on intrahepatic vascular resistances and hepatic functions. Methods : The consequences of pH and PCO 2 changes on the intrahepatic vascular reactivity to norepinephrine (NE, 10 −9 to 3×10 −5 M) have been investigated in isolated rat livers perfused with solutions bubbled with 5, 10, or 15% CO 2 and in solutions in which pH was decreased by replacing HCO 3 − with NaCl while maintaining a normal PCO 2. Hepatic O 2 consumption (VO 2) and urea release were also measured during these experiments. Results : The NE-induced increase of portal pressure did not change during hypercarbic and normocarbic acidosis. In contrast, the NE-induced increase of urea release was higher when the solution of perfusion was bubbled with 10 and 15% CO 2, while during normocarbic acidosis the NE-induced increase of urea release did not change with pH. In the absence of NE, acidosis decreased hepatic VO 2 and urea release but portal pressure was not modified by changing % CO 2 or pH in the Krebs–Henseleit–bicarbonate solution. Conclusions : This study clearly shows that, in the liver, the consequences of acidosis are far more important on the metabolism (VO 2 and urea release) than on the intrahepatic vascular resistance.