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Sodium bicarbonate and alfalfa hay additions to wheat silage diets fed to lactating dairy cows.

Two experiments were conducted to examine dietary effects of .8% sodium bicarbonate and 1.4 kg/d of alfalfa hay on performance and rumen metabolism of lactating dairy cows fed 50% wheat silage and 50% concentrate (dry basis). In Experiment 1 with 12 midlactation Holsteins in a 4 X 4 Latin square design, intake, milk production, and milk composition were not affected by treatment. Dietary sodium bicarbonate and alfalfa hay did not alter blood, rumen, or fecal pH. Rumen volatile fatty acid pattern was not affected by sodium bicarbonate, but addition of hay resulted in higher molar percentage propionate and lower acetate: propionate ratios. In Experiment 2 with 32 early lactation cows (20 Holsteins and 12 Jerseys) in a complete randomized block design, supplementation of sodium bicarbonate, alfalfa hay, or both did not affect intake, milk production, or milk composition in the first 8 wk of lactation. Blood, rumen, and fecal pH were not affected by treatment. Dietary sodium bicarbonate did not alter ruminal volatile fatty acid profile, whereas addition of hay increased molar proportion acetate and decreased molar proportion butyrate. A shift in rumen fermentation was observed across treatments from wk 1 through 8 postpartum with molar proportions of acetate and butyrate increasing and molar proportion of propionate decreasing.

Animal Feed↗

Effects of sodium bicarbonate with three ratios of hay crop silage to concentrate for dairy cows.

Three ruminally cannulated Holstein cows were fed total mixed diets of hay crop silage and concentrate (30:70, 50:50, 70:30, 100:0) to evaluate effects of sodium bicarbonate supplements equivalent to 0, .4, and .7% of total ration dry matter (0, 68, and 114 g/d). Yields of milk, fat-corrected milk, fat, protein, and solids-not-fat, percentages of milk protein and solids-not-fat, and efficiency of production of fat-corrected milk declined with decreasing concentrate proportion. Buffer supplementation reduced milk fat percentage and milk yield was greater with 68 g/d sodium bicarbonate than with 114 g/d. Digestibilities of dry matter, organic matter, gross energy, cell solubles, and crude protein declined with decreasing proportion of concentrate while cellulose digestibility increased linearly. The proportion of dietary nitrogen transferred to milk decreased linearly with decreasing proportion of concentrate and sodium bicarbonate increased this transfer with the 70% concentrate diet. Sodium bicarbonate increased ruminal pH and acetate proportion while decreasing ammonia concentration. Acetate:propionate ratio was decreased by sodium bicarbonate addition to the 70% concentrate diet. High concentrate diets with hay crop silage may require higher amounts of buffers to influence production.

Animal Feed↗

Lactational response of cows to different concentrations of calcium salts of canola oil fatty acids with or without bicarbonates.

Holstein cows (n = 24) averaging 39 d of lactation were used in a randomized complete block design during an 8-wk trial. From wk 1 to 4, diets contained 62% alfalfa silage and 38% concentrates (dry matter basis), and, from wk 5 to 8, diets contained 47% forage and 53% concentrates. The concentrates were increased for the second phase so that the effect of bicarbonates could be expressed more fully. Diets 1, 2, and 3 contained 2% of a blend of Na and K bicarbonates and 0, 2, or 4% of Ca salts of canola oil fatty acids (percentage of dry matter), respectively. Diet 4 contained the same percentage of Ca salts as did diet 3 but without bicarbonates. Dry matter intake decreased linearly (wk 4), and milk yield was altered quadratically (wk 4), as the percentage of Ca salts in the diet increased. Milk fat percentage (wk 8) and yield (wk 4 and 8), as well as milk protein percentage (wk 4 and 8) and yield (wk 4), decreased linearly as the percentage of Ca salts in the diet increased. Short- and medium-chain saturated fatty acids decreased linearly, and C18:0, trans-delta-11-C18:1, cis-delta-9-C18:1, cis-delta-11-C18:1, and C18:2 increased linearly, as Ca salts in the diet increased. Addition of Na and K bicarbonates to the diets that contained Ca salts increased milk and milk protein yields and increased the proportions of C18:2 in milk fat at wk 8. Dietary bicarbonates had no effect on the responses of other milk fatty acids to supplementation of 4% Ca salts of canola oil fatty acids.

