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Enhancement of K transfer to intracellular fluid by cerebral artery K-loading.

Intact, UL, and pancreatectomized UL dogs were loaded with K by administration of 2 mEq KCl/kg/hr through a cerebral (vertebral) artery. K transfer to ICF was calculated and compared with that computed in control animals K-loaded through a PV. At the same rate of K administration, the change of route from PV to VA markedly increased transmembrane K transfer, even in the absence of insulin; the increase seems a specific response to K. KCl administration via a VA, with a resulting abrupt rise in the serum K concentration of cerebral blood, activates a K transfer mechanism (possibly by stimulation of a K-sensitive CNS receptor) that is strikingly unlike the insulin-mediated one stimulated by intravenous KCl. Hyperkalemic dogs may have more than one mechanism for maintaining K homeostasis, depending on the rate at which K enters the circulation.

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Evaluation of different methods for assessing intracellular fluid in healthy older people: a cross-validation study.

OBJECTIVES: To cross-validate existing anthropometric and bioimpedance equations to establish their validity and accuracy for estimating intracellular water (ICW) in healthy older Germans and to develop a new equation with improved accuracy and precision for predicting ICW from multifrequency bioimpedance analysis (MFBIA). DESIGN: Cross-validation study. SETTING: University of Mainz. PARTICIPANTS: One hundred fifty-five healthy volunteers aged 60 to 80 years (77 men, 78 women; mean ages +/- standard deviation 67.7 +/- 4.8 and 68.6 +/- 5.5 years, respectively). MEASUREMENTS: ICW was measured by whole-body counting of (40)potassium ((40)K) ((40)K method) as the reference method and compared by cross-validation techniques against five existing bioimpedance and three anthropometric prediction equations. A new equation for estimating ICW from MFBIA was developed using the (40)K method as criterion method. RESULTS: Compared with the (40)K method, the existing bioimpedance and anthropometric equations showed large prediction errors in ICW estimates for older men (-32.3% to +37.7%) and women (-34.2% to +26.6%), depending significantly and positively on ICW volume and inversely on weight. A new equation for estimating ICW from MFBIA was developed (R(2)=0.933, standard error of the estimate (SEE)=0.92 L) involving phase angle at 5 kHz, impedance, height, and gender, with data from 100 subjects chosen at random. Cross-validation on an independent group (n=55, R(2)=0.958, SEE=0.68 L) showed no significant bias (0.013 +/- 1.52 L). CONCLUSIONS: Published bioimpedance and anthropometric prediction equations are not applicable to older Germans because they might be population-specific. The bioimpedance equation of the manufacturer of the bioimpedance analyzer used in this study provides accurate estimates of ICW for normal weight, but not overweight, older men. The newly developed equation improves accuracy and precision of ICW estimates by MFBIA.

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Transepithelial Na+ transport and the intracellular fluids: a computer study.

Computer simulations of tight epithelia under three experimental conditions have been carried out, using the rheogenic nonlinear model of Lew, Ferreira and Moura (Proc. Roy. Soc. London. B 206:53-83, 1979) based largely on the formulation of Koefoed-Johnsen and Ussing (Acta Physiol. Scand. 42: 298-308. 1958). First, analysis of the transition between the short-circuited and open-circuited states has indicated that (i) apical Cl- permeability is a critical parameter requiring experimental definition in order to analyze cell volume regulation, and (ii) contrary to certain experimental reports, intracellular Na+ concentration (ccNa) is expected to be a strong function of transepithelial clamping voltage. Second, analysis of the effects of lowering serosal K+ concentration (csK) indicates that the basic model cannot simulate several well-documented observations; these defects can be overcome, at least qualitatively, by modifying the model to take account of the negative feedback interaction likely to exist between the apical Na+ permeability and ccNa. Third, analysis of the strongly supports the concept that osmotically induced permeability changes in the apical intercellular junctions play a physiological role in conserving the body's stores of NaCl. The analyses also demonstrate that the importance of Na+ entry across the basolateral membrane is strongly dependent upon transepithelial potential, cmNa and csK; under certain conditions, net Na+ entry could be appreciably greater across the basolateral than across the apical membrane.

Animals↗