2017
DOI: 10.1152/physiol.00007.2017
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Extracellular Acid-Base Balance and Ion Transport Between Body Fluid Compartments

Abstract: Clinical assessment of acid-base disorders depends on measurements made in the blood, part of the extracellular compartment. Yet much of the metabolic importance of these disorders concerns intracellular events. Intracellular and interstitial compartment acid-base balance is complex and heterogeneous. This review considers the determinants of the extracellular fluid pH related to the ion transport processes at the interface of cells and the interstitial fluid, and between epithelial cells lining the transcellu… Show more

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Cited by 48 publications
(45 citation statements)
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“…Cells keep their acid-base regulation by using many metabolic enzymes, transporters and pH sensors. Their activities produce several acid-base equivalent species, including proton (H + ), lactate and carbon dioxide (CO 2 ) (Sanhueza et al, 2016), which are transported through plasma membrane (Seifter and Chang, 2017). The most important transporters that mediate pH homeostasis are ( Fig.…”
Section: Channels and Transporters Involved In Regulation Of Extracelmentioning
confidence: 99%
“…Cells keep their acid-base regulation by using many metabolic enzymes, transporters and pH sensors. Their activities produce several acid-base equivalent species, including proton (H + ), lactate and carbon dioxide (CO 2 ) (Sanhueza et al, 2016), which are transported through plasma membrane (Seifter and Chang, 2017). The most important transporters that mediate pH homeostasis are ( Fig.…”
Section: Channels and Transporters Involved In Regulation Of Extracelmentioning
confidence: 99%
“…Figure 2 B shows the possible causes of the lowering of ASL pH depending on endogenous or exogenous acidity. Extracellular and ASL acidification may be caused in four different ways: H + derived from the physiological process of restoring prestimulus conditions, carried out by all cells through the expulsion of excess protons, generated by acidifying enzymes, to return to the steady state; cells can use acid extruders as exchangers and channels to transfer H + externally; the Na + -H + exchanger (NHE) in some cells is the major acid-extruder, also the Cystic fibrosis transmembrane conductance regulator (CFTR) plays an important role in the acidification of the ASL [ 117 ]; in addition, the excess protons in the cytosol may exit the cell via voltage-gated proton channels (Hv1), TRP channels, plasma membrane vacuolar V-type H + -ATPase [ 126 , 132 , 133 , 134 , 135 , 136 ], and diffusion [ 125 ]; The degranulation of phagocytes, such as macrophages and granulocyte neutrophils and eosinophils [ 69 , 135 , 137 , 138 ], produced as a defensive inflammatory action [ 24 , 126 ] in response to the stimulus. This acidifying action may be significant and long lasting, and is therefore the basis for chronic disease; The degranulation of mast cells and basophils, caused by the stimulus, the basis of the acute allergic response [ 77 , 78 , 80 , 84 , 138 ], as described above in Figure 1 .…”
Section: Resultsmentioning
confidence: 99%
“…Ion-free diets, regardless of sugar type and concentration, rescued the edema. This suggests that CG4928 knockdown flies can handle endogenous ion levels, indicating that there are other biochemical pathways that have the capability to use, store, and handle the faulty potassium fluxes ( Seifter and Chang, 2017 ).…”
Section: Discussionmentioning
confidence: 99%