The effect of continuous removal of thoracic duct lymph on plasma activities
of creatine phosphokinase (PCK), glutamic-oxaloacetic transaminase (PAST); and lactic
dehydrogenase (PLDH), was examined in pentobarbital-anaesthetised dogs over a 5.5-
hour period. PCK and PAST declined relative to levels in control dogs while PLDH was
unaltered. Lymph/plasma (L/P) ratios for AST and CPK were greater, and for LDH less,
than the L/P ratio for total protein. It was concluded that PCK, and to some extent PAST,
are normally maintained by introduction of enzyme, escaping from the intracellular
compartment, into the circulating blood via the lymphatic system. PLDH and PAST
appear to be maintained principally by introduction of enzyme directly from the intracellular
to the plasma compartment.
In pentobarbital-anesthetized dogs, cardiac pacing by an intra-atrial electrode at 240 beats/min resulted in small but significant increases in the plasma activity of glutamic–oxalacetic transaminase, which returned to control values within 30 min. No change in plasma creatine phosphokinase was observed following pacing. Possible mechanisms responsible for the release of tissue enzyme during pacing include an increase in rate of deformation of, and an increase in substrate transport by, the cardiac muscle plasma membrane.
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