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1 Renal Division, Tri-Service General Hospital, National Defense Medical Center, Taipei 100, Republic of China; 2 Renal Division, St. Michael's Hospital, University of Toronto, Toronto, Ontario M5B 1A6; and 3 Renal Division, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada T6G 2B7
The purpose of
this study was to provide a better understanding of the physiological
role of endogenous net organic acid production in rats consuming their
usual diet. Balance studies were performed over 24 h, and
urine was collected in the day and night portions of the diurnal cycle.
A supplemented low-electrolyte diet (LED) was fed to determine whether
urinary organic anions were identical to those in the diet. A titration
procedure was developed to determine the
pK of titratable groups in the urine
of rats studied with and without an acid load. Although normal rats
excreted net acid (NAE), the latter was inversely related to the amount
of food consumed. The rates of excretion of bicarbonate
(HCO
3), citrate, unmeasured organic
anions, and NH+4 were higher in the night
portion of the diurnal cycle. NAE rose dramatically when alkali intake
was decreased by consuming the LED. Dietary and urinary organic anions
were not identical because rats fed the LED supplemented with potassium
citrate excreted <10% of this alkali load as citrate and <25% as
HCO
3. In the 24 h after 3,000 µmol
NH4Cl was given intraperitoneally,
H+ did not appear to be retained,
yet NAE rose by only close to 2,000 µeq. The rate of excretion of
titratable groups with a pK in the 3 to 5 pH range fell by close to 1,000 µeq; most of these changes
occurred in the first 7 h after
NH4Cl was given. We conclude that
rat chow provides a large net alkali load. There appear to be two types
of endogenous acid production, a form associated with a rise in NAE
(e.g., sulfuric acid) and dietary alkali-driven endogenous net acid
production, which titrates this alkali. Renal excretion of organic
anions makes these acids end products of metabolism.
acid-base balance; ammonium; bicarbonate; citrate; diurnal cycle; endogenous acid production; net acid excretion; organic anions
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