Analysis of Variance↗

Effect of sodium bicarbonate infusions on ionized calcium and total calcium concentrations in serum of clinically normal cats.

The effects of sodium bicarbonate (0.5 mEq/kg of body weight, 1.0 mEq/kg, 2.0 mEq/kg, and 4.0 mEq/kg) on ionized and total calcium concentrations were determined in clinically normal cats. Also, serum pH, whole blood pH, and serum albumin, serum total protein, and serum phosphorus concentrations were measured. Intravenous administration of sodium bicarbonate to awake cats decreased serum ionized calcium and serum total calcium concentrations. All dosages of sodium bicarbonate were associated with significant decreases of serum ionized calcium concentration. This effect lasted for greater than 180 minutes when cats were given 2.0 mEq/kg or 4.0 mEq/kg. When cats were given 4 mEq of sodium bicarbonate/kg, serum ionized calcium concentration was significantly decreased, compared with that when cats were given lower doses, but only at 10 minutes after infusion. After sodium bicarbonate infusion, serum total calcium concentration, measured by ion-specific electrode and colorimetry, was lower than baseline values at most of the times evaluated. Decreases in serum ionized calcium and serum total calcium concentrations can be attributed only in part to an increase in serum or whole blood pH and to a decrease in serum protein concentration. Serum total calcium concentrations measured by ion-specific electrode and by colorimetry were positively correlated, but the variability was high. Only 44% of the variability in serum ionized calcium concentration could be predicted when serum total calcium, albumin, total protein, phosphorus, and bicarbonate concentrations and pH were considered.

Animals↗

Changes in the redox potential and catalase activity of Mn2+ ions during formation of Mn-bicarbonate complexes.

Changes in the redox potentials of Mn2+ ions and Mn-bicarbonate complexes were studied due to their possible participation in the photosynthetic oxidation of water in plant photosystem 2 and in H2O2 decomposition. Electrochemical oxidation of Mn2+ ions was demonstrated by voltammetry on a platinum electrode in 0.1 M LiClO4 solution at a potential of 1.19 V (vs NHE). When NaHCO3 was added, the oxidation peak of Mn2+ ions disappeared. New oxidation peaks appeared at 0.92 V and 0.63 V which corresponded to the oxidation of Mn(HCO3)+ and Mn(HCO3)2, respectively, generated by complex formation between Mn2+ and HCO3- ions. The effect of the Mn(2+)-bicarbonate complex on H2O2 redox decomposition was studied. It was shown that the addition of MnSO4 to the H2O2 solution did not affect the H2O2 oxidation peak height thereby indicating the absence of H2O2 decomposition by Mn2+ ions. At the same time, subsequent addition of NaHCO3 resulted in the disappearance of the oxidation peaks of both H2O2 and Mn2+. As at pH 7 the thermodynamic potential of H2O2 reduction is 1.1 V and the Mn2+ oxidation potential is 1.19 V, the redox reaction between them is hampered. Formation of the Mn(2+)-bicarbonate complex shifted the Mn2+ oxidation potential to 0.63 V, thereby inducing the decomposition of H2O2. It is suggested that the decrease in the Mn2+ oxidation potential resulting from the formation of the bicarbonate complex determines the bicarbonate capability to enhance the Mn2+ ability to donate electrons for PS 2 reaction centres.

Bicarbonates↗

Alteration of oxygen tension and oxyhemoglobin saturation. A hazard of sodium bicarbonate administration.

The administration of sodium bicarbonate solution, which has been advocated for the treatment of metabolic acidosis, may have detrimental side effects. We evaluated oxyhemoglobin saturation and oxygen tensions in eight anesthetized swine before and after freshwater near-drowning and after a rapid intravenous infusion of 7.5% sodium bicarbonate solution (8 mEq/kg). After freshwater aspiration, arterial and venous oxygen tensions and oxyhemoglobin saturation decreased. Administration of sodium bicarbonate resulted in decreased venous and increased arterial, oxygen tensions. Arterial, but not venous, oxyhemoglobin saturation increased. These findings suggest that sodium bicarbonate caused a distinct leftward shift in the oxyhemoglobin dissociation curve, which could impair tissue oxygenation. Therefore, to avoid detrimental effects, sodium bicarbonate should be administered slowly and in a dose sufficient just to correct metabolic acidosis.

