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Study on the contraction and oxygen consumption induced by high K, Na-deficient solution in the urinary bladder and gall bladder of guinea-pig.

In urinary bladder and gall bladder of guinea-pig, the application of hyperosmotic 65.4 mM K solution induced a tonic contraction and increased the rate of oxygen consumption two or three times. The increased O2 consumption maintained steady level during 120 min. In isosmotic 154 mM K, Na-deficient solution, the tonic contraction gradually decreased and oxygen consumption also showed a transient increase followed by a small one. In the urinary bladder, the addition of pyruvic acid completely prevented the decline of the tonic contraction by iso-154K solution at 120 min, but this addition partially prevented it in the gall bladder. Hyperosmotic application of sucrose partially prevented it in the urinary bladder, but completely recovered it in the gall bladder. When NaCl was applied to iso-154K solution, the decrease of tonic contraction was prevented by half in both the muscles. The application of pyruvic acid and NaCl prevented the reduction of oxygen consumption by iso-154K solution in the urinary bladder, but in the gall bladder, this had little effect. There was a close correlation (r = 0.950) between the muscle tension and the rate of oxygen consumption in the urinary bladder at 120 min under various conditions. In the gall bladder, a correlation (r = 0.875) was also found between both when the results by hyperosmotic addition of NaCl and sucrose were omitted. In the urinary bladder, tension cost, a ratio of O2 consumption rate (mumol O2/g/min) to developed tension (kg force/cm2), was large (0.206) and similar to that of taenia coli; and that of gall bladder was small (0.130) and almost similar to that of vascular smooth muscle.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Prediction of maximal oxygen consumption. Comparison of the Bruce and Balke treadmill protocols.

This study investigated the hypothesis that an individual's maximal oxygen consumption can be realistically predicted by the maximal time achieved in the Balke or Bruce treadmill protocols. The range of maximal oxygen consumption that can be expected for healthy individuals of any given age and activity was also evaluated. The maximal oxygen consumptions achieved by 79 men exercised using the Balke protocol and 77 men using the Bruce protocol were linearly regressed by a least-squares fit technique on maximal treadmill time and on age with activity status classified. Statistical analysis demonstrated an inadequate relationship for predicting maximal oxygen consumption from maximal treadmill time using either protocol. Also, maximal oxygen consumption correlated poorly with age even though activity status was considered. These findings make the nomogram for predicting an individual's functional aerobic impairment a clinical technique of questionable value. Since maximal oxygen consumption can only be grossly estimated from the maximal time performed in the Bruce or Balke protocols, there is no necessity to use them in preference to other clinically acceptable protocols.

Adult↗

Oxygen consumption, heart rate, respiratory rate and rectal temperature in healthy newborns during the first two hours after birth.

A report is made on the continuous registration of oxygen consumption, heart rate, respiratory rate and rectal temperature in 32 neonates during the first two hours of life. A short account of the registration technique is given. A comparative study shows, that oxygen consumption, heart rate and respiratory rate fall during the period of observation, whereas the rectal temperature rises. 26 out of the 32 neonates demonstrated a approximately linear fall of each of the oxygen consumption values during the period of observation. There is a similar relationship, which is statistically verified, between the oxygen uptake and heart rate. Oxygen consumption and heart rate can be correlated with each other after the first 60 minutes of life. This close and direct relationship between the oxygen consumption and the heart rate, an important parameter of the heart and circulatory system, stresses clearly the importance of the continuous registration of oxygen consumption for monitoring the general condition of the neonate. A change from this situation means a risk for the neonate which must be clarified by blood-gas analysis. A continuous registration of oxygen uptake for the surveillance of the neonate includes numerous vital functions and appears to be a more suitable parameter than single parameters which include only partial functions. The application of the method is simple and safe for the infant.

Age Factors↗

Effects of metabolic inhibitors on hormone release, cyclic AMP levels, and oxygen consumption in rat pituitary cells in culture.

