Control by pH of urea synthesis has been studied in isolated rat hepatocytes incubated with a physiological mixture of amino acids.Inhibition of urea synthesis by decreasing the pH of the medium was caused by diminished production of ammonia and not, as suggested in the literature, by inhibition of entry of ammonia into the ornithine cycle. The decrease by low pH of the rate of degradation of the added amino acids, that of alanine being quantitatively the most important, was accompanied by a decrease in their intracellular concentration.It is concluded that inhibited transport of amino acids across the plasma membrane of the hepatocyte is responsible, at least in part, for the fall in urea synthesis with decreasing pH.It is proposed that inhibition by low pH of other steps in the ureogenic pathway, distal to the production of ammonia, does not affect flux through the ornithine cycle per se, but rather contributes to the buffering of the intrahepatic concentration of ammonia.Synthesis of urea has been shown to decrease at low pH, both in vivo [l -31 and in vitro, with isolated hepatocytes incubated with NH4CI or with livers perfused with NH4C1 [7]. Several mechanisms have been proposed that might contribute to the inhibition of urea synthesis at low pH. These include a decreased rate of production of N-acetylglutamate [8], the essential activator of carbamoyl-phosphate synthetase, a decrease in the concentration of unprotonated NH3 [6, 91, which is the true substrate for carbamoyl-phosphate synthetase [lo], and a decrease in the activity of mitochondrial carbonic anhydrase [7] ; the latter enzyme must produce HCO; from metabolically generated C 0 2 for synthesis of carbamoyl phosphate Ell], because carbamoyl-phosphate synthetase uses HCO;, and not C 0 2 , as the substrate [12] and because the mitochondrial inner membrane is impermeable to HCO; [13].In vivo, 70-75% of total urea synthesis is derived from the intrahepatic degradation of amino acids; the remainder is derived from portal ammonia [14, 151. Therefore, breakdown of amino acids can be an additional site for pH regulation. For example, the rate of transport of amino acids across the plasma membrane of the hepatocyte is known to decrease at acidic pH [16, 171. Indeed, degradation of at least one amino acid, glutamine, is strongly depressed in acidosis, not only because of inhibition of glutaminase activity [I81 but also because of inhibition of glutamine transport across the plasma membrane of the hepatocyte [19]. Hepatic alanine consumption is also pH-sensitive, both in vivo [3] and in the isolated perfused liver [20].The experiments described in this paper were designed to answer the question of which of the above-mentioned mechanisms is primarily responsible for the inhibition by low pH of urea synthesis from amino acids. The data indicate that, under our experimental conditions, transport of amino acids across the plasma membrane of the hepatocyte is the main target for pH control of ureogenesis.
MATERIALS AND METHODSHepatocytes were isolated from 20 ...