Acidosis↗

Modeling of the D1/D2 proteins and cofactors of the photosystem II reaction center: implications for herbicide and bicarbonate binding.

A three-dimensional model of the photosystem II (PSII) reaction center from the cyanobacterium Synechocystis sp. PCC 6803 was generated based on homology with the anoxygenic purple bacterial photosynthetic reaction centers of Rhodobacter sphaeroides and Rhodopseudomonas viridis, for which the X-ray crystallographic structures are available. The model was constructed with an alignment of D1 and D2 sequences with the L and M subunits of the bacterial reaction center, respectively, and by using as a scaffold the structurally conserved regions (SCRs) from bacterial templates. The structurally variant regions were built using a novel sequence-specific approach of searching for the best-matched protein segments in the Protein Data Bank with the "basic local alignment search tool" (Altschul SF, Gish W, Miller W, Myers EW, Lipman DJ, 1990, J Mol Biol 215:403-410), and imposing the matching conformational preference on the corresponding D1 and D2 regions. The structure thus obtained was refined by energy minimization. The modeled D1 and D2 proteins contain five transmembrane alpha-helices each, with cofactors (4 chlorophylls, 2 pheophytins, 2 plastoquinones, and a non-heme iron) essential for PSII primary photochemistry embedded in them. A beta-carotene, considered important for PSII photoprotection, was also included in the model. Four different possible conformations of the primary electron donor P680 chlorophylls were proposed, one based on the homology with the bacterial template and the other three on existing experimental suggestions in literature. The P680 conformation based on homology was preferred because it has the lowest energy. Redox active tyrosine residues important for P680+ reduction as well as residues important for PSII cofactor binding were analyzed. Residues involved in interprotein interactions in the model were also identified. Herbicide 3-(3,4-dichlorophenyl)-1,1-dimethylurea (DCMU) was also modeled in the plastoquinone QB binding niche using the structural information available from a DCMU-binding bacterial reaction center. A bicarbonate anion, known to play a role in PSII, but not in anoxygenic photosynthetic bacteria, was modeled in the non-heme iron site, providing a bidentate ligand to the iron. By modifying the previous hypothesis of Blubaugh and Govindjee (1988, Photosyn Res 19:85-128), we modeled a second bicarbonate and a water molecule in the QB site and we proposed a hypothesis to explain the mechanism of QB protonation mediated by bicarbonate and water. The bicarbonate, stabilized by D1-R257, donates a proton to QB2- through the intermediate of D1-H252; and a water molecule donates another proton to QB2-. Based on the discovery of a "water transport channel" in the bacterial reaction center, an analogous channel for transporting water and bicarbonate is proposed in our PSII model. The putative channel appears to be primarily positively charged near QB and the non-heme iron, in contrast to the polarity distribution in the bacterial water transport channel. The constructed model has been found to be consistent with most existing data.

Amino Acid Sequence↗

Influence of epidermal growth factor on bovine pancreatic duct cell bicarbonate.

BACKGROUND AND AIMS: Epidermal growth factor (EGF) is secreted in pancreatic juice and its receptor is expressed on pancreatic duct cells (PDCs), suggesting a physiological role which has yet to be defined. Here we examined the effects of EGF on bicarbonate production and carbonic anhydrase (CA) activity in a PDC explant model. METHODS: Bovine main PDCs were prepared and maintained in culture as explants. Levels of CA expression, phosphorylation, and enzymatic activity were measured in resting cells and compared to that of cells exposed to 10 nM secretin, 10 nM EGF, or both. Bicarbonate production was measured using the autoburette pH titration technique. RESULTS: CA protein levels were unchanged with any treatment, but enzyme activity increased by 180% with secretin treatment and was reduced by 54% with EGF. The combination treatment led to a synergistic increase 240% above basal. EGF alone did not affect bicarbonate secretion, but the normal increase observed with secretin stimulation (1.3 +/- 0.4 to 2.9 +/- 0.6 micromol/h/cm(2)) was abolished by acute EGF pretreatment. On the other hand, EGF pretreatment for 24 h significantly increased basal and stimulated secretion (2.2 +/- 0.5 and 3.8 +/- 0.5, respectively) compared to controls. CONCLUSIONS: EGF exerts a regulatory role on bicarbonate secretion by the pancreatic duct epithelium, independent of its effect on CA activity. Its inhibition of stimulated bicarbonate secretion could play a protective role in the setting of pancreatic inflammation, where increased levels of EGF are associated with reduced pancreatic juice production.