The metabolic inhibitors antimycin A (2 mumol/l), dinitrophenol (0.5 mmol/l), and iodoacetate (6 mmol/l) were tested for their effects on hormone release, cAMP levels, and oxygen consumption in clonal strains of rat pituitary cells (GH3 cells). Basal release of growth hormone (GH) and prolactin (PRL) was reduced by all three inhibitors, and thyrotropin-releasing hormone (TRH) (1 mumol/l) and K+ (50 mmol/l) stimulated hormone release were blocked. Trifluoperazine, a calmodulin antagonist, inhibited basal GH and PRL release at concentrations up to 30 mumol/l and stimulated above 50 mumol/l. The stimulatory effect of 80 mumol/l trifluoperazine on basal hormone release was eliminated by antimycin A, dinitrophenol, and iodoacetate, whereas the inhibitory effect of antimycin A, dinitrophenol and iodoacetate on basal hormone was not affected by 30 mumol/l trifluoperazine. None of the inhibitors had any effect on the level of cellular cAMP (i.e. intracellular plus extracellular). Oxygen consumption of GH3 cells was blocked by antimycin A, reduced by 25% by iodoacetate and increased by about 100% by dinitrophenol. In contrast, hormone secretion stimulated by TRH and K+ was not accompanied by any measurable alteration in oxygen consumption. Trifluoperazine (greater than or equal to 80 mumol/l) reduced the basal oxygen consumption and blocked the stimulatory effect of dinitrophenol on oxygen consumption. In conclusion, inhibition of the energy generation of GH and PRL-producing cells severely affects the action of secretagogues, although stimulated hormone secretion may not be accompanied by any measurable increase in oxygen consumption. The cellular energy supporting hormone secretion is mostly generated via oxidative phosphorylation.

Animals↗

Oxygen consumption of rats with broad intestinal resection.

The study was performed to investigate possible alterations in oxygen consumption in an animal model with broad intestinal resection. Oxygen consumption and the thermal effect of a short meal were measured in rats subjected to short bowel syndrome. Four groups of rats were used. Group I was the control group, group II was sham operated, group III was submitted to 80% jejunum-ileum resection, and group IV was submitted to 80% jejunum-ileum resection with colon interposition. Ninety days after surgery, oxygen consumption was measured over a period of 6 h with the animals fasted overnight. The thermal effect of feeding was determined in another session of oxygen consumption measurement in animals fasted for 12 h. A 12-kcal meal was then introduced into the animal chamber and oxygen consumption was measured for a further 4 h. No differences in fasting oxygen consumption or in the thermal effect of the meal were detected among the groups studied. It is concluded that short bowel syndrome does not affect the overall energy expenditure of rats.

Anastomosis, Surgical↗

The difference between the changes in systemic oxygen consumption during orthotopic liver transplantation and those during extracorporeal hepatic resection.

Every organ in the body requires oxygen to perform its function. In liver transplantation and extracorporeal hepatic resection, oxygen utilization by the graft or the re-implanted liver is a prerequisite for restoration of liver function. We compared the changes in systemic oxygen consumption in a patient who underwent orthotopic liver transplantation with those in two patients who underwent extracorporeal hepatic resection. The pre-anhepatic systemic oxygen consumption in the patient who underwent orthotopic liver transplantation seemed to be lower than that in the patients who underwent extracorporeal hepatic resection, possibly due to the depressed oxygen utilization which sometimes occurs in cirrhotic patients. The increase in oxygen consumption or the overconsumption of oxygen after reperfusion was more significant in the patient who underwent orthotopic liver transplantation than in the patients who underwent extracorporeal hepatic resection. The possible causes might be the greater hepatic oxygen debt, an associated intestinal oxygen debt, and/or the greater ischemia/reperfusion-induced overproduction of superoxide anion in the patient who underwent orthotopic liver transplantation. The differences between the changes in systemic oxygen consumption during orthotopic liver transplantation and those during extracorporeal hepatic resection further support the usefulness of systemic oxygen consumption to predict the immediate restoration of blood flow and oxygen utilization in the graft or the re-implanted liver. These findings also support the importance of evaluating oxygen consumption to confirm whether the critically ill or unconscious patient can utilize oxygen on demand or not.

Female↗

Oscillations in oxygen consumption by permeabilized clonal pancreatic beta-cells (HIT) incubated in an oscillatory glycolyzing muscle extract: roles of free Ca2+, substrates, and the ATP/ADP ratio.

