The paper considers whether shunting of portal
blood around the liver and decreased total hepatic blood flow are
sufficient to explain the degree of hyperammonemia occurring
after portacaval shunt (PCS). For this purpose, urea-cycle enzymes,
transaminases, and glutamatedehydrogenase were measured
in rat-liver homogenates 10, 20, and 30 days after PCS and
compared to unoperated controls.
In view of the marked postoperative reduction of liver mass, three typical responses
could be observed : type I, normal or slightly decreased enzyme activity per gram of liver,
but decreased per total liver mass (ornithine carbamyltransferase, argininosuccinate
synthetase, arginase, glutamate pyruvate, and oxaloacetate transaminase, glutamate
dehydrogenase); type II, increased enzyme activity per gram liver, but decreased per
total liver mass (carbamylphosphate synthetase); type III, increased enzyme activity per
gram liver but normal per total-liver mass (argininosuccinate cleavage enzyme). Particu -
larly, the rate-limiting step of the urea cycle (argininosuccinate synthetase) showed a
type-I response.
The data suggest that liver ‘atrophy’ after PCS is associated with a reduction of functional
enzyme content. This represents at least one factor contributing to hyperammonemia
in this experimental model.