Animals↗

Bicarbonate movement across basolateral membrane vesicles from rat jejunum.

The self-orienting Percoll-gradient centrifugation was used to separate basolateral membranes (BLMs) from rat jejunal enterocytes. Bicarbonate uptake into osmotically active BLM vesicles was studied by a rapid filtration technique. The time course of [14C] -labelled bicarbonate uptake was followed for 30 min at 18 degrees C and at pH 8.2. Bicarbonate uptake was fast, not saturable and stimulated by countertransport. This work demonstrates that it is possible to determine bicarbonate flux across BLM vesicles at pH and temperature values close to usual experimental conditions. Together with simple diffusion, bicarbonate would cross the BLM of the enterocyte via a carrier-mediated diffusion process.

Animals↗

Influence of vagotomy on bicarbonate secretion in the rat proximal duodenum.

The influence of vagotomy on bicarbonate secretion in the proximal duodenum was assessed in rats receiving truncal, hepatoduodenal and gastric vagotomy. Two weeks after vagotomy, animals fasted for 24 hr were subjected to laparotomy under urethane anesthesia. A proximal duodenal loop excluding the outlet of the common bile duct was prepared as part of an airtight extracorporeal perfusion circuit. The circuit was filled with a bathing solution at pH 4.5 and which was perfused at a rate of 10 ml/min at a constant temperature of 37 degrees C. The pH and CO2 tension of the bathing solution were determined using microelectrodes, and bicarbonate secretion was calculated from the pH and CO2 tension data by the Henderson-Hasselbalch equation. The bicarbonate secretion at the first portion of the duodenum over a 60-min period was significantly higher in the truncal and hepatoduodenal vagotomy groups than in the control group. However, there was no significant difference between the gastric vagotomy and control groups. Furthermore, no significant difference was noted between the truncal and hepatoduodenal vagotomy groups. Since bicarbonate secretion was increased by hepatoduodenal vagotomy, the hepatoduodenal branch of the vagus nerve appeared to inhibit bicarbonate secretion at the first portion of the duodenum.

Animals↗

Sodium bicarbonate-augmented stress thallium myocardial scintigraphy.

It is well known that sodium bicarbonate in pharmacological doses induces transient alkalosis, causing intracellular transport of serum potassium. The aims of this study were (a) to investigate whether, in humans, myocardial thallium-201 uptake can be augmented by pretreatment with a single bolus of sodium bicarbonate at a pharmacological dose, (b) to verify general safety aspects of the intervention and (c) to evaluate the clinical implications of augmentation of (201)Tl uptake, if any. Routine exercise myocardial scintigraphy was performed twice in eight adult volunteers (five normal and three abnormal), once without intervention and the second time (within a week) following intravenous administration of sodium bicarbonate (88 mEq in 50 ml) as a slow bolus 1 h prior to the injection of (201)Tl. Conventional myocardial thallium study was compared with sodium bicarbonate interventional myocardial scintigraphy with respect to myocardial uptake (counts per minute per mCi injected dose), washout patterns in normal and abnormal myocardial segments, and overall clinical interpretation based on planar and single-photon emission tomographic (SPET) images. All patients remained asymptomatic after the intervention. A mean increase of 53% in myocardial uptake of thallium was noted in post-exercise acquisitions after the intervention, confirming uptake of the tracer via the potassium-hydrogen pump and its augmentation by transient alkalosis. The washout pattern remained unchanged. The visual quality of planar and SPET images improved significantly after the intervention. Out of the five abnormal myocardial segments identified in three cases, four showed significant filling-in after the intervention, causing the diagnosis to be upgraded from "partial scar" to "ischaemia", or from "ischaemia" to "normal". The overall scan impression changed in two out of three such cases. Sodium bicarbonate augmentation may have significant implications for stress-thallium scintigraphy and may be a new parameter for defining myocardial viability.

Adult↗

Bicarbonate exporting transporters in the ovine ruminal epithelium.

