Comprehensive Physiology 1992
DOI: 10.1002/cphy.cp080123
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Renal Ammonia Production and Excretion

Abstract: The sections in this article are: Role of Ammonia Excretion in the Maintenance of Acid–Base Balance Overview of Acid–Base Balance Renal Acidification Mechanisms NH 4 Excretion in Response to Acute and Chronic Acidosis Relationship between Amino Acid Metabolism and Acid–Base Balanc… Show more

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Cited by 10 publications
(3 citation statements)
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“…The increased renal synthesis of ammonium and bicarbonate ions from plasma glutamine is an essential compensatory response to the onset of metabolic acidosis (1). Increased renal excretion of ammonium ions provides an expendable cation that facilitates the excretion of acids while conserving sodium and potassium ions (2). In contrast, the resulting bicarbonate ions are selectively transported across the basolateral membrane to compensate partially for the decrease in plasma pH and bicarbonate ions (3).…”
mentioning
confidence: 99%
“…The increased renal synthesis of ammonium and bicarbonate ions from plasma glutamine is an essential compensatory response to the onset of metabolic acidosis (1). Increased renal excretion of ammonium ions provides an expendable cation that facilitates the excretion of acids while conserving sodium and potassium ions (2). In contrast, the resulting bicarbonate ions are selectively transported across the basolateral membrane to compensate partially for the decrease in plasma pH and bicarbonate ions (3).…”
mentioning
confidence: 99%
“…However, it is firmly established that chronic metabolic acidosis increases renal capacity to produce ammonia. This has been readily demonstrated in the rat, dog, and human both in vivo and in vitro studies (Tannen, ). Although low pH may play a direct role, other factors including increased activity of enzymes involved in glutamine deamination and metabolism such as phosphoenolpyruvate carboxykinase (PEPCK) and phosphate‐dependent glutaminase (PDG) have been demonstrated (Tannen, ).…”
Section: Discussionmentioning
confidence: 85%
“…The kidneys harbor gluconeogenic and ammoniagenic enzymes responsive to acid-base and substrate influences (127). Most of the glucose released from the liver and kidney is derived from recycled lactate, pyruvate and alanine (35,80), from glycerol released from triglycerides (80,84), from acetone derived from decarboxylated AcAc- (110), and from glutamine released by muscle (68,77), brain (47) and other proteinaceous sources (77).…”
Section: Gluconeogenesis Ketogenesis Ureagenesis Ammoniagenesis Anmentioning
confidence: 99%