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Effect of chronic renal failure with metabolic acidosis on alanine metabolism in isolated liver cells

Background & aims: Decreased ureagenesis and gluconeogenesis from alanine have been reported during chronic renal failure in rat. This study addressed the respective roles of plasma-membrane transport and intracellular metabolism in these abnormalities of alanine pathways. Methods: In hepatocyte...

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Published in:Clinical nutrition (Edinburgh, Scotland) Scotland), 2004-06, Vol.23 (3), p.317-324
Main Authors: Cano, N, Sturm, J.M, Meijer, A.J, El-Mir, M.Y, Novaretti, R, Reynier, J.P, Leverve, X.M
Format: Article
Language:English
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Summary:Background & aims: Decreased ureagenesis and gluconeogenesis from alanine have been reported during chronic renal failure in rat. This study addressed the respective roles of plasma-membrane transport and intracellular metabolism in these abnormalities of alanine pathways. Methods: In hepatocytes isolated from uremic and control rats, we investigated: (1) the influence of uremia on gluconeogenesis and ureagenesis during incubations with alanine; (2) the kinetics of alanine plasma-membrane transport; (3) the relationships between intracellular alanine concentrations and its metabolism. Plasma-membrane alanine transport was assessed after addition of alanine (2 mM) by measuring its intracellular accumulation from 0 to 10 min, in the presence of a transaminase inhibitor. Alanine metabolism was studied in perifused hepatocytes by measuring intracellular alanine concentration together with urea, glucose and lactate production in the presence of increasing concentrations of alanine (0–8 mM). Results: Uremic rats showed decreased plasma bicarbonate. Uremia induced ( P
ISSN:0261-5614
1532-1983
DOI:10.1016/j.clnu.2003.07.004