In order to stabilize the intraruminal pH, bicarbonate secretion by the ruminal epithelium seems to be an important prerequisite. The present study therefore focussed on the characterization of bicarbonate exporting systems in ruminal epithelial cells. Intracellular pH (pH(i)) was measured spectrofluorometrically in primary cultured ruminal epithelial cells loaded with the pH-sensitive fluorescent dye, 2,7-bis(carboxyethyl)-5(6')-carboxyfluorescein acetomethyl ester. Switching from CO2/HCO3- -buffered to HEPES-buffered solution caused a rapid intracellular alkalinization followed by a counter-regulation towards initial pH(i). The recovery of pH(i) was dependent upon extracellular chloride, but independent of extracellular sodium. Adding 500 microM H2DIDS significantly reduced the increase of pH(i). For further characterization of the bicarbonate exporting systems, we tested the ability to reverse the direction from HCO3- export to import in the absence of sodium and chloride. Under sodium and chloride-free conditions, counter-regulation after CO2-induced pH(i) decrease did not differ from pH(i) recovery in the presence of sodium and chloride. Existence of bicarbonate exporting systems in cultured ruminal epithelial cells and intact ruminal epithelium was verified by reverse transcription polymerase chain reaction (RT-PCR). Using RT-PCR and subsequent sequencing, expression of mRNA encoding for AE2, DRA and PAT1 could be found. Bicarbonate exporting systems could therefore be detected both on the functional and structural level.

Animals↗

Conservation of functional domain structure in bicarbonate-regulated "soluble" adenylyl cyclases in bacteria and eukaryotes.

Soluble adenylyl cyclase (sAC) is an evolutionarily conserved bicarbonate sensor. In mammals, it is responsible for bicarbonate-induced, cAMP-dependent processes in sperm required for fertilization and postulated to be involved in other bicarbonate- and carbon dioxide-dependent functions throughout the body. Among eukaryotes, sAC-like cyclases have been detected in mammals and in the fungi Dictyostelium; these enzymes display extensive similarity extending through two cyclase catalytic domains and a long carboxy terminal extension. sAC-like cyclases are also found in a number of bacterial phyla (Cyanobacteria, Actinobacteria, and Proteobacteria), but these enzymes generally possess only a single catalytic domain and little, if any, homology with the remainder of the mammalian protein. Database mining through a number of recently sequenced genomes identified sAC orthologues in additional metazoan phyla (Arthropoda and Chordata) and additional bacterial phyla (Chloroflexi). Interestingly, the Chloroflexi sAC-like cyclases, a family of three enzymes from the thermophilic eubacterium, Chloroflexus aurantiacus, are more similar to eukaryotic sAC-like cyclases (i.e., mammalian sAC and Dictyostelium SgcA) than they are to other bacterial adenylyl cyclases (ACs) (i.e., from Cyanobacteria). The Chloroflexus sAC-like cyclases each possess two cyclase catalytic domains and extensive similarity with mammalian enzymes through their carboxy termini. We cloned one of the Chloroflexus sAC-like cyclases and confirmed it to be stimulated by bicarbonate. These data extend the family of organisms possessing bicarbonate-responsive ACs to numerous phyla within the bacterial and eukaryotic kingdoms.

Adenylyl Cyclases↗

Effect of sucralfate on human gastric bicarbonate secretion and local prostaglandin E2 metabolism.

The protective and ulcer-healing properties of sucralfate on gastroduodenal mucosa are well established. In this study, the possible mode of action of sucralfate in humans has been explored by examining its effect on gastric bicarbonate secretion and luminal prostaglandin E2 (PGE2) output from the intact stomach. The gastric output of bicarbonate and PGE2 has been calculated using a perfusion technique before, during, and after perfusion with sucralfate (8 mg/ml) in eight healthy volunteers. A significant increase in bicarbonate output occurred during the period of sucralfate perfusion returning to basal values during the post-sucralfate period. Pretreatment with indomethacin (25 mg/hour) failed to influence this secretory response. Luminal PGE2 output was significantly increased in the post-sucralfate perfusion period only. These changes were caused mainly by an increase in gastric secretory volume with insignificant increases in concentrations of bicarbonate and PGE2. These results suggest that stimulation of gastric bicarbonate secretion and PGE2 output by sucralfate may play a role in its protective actions.

Adolescent↗

A major site of bicarbonate effect in system II reaction. Evidence from ESR signal IIvf, fast fluorescence yield changes and delayed light emission.

