Abstract
Intracellular acidosis and hyperammonemia are associated with numerous metabolic encephalopathies. Conditions such as cerebral hypoxia, ischemia, seizures, and hypercarbia are accompanied by marked increases in intracellular [H+] and [NH +4 ]. Changes in either [H+] or [NH +4 ] lead to changes in the concentrations of cerebral amino acids and metabolic intermediates of both the glycolytic and TCA cycle (Miller et al, 1975; Cooper and Lai, 1987). The mechanism(s) involved and the site(s) of regulation of substrate flux by changes in the concentrations of these ions is not known with certainty. It is known that nearly all encephalopathies that involve an increase in ammonium ion concentration are accompanied by a decrease in the concentration of cerebral glutamate and an increase in glutamine. Hypercarbic acidosis also results in a decrease in the concentration of glutamate in rat brain and an increase of glutamine and ammonium ion (Folbergrová et al, 1972; Miller et al, 1975). It is important to note that neither acute hyperammonemia (Fitzpatrick et al, 1989) nor porta-caval shunting affects intracellular pH (Fitzpatrick et al, 1988); therefore, changes in pHi cannot be responsible for the decrease in glutamate, observed in response to elevated ammonium ion.KeywordsGlutamine SynthetaseNucleoside TriphosphatePortacaval ShuntingHigh Energy PhosphateIntracellular AcidosisThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.