To determine whether oscillations in glycolysis could underlie the oscillations in O2 consumption observed in intact islets, we evaluated the capacity of an islet extract to exhibit spontaneous oscillations in glycolysis. When a cell-free extract obtained from approximately 1,000 islets was supplied with glucose and glycolytic cofactors, oscillations in NADH fluorescence were obtained. After this demonstration of spontaneous oscillations in islet extracts, we bathed permeabilized clonal beta-cells in the more plentiful spontaneously oscillating glycolytic muscle extract that generates pulses of alpha-glycerophosphate and pyruvate and induces oscillations in free Ca2+ and the ATP/ADP ratio. This preparation was used to investigate whether changes in Ca2+ and possibly alpha-glycerophosphate or pyruvate supply could underlie observed oscillations in O2 consumption and explain coordination between cytosolic and mitochondrial metabolism. We found that oscillations of O2 consumption and Ca2+ of a similar period were induced. Removal of medium Ca2+ with EGTA did not prevent the oscillations in O2 consumption nor were they greatly affected by the substantial rise in medium Ca2+ on treatment with thapsigargin to inhibit sequestration into the endoplasmic reticulum. The 02 oscillations were also not eliminated by the addition of relatively high concentrations of pyruvate or alpha-glycerophosphate. However, they were lost on addition of fructose-2,6-P2 at concentrations that prevent oscillations of glycolysis and the ATP/ADP ratio. Addition of a high concentration of ADP increased 02 consumption and also prevented 02 oscillations. These results suggest that the changes in respiration reflected in the 02 oscillations occur in response to the oscillations in the ATP/ADP ratio or ADP concentration and that this parameter is a primary regulator of 02 consumption in the pancreatic beta-cell.

Adenosine Diphosphate↗

Effects of high-copper feeding on portal ammonia absorption and on oxygen consumption by portal vein-drained organs and by the whole animal in growing pigs.

Growing gilts that had catheters inserted into the portal vein, ileal vein, and carotid artery and that were trained to consume 1.2 kg of a 16% CP corn-soybean meal basal diet once daily were used. In Trial 1, hourly simultaneous measurements of the O2 consumption by portal vein-drained organs (PVDO) and by the whole animal during the 24- to 30-h postprandial period were conducted in eight pigs (33.8 +/- .6 kg). After initial measurements, four pigs continued to receive the basal diet and four pigs were fed a basal diet +250 ppm of Cu. Following a 7-d acclimation period, the second series of measurements were made. In pigs fed the diet supplemented with Cu, the PVDO and whole-animal O2 consumptions and the fraction of whole-animal O2 consumption used by PVDO were not different (P > .05) between the initial and second series. In Trial 2, seven gilts (38.5 +/- .9 kg) were used for measurements of net portal NH3 absorption and the O2 consumption by PVDO and by the whole animal during the 0- to 6-h postprandial period. The second series of measurements were made 7 d after four pigs were fed the diet supplemented with Cu. For pigs fed the diet supplemented with Cu, during the second series of measurements, the net portal NH3 absorption was lowered (P < .05). No differences (P > .05) in PVDO and whole-animal O2 consumptions and the fraction of whole-animal O2 consumption used by PVDO were found between the initial and second series.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorption↗

Effect of live weight gain of steers during winter grazing: II. Visceral organ mass, cellularity, and oxygen consumption.

Two experiments were conducted to examine the effect of BW gain during winter grazing on mass, cellularity, and oxygen consumption of splanchnic tissues before and after the feedlot finishing phase. In each experiment, 48 fall-weaned Angus x Angus-Hereford steer calves were assigned randomly to one of three treatments: 1) high rate of BW gain grazing winter wheat (HGW), 2) low rate of BW gain grazing winter wheat (LGW), or 3) grazing dormant tallgrass native range supplemented with 0.91 kg/d of a 41% CP supplement (NR). At the end of winter grazing, four steers were selected randomly from each treatment for initial slaughter to measure organ mass, cellularity, and oxygen consumption. All remaining steers were placed into a feedlot and fed to the same backfat end point (1.27 cm). Six steers were selected randomly from each treatment for final organ mass, cellularity, and oxygen consumption. Initial empty BW (EBW) was greatest (P < 0.001) for HGW, intermediate for LGW, and least for NR steers in both Exp. 1 and 2 (355 > 263 > 207 +/- 6.5 kg and 337 > 274 > 205 +/- 8.7 kg, respectively). For both experiments, the initial total gastrointestinal tract (GIT; g/kg of EBW) proportional weight was greater (P < 0.05) in NR steers than in LGW, and LGW steers had greater (P < 0.05) initial GIT proportional weight than HGW steers. Proportional weight of total splanchnic tissues (TST; g/kg of EBW) did not differ (P < 0.19) among treatments. Initial duodenal RNA concentration and RNA:protein were greater (P < 0.02) in LGW than in HGW steers, and NR steers were intermediate. Initial in vitro liver O2 consumption was greater (P < 0.09) in HGW and LGW than in NR steers (34.5 > 16.9 mL/min), whereas initial small intestinal oxygen consumption was greater (P < 0.01) in LGW than in HGW and NR steers (12.1 > 5.2 mL/min). Ruminal papillae oxygen consumption did not differ (P < 0.55) among treatments. The rate of decrease of GIT (g x g EBW(-1) x d(-1)) during finishing was greater in NR than in HGW and LGW steers in both Exp. 1 and 2, but mesenteric fat (g x g EBW(-1) x d(-1)) increased for NR steers, resulting in a similar (P < 0.75) increase in TST across the finishing period for all treatments. Similar rates of increase in TST across the finishing phase corresponded with similar rates of live and carcass weight gain among treatments. Our data support the hypothesis that increased visceral organ mass increases maintenance energy requirements of growing cattle.

