THE PHYSIOLOGICAL POSITION OF THE LIVER IN THE CIRCULATION IS NOT A MAJOR DETERMINANT OF ITS FUNCTIONAL-CAPACITY

被引:11
作者
WAGENAAR, GTM
CHAMULEAU, RAFM
MAAS, MAW
DEBRUIN, K
KORFAGE, HAM
LAMERS, WH
机构
[1] UNIV AMSTERDAM,ACAD MED CTR,DEPT ANAT & EMBRYOL,1105 AZ AMSTERDAM,NETHERLANDS
[2] UNIV AMSTERDAM,ACAD MED CTR,DEPT EXPTL INTERNAL MED,1105 AZ AMSTERDAM,NETHERLANDS
[3] UNIV AMSTERDAM,ACAD MED CTR,DEPT NUCL MED,1105 AZ AMSTERDAM,NETHERLANDS
关键词
D O I
10.1002/hep.1840200624
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The zonal patterns of gene expression in the liver of the rat are not affected by alteration of the afferent hepatic blood source. We investigated whether afferent hepatic blood source or how rate affects the metabolic capacity of the liver. Using microsurgical techniques, we changed the afferent hepatic blood source to solely arterial blood, solely portal blood or solely caval blood. The transhepatic how rate was four times higher in arterialized than in cavalized livers. Liver function was tested 2 wk, after surgery. Three liver functions were tested (elimination of hepatic iminodiacetic acid from the liver and elimination of galactose and ammoniumbicarbonate from the circulation). Our results show that the afferent hepatic blood how rate rather than the source of the afferent hepatic blood affects the elimination of the substrates tested. We found that at the physiological how rate of approximately 15 ml/min and beyond, metabolic function does not depend on the flow of the afferent hepatic blood but that at lower how rates the how becomes a major determinant of the metabolic function of the Liver. We conclude that the position of the liver within the circulation (i.e. between the gastrointestinal tract and the systemic circulation) is apparently not a prerequisite for adequate metabolic activity, at least for the substrates tested, provided that the liver is sufficiently perfused with blood.
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页码:1532 / 1540
页数:9
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