In order to determine the major site of bicarbonate action in the electron transport complex of Photosystem II, the following experimental techniques were used: electron spin resonance measurements of Signal IIvf, measurements of chlorophyll a fluorescence yield rise and decay kinetics, and delayed light emission decay. From data obtained using these experimental techniques the following conclusions were made: (1) absence of bicarbonate causes a reversible inactivation of up to 40% of Photosystem II reaction center activity; (2) there is no significant effect of bicarbonate on electron flow from the charge accumulating S state to Z; (3) there is no significant effect of bicarbonate on electron flow from Z to P-680+; (4) electron flow from Q-- to the intersystem electron transport pool is inhibited by from 4- to 6-fold under bicarbonate depletion conditions.

Bicarbonates↗

L-beta-methylaminoalanine inhibits [3H]glutamate binding in the presence of bicarbonate ions.

We examined the ability of the neurotoxin, L-beta-methylaminoalanine (L-BMAA), to inhibit [3H]glutamate binding to rat brain synaptic junctions. In a tris(hydroxymethyl)aminomethane acetate buffer, L-BMAA did not affect [3H]glutamate binding (IC50 greater than 10 mM). However, in the presence of ammonium bicarbonate (20 mM) L-BMAA blocked [3H]glutamate binding with an IC50 of 1 mM. This inhibition was not caused by ammonium ion since other ammonium salts were inactive. Furthermore, identical inhibition was obtained in the presence of potassium bicarbonate. Bicarbonate ion did not alter the ability of N-methyl-D-aspartic acid to block glutamate binding. These results indicate that bicarbonate ion is required for the interaction of L-BMAA with the glutamate receptor and may account for the observation that beta-methylaminoalanine is neurotoxic in vitro only in the presence of bicarbonate.

Amino Acids, Diamino↗

Impaired chloride secretion, as well as bicarbonate secretion, underlies the fluid secretory defect in the cystic fibrosis pancreas.

Pancreatic fluid and electrolyte secretion was assessed in 56 patients with cystic fibrosis (CF) and 56 non-CF control subjects undergoing pancreatic function testing while stimulated with cholecystokinin and secretin. Both CF patients and control subjects exhibited a wide range of pancreatic function. Fluid and trypsin outputs were positively correlated in both groups. Fluid output in CF subjects was significantly lower, however, than that of control subjects at any given level of trypsin output. Sodium, bicarbonate, and chloride secretions were all significantly decreased in CF subjects. Bicarbonate and chloride were important determinants of fluid secretion, but at any given bicarbonate or chloride output CF subjects secreted significantly less fluid than control subjects. When bicarbonate and chloride were analyzed as simultaneous predictor variables, adjusted fluid secretion was not significantly different in CF and control subjects. Diminished fluid secretion in CF subjects is therefore caused by impaired chloride, as well as bicarbonate, secretion.

Bicarbonates↗

Endogenous dopamine and duodenal bicarbonate secretion in humans.

BACKGROUND: Catechol-O-methyltransferase (COMT) inhibition prevents tissue degradation of catecholamines including dopamine. This study was undertaken to investigate the effect of intraluminal nitecapone, a peripherally acting COMT inhibitor, on duodenal mucosal bicarbonate secretion in humans and to compare the effect with that of the prostaglandin E1 analogue misoprostol. METHODS: The duodenal bulb was isolated by means of a three-balloon six-channel tube as previously described. Basal bicarbonate secretion and secretion after intraluminal administration of 30 and 150 mg nitecapone were determined in 11 healthy subjects. In 7 of these subjects, effects of intraluminal administration of 30 and 150 micrograms of misoprostol were studied in a second experiment. RESULTS: Even the lower dose of misoprostol increased duodenal bicarbonate secretion from 121 +/- 12 to 221 +/- 36 and the lower dose of nitecapone from 149 +/- 18 to 277 +/- 48 microEq.cm-1 x h-1, respectively (P < 0.05). With 150 micrograms of misoprostol or 150 mg of nitecapone there was a further increase in secretion to 296 +/- 33 (P < 0.01) and 421 +/- 36 (P < 0.001) microEq.cm-1 x h-1, respectively. The rise in bicarbonate secretion in response to nitecapone was associated with some increase in the release of prostaglandin E2 to the luminal perfusate. CONCLUSIONS: It seems likely that peripheral COMT inhibition increases duodenal mucosal bicarbonate secretion and protection by inhibition of mucosal degradation of dopamine, an increase similar in magnitude to that obtained by a prostaglandin E1 analogue.

Adult↗