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Record W2001017427 · doi:10.1159/000336321

An Acute Infusion of Lactic Acid Lowers the Concentration of Potassium in Arterial Plasma by Inducing a Shift of Potassium into Cells of the Liver in Fed Rats

2012· article· en· W2001017427 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.

Bibliographic record

VenueNephron Physiology · 2012
Typearticle
Languageen
FieldMedicine
TopicPotassium and Related Disorders
Canadian institutionsSt. Michael's Hospital
FundersCanadian Institutes of Health Research
KeywordsInternal medicineHyperkalemiaEndocrinologyChemistryPotassiumLactic acidMedicineBiology

Abstract

fetched live from OpenAlex

<b><i>Background:</i></b> Potassium (K<sup>+</sup>) input occurs after meals or during ischemic exercise and is accompanied by a high concentration of <i>L</i>-lactate in plasma (P<sub>L-lactate</sub>). <b><i>Methods:</i></b> We examined whether infusing 100 µmol <i>L</i>-lactic acid/min for 15 min would lead to a fall in the arterial plasma K<sup>+</sup> concentration (P<sub>K</sub>). We also aimed to evaluate the mechanisms involved in normal rats compared with rats with acute hyperkalemia caused by a shift of K<sup>+</sup> from cells or a positive K<sup>+</sup> balance. <b><i>Results:</i></b> There was a significant fall in P<sub>K</sub> in normal rats (0.25 m<i>M</i>) and a larger fall in P<sub>K</sub> in both models of acute hyperkalemia (0.6 m<i>M</i>) when the P<sub>L-lactate</sub> rose. The arterial P<sub>K</sub> increased by 0.8 m<i>M</i> (p < 0.05) 7 min after stopping this infusion despite a 2-fold rise in the concentration of insulin in arterial plasma (P<sub>Insulin</sub>). There was a significant uptake of K<sup>+</sup> by the liver, but not by skeletal muscle. In rats pretreated with somatostatin, P<sub>Insulin</sub> was low and infusing <i>L</i>-lactic acid failed to lower the P<sub>K</sub>. <b><i>Conclusions:</i></b> A rise in the P<sub>L-lactate</sub> in portal venous blood led to a fall in the P<sub>K</sub> and insulin was permissive. Absorption of glucose by the Na<sup>+</sup>-linked glucose transporter permits enterocytes to produce enough ADP to augment aerobic glycolysis, raising the P<sub>L-lactate</sub> in the portal vein to prevent postprandial hyperkalemia.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: Bench or experimental
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.175
Threshold uncertainty score0.380

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.241
Teacher spread0.234 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it