Animal Feed↗

Net absorption and oxygen consumption by Holstein steers fed alfalfa or orchardgrass silage at two equalized intakes.

The objective of this experiment was to compare net nutrient absorption and oxygen consumption by portal-drained viscera (PDV) of catheterized Holstein steers (333 kg) when fed alfalfa or orchardgrass silage at two equalized intakes. The design was a 4 X 4 Latin square with a 2 X 2 factorial arrangement of alfalfa or orchardgrass fed at 65 or 90 g dry matter/kg.75 live weight daily. Blood flow through PDV (dilution of p-aminohippurate), net nutrient absorption and oxygen consumption (venoarterial concentration differences times blood flow) were measured hourly for 12 h, followed by measurement of N and energy balance over 7 d. Compared with orchardgrass, steers when fed alfalfa absorbed more NH3-N (P less than .05), branched-chain volatile fatty acids (P less than .10) and n-valerate (P less than .05). Silage type did not affect (P greater than .10) blood flow to or O2 consumption by PDV or net absorption of glucose, L-lactate, acetate, propionate, urea-N, alpha-amino N or most amino acids. Oxygen consumption by PDV as a percentage of whole-animal O2 consumption was not different (P greater than .10) for steers when fed orchardgrass (27.2) or when fed alfalfa (23.6). Interrelationships between N and energy metabolism were responsible for the increased (P less than .05) metabolizable energy/kilogram silage dry matter and increased (P = .10) N retention by steers when fed alfalfa compared with orchardgrass. The PDV accounted for a substantial portion of whole-animal O2 consumption.

Animal Feed↗

Low mitochondrial free radical production per unit O2 consumption can explain the simultaneous presence of high longevity and high aerobic metabolic rate in birds.

Birds are unique since they can combine a high rate of oxygen consumption at rest with a high maximum life span (MLSP). The reasons for this capacity are unknown. A similar situation is present in primates including humans which show MLSPs higher than predicted from their rates of O2 consumption. In this work rates of oxygen radical production and O2 consumption by mitochondria were compared between adult male rats (MLSP = 4 years) and adult pigeons (MLSP = 35 years), animals of similar body size. Both the O2 consumption of the whole animal at rest and the O2 consumption of brain, lung and liver mitochondria were higher in the pigeon than in the rat. Nevertheless, mitochondrial free radical production was 2-4 times lower in pigeon than in rat tissues. This is possible because pigeon mitochondria show a rate of free radical production per unit O2 consumed one order of magnitude lower than rat mitochondria: bird mitochondria show a lower free radical leak at the respiratory chain. This result, described here for the first time, can possibly explain the capacity of birds to simultaneously increase maximum longevity and basal metabolic rate. It also suggests that the main factor relating oxidative stress to aging and longevity is not the rate of oxygen consumption but the rate of oxygen radical production. Previous inconsistencies of the rate of living theory of aging can be explained by a free radical theory of aging which focuses on the rate of oxygen radical production and on local damage to targets relevant for aging situated near the places where free radicals are continuously generated.

Aerobiosis↗

Oxygen consumption rate as a measurement of freeze-induced damage to chicken spermatozoa.

