1978
DOI: 10.1042/cs0550355
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A Study In Vitro of the Sodium Pump in Fulminant Hepatic Failure

Abstract: 1. The mechanism underlying the raised leucocyte sodium content in fulminant hepatic failure was studied by measurement of sodium fluxes, (Na+ + K+)-dependent adenosine triphosphatase activity, and leucocyte ATP content. 2. The rate constant for sodium efflux in the leucocytes was significantly reduced, and attributable to reduced activity of the enzyme (Na+ + K+)-ATPase. Leucocyte ATP content was not significantly different from that of control cells. 3. Incubation of cells from patients in the sera of normal… Show more

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Cited by 13 publications
(6 citation statements)
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“…None of the sera tested caused leakage of 3H-labelled metabolites from prelabelled human leucocytes; addition of Sendai virus resulted in leakage. It is likely that the ion changes caused by hepatitis serum are due to a faulty Na++K+-stimulated ATPase (Alam et al, 1978), and these results therefore demonstrate that, just as Sendai-virus-mediated permeability changes do not affect the Na+ + K+-stimulated ATPase (Poste & Pasternak, 1978), so a faulty Na++K+stimulated ATPase does not necessarily result in a permeability change.…”
Section: Survey Ofviruses and Cell Typesmentioning
confidence: 69%
“…None of the sera tested caused leakage of 3H-labelled metabolites from prelabelled human leucocytes; addition of Sendai virus resulted in leakage. It is likely that the ion changes caused by hepatitis serum are due to a faulty Na++K+-stimulated ATPase (Alam et al, 1978), and these results therefore demonstrate that, just as Sendai-virus-mediated permeability changes do not affect the Na+ + K+-stimulated ATPase (Poste & Pasternak, 1978), so a faulty Na++K+stimulated ATPase does not necessarily result in a permeability change.…”
Section: Survey Ofviruses and Cell Typesmentioning
confidence: 69%
“…The inter-assay coefficients of variation for sodium and potassium were 10% and 5%, respectively. This method yields lower values for intracellular Na+ content (mean f SD in normals, 27.8 f 9.5, range 15.9 to 47.8, mmol/kg dry weight) than methods using cells immediately after dextran sedimentation and without reincubation in TC199 for 30 min at 37°C (e.g., Alam et al, 1978;Sewell et al, 1981) for the following reasons. Sedimentation at room temperature decreases Na+ efflux while leaving passive influx unreduced, so that intracellular Na+ content is falsely raised.…”
Section: Intracellular Electrolytesmentioning
confidence: 99%
“…Among the toxins accumulating in the circulation of patients with fulminant hepatic failure (FHF) are substances which inhibit leucocyte ouabain-sensitive sodium transport (1). This leads to a high intracellular sodium content (2), and similar impairment of the cell membrane sodium pump in brain cells, as a result of inhibition of Na+,K+-ATPase activity, could be an important factor in the development of cerebral edema.…”
mentioning
confidence: 99%