The present study was conducted to determine if oxygen consumption rate of postthaw spermatozoa could be used as the indicator of freeze-induced damage. Pooled semen was diluted fourfold with 5.7% glucose solution containing various levels of glycerol or N-methylformamide for freezing by the pelleting method. Sperm motility and oxygen consumption rate were determined after thawing the samples at 37 C. 1) The maximum motility and oxygen consumption rate of postthaw spermatozoa were observed at 10 and 7% glycerol, respectively. However, no significant differences existed among semen samples diluted in 7, 10, and 15% glycerol. 2) The motility and oxygen consumption rate of spermatozoa frozen with 6 to 9% of N-methylformamide were higher than those of spermatozoa frozen with 0, 3, 12, or 15%. 3) A highly significant positive correlation was observed between motility and oxygen consumption rate immediately after thawing and also after 10 min incubation at 20 C with either cryoprotectant. 4) The polarographic measurement of oxygen consumption rate of postthaw spermatozoa appeared to be a reliable method for evaluating freeze-induced damage to chicken spermatozoa.

Animals↗

Effects of dimethyl quaternary propranolol (UM-272) on oxygen consumption and ischemic ST segment changes in the canine heart.

The effect of dimethyl quarternary propranolol, UM-272, on myocardial oxygen consumption was determined experimentally in anesthetized, open-chest dogs in which the left anterior descending and circumflex coronary arteries were cannulated and perfused at a constant pressure. Coronary arterial and venous blood samples were collected and their oxygen content were measured. Myocardial oxygen consumption was calculated and expressed as milliliters per minute per 100 grams of left ventricle. Mean control myocardial oxygen consumption in five animals was 11.7 +/- 1.9. This was significantly reduced to 7.6 +/- 1.1 after UM-272, 10 mg/kg (P less than 0.5). In separate experiments, hearts were excised from anesthetized dogs and were perfused with oxygenated whole blood via the aorta. Coronary blood flow was held constant and oxygen consumption was calculated and expressed as milliliters per minute per 100 g of myocardium. Mean control oxygen consumption in five hearts was significantly reduced from 3.1 +/- 0.2 to 2.1 +/- 0.1 (P less than 0.01). In addition, the effect of UM-272 on myocardial ischemic injury produced in response to acute coronary artery ligation was assessed. The sum ST segment elevations from six epicardial recording sites was reduced from 34.8 +/- 4.9 to 11.3 +/- 2.1 mV (P less than .05). These data suggest that UM-272 would aid in ischemic heart disease by reducing both oxygen utilization and ischemic damage. These data, although suggestive, do not exclude other mechanisms as being related to the reduction in ST segment elevation, mechanisms which may not involve a reduction in myocardial oxygen consumption.

Animals↗

[Effect of salinity and body weight on the oxygen consumption of Oreochromis niloticus x O. mossambicus].

The effects of salinity and body weight on oxygen consumption of Taiwan red tilapia (Oreochromis niloticus x O. mossambicus) were studied. The fish was divided into three groups by their body weight: 1.57-4.87 g (G1), 7.07-18.23 g (G2) and 31.50-52.41 g (G3). The results showed that oxygen consumption at different salinities was significantly different (P < 0.01). The rates of oxygen consumption in G1 and G2 were highest, with 0.41 mg O2.g-1.h-1 for G1, and 0.34 mg O2.g-1.h-1 for G2 respectively at salinity 7@1000; while G3 had highest level with 0.30 mg O2.g-1.h-1 at 35@1000. The lowest oxygen consumption level appeared at different salinities with the different body weight. The lowest level in G1, 0.27 mg O2.g-1.h-1, appeared at salinity 14@1000. G2 and G3 had lowest oxygen consumption level at 21@1000, with 0.22 mg O2.g-1.h-1 and 0.13 mg O2.g-1.h-1 respectively. ANOV showed that oxygen consumption was significantly affected by the interaction of salinity and body weight.

Animals↗

Effect of L-arginine on oxygen consumption and haemodynamic function of rat's heart exposed to cold cardioplegic ischaemia and reperfusion.

BACKGROUND: Ischaemia--reperfusion damage causes injury of all heart cells. Loss of endothelium function and biologically active substances secreted by it can be essential to development of the damage. Ischaemia and reperfusion decreases the release of nitric oxide, which influences postischaemic coronary flow and return of ventricular function. Administration of L-arginine to cardioplegic and reperfusion solution can improve protection of heart and cause the return of left ventricular function after hypothermic ischaemia through preservation of endothelial cell functions and increase of release of nitric oxide. OBJECTIVE: How addition of L-arginine to cardioplegic solution influences oxygen consumption by myocardium and its postischaemic haemodynamic function. METHODS: The research was conducted on isolated heart model of 56 rats, divided into seven equal groups. The hearts were prepared with modified Neely method and were perfused with the use of apparatus in accordance with modified Langendorf method. The research was carried out in the following order: initial perfusion of the non-working and working heart, perfusion with cardioplegic solution, cold cardioplegic arrest and reperfusion of the non-working heart. RESULTS: During initial perfusion, oxygen consumption was comparable in all groups. During cardioplegic perfusion, oxygen consumption was reduced in every group. At the time of reperfusion of non-working heart model, consumption of oxygen was increased. During reperfusion of the working heart, the lowest oxygen consumption was noted in group P, the highest in group DI. The decrease in cardiac output during postischaemic period was noted in control group and groups where L-arginine was added to reperfusion solution. CONCLUSION: Addition of L-arginine to cardioplegic solution significantly decreases oxygen consumption by myocardium. L-arginine added to cardioplegic solution improves postischaemic haemodynamic function of heart.

Animals↗

The effect of fasting and refeeding on oxygen consumption by rats.

Oxygen consumption is usually measured on fasted animals to avoid the thermal effect of feeding. However, fasting itself may decrease oxygen consumption as a way of conserving energy. The present study was undertaken to determine how long the fasting period should be to avoid the thermal effect of feeding without promoting a further decrease in oxygen consumption by the activation of energy-conservation mechanisms. Oxygen consumption was also measured to evaluate the effect of refeeding after different fasting periods. There was a 16% decrease in oxygen consumption from 0 to 12 h fasting related to the thermal effect of feeding, followed by a less intense (12%) decrease from 12 to 48 h fasting resulting from the energy conservation mechanism. During refeeding, oxygen consumption was higher during the first 30-min period than during the last 30-min period of the 1-h measurement, indicating the probable presence of a cephalic phase of postprandial thermogenesis. We conclude that 12-h fasting is the most appropriate period to avoid the thermal effect of feeding without significantly stimulating the energy conservation mechanism.

Animals↗

Oxygen consumption during pranayamic type of very slow-rate breathing.

To determine whether the yogic Ujjayi pranayamic type of breathing that involves sensory awareness and consciously controlled, extremely slow-rate breathing including at least a period of end-inspiration breath holding in each respiratory cycle would alter oxygen consumption or not, ten males with long standing experience in pranayama, and volunteering to participate in the laboratory study were assessed. These subjects aged 28-59 yr, had normal health appropriate to their age. Since kumbhak (timed breath holding) is considered as an important phase of the respiratory cycle in the pranayama, they were categorised into two groups of five each, one group practising the short kumbhak varieties of pranayama, and the other the long kumbhak varieties of pranayama. The duration of kumbhak phase was on an average 22.2 percent of the respiratory cycle in the short kumbhak group, and 50.4 per cent in the long kumbhak group. The oxygen consumption was measured in test sessions using the closed circuit method of breathing oxygen through the Benedict-Roth spirometer. Each subject was tested in several repeat sessions. Values of oxygen consumption of the period of pranayamic breathing, and of post-pranayamic breathing period, were compared to control value of oxygen consumption of the prepranayamic breathing period of each test session. The results revealed that the short kumbhak pranayamic breathing caused a statistically significant increase (52%) in the oxygen consumption (and metabolic rate) compared to the pre-pranayamic base-line period of breathing. In contrast to the above, the long kumbhak pranayamic breathing caused a statistically significant lowering (19% of the oxygen consumption (and metabolic rate).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Can oxygen consumption in blood in vitro be detected by a change in PCO2?

The PO2 measured in a sample of blood can be misleadingly low, owing to consumption of oxygen in vitro in patients with leukemia. The purpose of this study was to determine whether a rise in PCO2 in such blood could be a useful indication of consumption of oxygen in vitro. Because of the non-bocarbonate buffer capacity of blood and the carriage of CO2, mainly as bicarbonate, we reasoned that the rise in PCO2 would be too small to be helpful. Hence the quantitative relationship between the consumption of oxygen and the production of CO2 in blood was determined. Other reactions yielding CO2 (the titration of lactic acid) were monitored. Consumption of oxygen was stimulated in blood of normals in vitro by adding methylene blue (100 mumol/L); in addition, blood from four patients with leukemia was studied without additions. The rate of consumption of oxygen at 22 degrees C was linear over 60 min; the respiratory quotient was close to unity. The rise in PCO2 was small even when the fall in PO2 was 60 mmHg. We conclude that a rise in PCO2 is not a reliable way to diagnose consumption of oxygen in blood in vitro as patients may hyperventilate, making it very difficult to recognize a small rise in PCO2.

Adult↗