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H J Verine

Publications and source records attributed to H J Verine.

8 recordsLinked to original sources

Pancreatic calcification and stone formation: a thermodynamic model of calcium in pancreatic juice.

CaCO3 is a major constituent of pancreatic stones, salivary stones, and many pigment gallstones. Elucidation of the physicochemical state of calcium is necessary for definition of calcium solubility in these systems. Pancreatic stones are observed in both humans and cattle, and are approximately 95% CaCO3 (calcite) in both species. Despite its importance, little is known about the physicochemical state of calcium in pancreatic juice. This paper presents an a priori model, based on established physicochemical principles, for the state of calcium in the juice at all levels of secretion. Two postulates of the model are the following: the limiting free [Ca2+] in the juice is governed by the solubility product (K' sp) for CaCO3; if K' sp is exceeded, the juice is supersaturated and precipitation of CaCO3 is thermodynamically possible; total calcium, [Ca], in the juice is the sum of four distinct species: free ionized calcium, Ca2+; calcium-bicarbonate complex, CaHCO3+; calcium carbonate ion-pair, CaCO3(0); and protein-bound calcium, CaProt. Overall equations of the model and graphical corollaries are presented. The model predicts an inverse hyperbolic relationship between [Ca2+] or [Ca] and [HCO3-]. Calcium solubility is maximal at low [HCO3-]; as [HCO3-] increases, both [Ca2+] and [Ca] decline to respective limiting values of approximately 0.015 and 0.15 mM. At low [HCO3-], most of [Ca] is present as Ca2+ and CaProt, whereas at high [HCO3-], most [Ca] is CaHCO3+ and CaCO3(0). Protein, HCO3-, and CO3(2-) ions are thus important buffers for Ca2+ in the juice. The model provides a quantitative framework for further elucidation of calcium lithogenicity in the pancreas, salivary gland, and biliary tract.

Calcinosis↗

Dose-dependent, and long-lasting, effects of repeated intravenous injections of calcium on the canine secretin-stimulated pancreatic juice secretion.

The effects of repeated intravenous calcium administration on pancreatic juice secretion were investigated in four Thomas fistula dogs. During stimulation by 1.0 U kg-1h-1 GIH secretin, three Ca doses were administered: 2, 4 and 8 mu mol kg-1 min-1 during 1 h, saline being used in control tests; one dose only was tested per day. It was found that Ca administration induced both acute and long-lasting effects. Acute effects were characterized by an increased response to secretin stimulation. Fluid, HCO3(-), protein and Ca outputs increased significantly in a dose-dependent manner, the increase of protein output being the most dramatic. Long-lasting effects, until now unrecognized, were characterized by a progressive increase of protein secretion during the first hour of secretin stimulation. This increase kept going during the 3 months of repeated calcium injections. Although protein plugs were observed in the juice, sometimes stopping the flow of juice, no pancreatic lesion was found. A second protocol showed that, after discontinuing calcium injections, the long-lasting effects decreased progressively, but protein hypersecretion was still significant 3.5 months later. The importance of these findings regarding chronic pancreatitis due to hyperparathyroidism is discussed.

Animals↗

Pancreatic calcification: formation constants of CaHCO3+ and CaC03(0) complexes determined with Ca2+ electrode.

Pancreatic calcification is a frequent complication of chronic pancreatitis, and pancreatic stones (95% CaCO3 as calcite) are observed in both humans and cattle, but little is known about the complex equilibriums governing calcium solubility. Using the Ca2+ electrode and equilibrium dialysis of NaHCO3-CaCl2-NaCl solutions (24 +/- 2 degrees C; total ionic strength = 0.153-0.161), studies were made at variable pH and total calcium and carbonate concentrations to determine the formation constants of the three possible calcium complexes: CaHCO3+, CaC03(0), and Ca(HCO3)20. If the first two complexes were present, a plot of ([Ca]/[Ca2+]-1)/[HCO3-] against the ionic ratio [C03(2)-]/[HCO3-] should be linear with intercept of the CaHCO3+ formation constant (K'aB) and slope of the CaC03(0) formation constant (K'aC). This was found to be the case in both dialysands and dialysates, using two different methods ("pH" and "K'sp") for estimation of [CO32-] values. Two other methods of data analysis were also used: simultaneous equations and multiple linear regression by matrix analysis. For all three methods, mean K'aB = 12.48 and mean K'aC = 1,870. There was no evidence for a Ca(HCO3)2(0) complex. We conclude that CaHCO3+ and CaC03(0) complexes may account for a substantial fraction of total soluble calcium is pancreatic juice. These studies provide a necessary step toward the construction of a quantitative physicochemical model of pancreatic calcium solubility.

Bicarbonates↗

Pancreatic bicarbonate response to a meal.

In dogs with gastric and pancreatic fistulas, the rate of delivery of acid from the stomach to the duodenum and the rate of pancreatic bicarbonate secretion were measured in response to a meal of liver extract. The time course of changes in quantity of bicarbonate secreted per minute closely paralleled that of changes in quantity of hydrogen ions delivered to the duodenum per minute. For each mole of hydrogen ion entering the duodenum, about 5 moles of bicarbonate were secreted.

Animals↗

Isotopic composition of cattle pancreatic stones: biological and geochemical implications.

Latitudinal variations of the O18/O16-ratios of carbonate and phosphate of cattle pancreatic stones parallel a similar pattern of oxygen isotope values in rain water. C13/C12-ratios were virtually identical for the 7 cases studied. Isotopic measurements of mammalian hard tissues may be used for studying short-term climatic variations through Quaternary.

Animals↗

Dose-time pattern of the hypercalcemic response to calcium infusion in the dog.

Forty-five tests were performed to study blood total [Ca] response to a 2-hours IV calcium gluconate infusion, in five conscious dogs. Calcium doses were : 2.45 ; 4.50;6.19 and 9.00 mumole kg--u min-1 ; saline was used as control. Blood samples were collected every 20 minutes and calcaemia determined by atomic absorption spectrophotometry at 422.7 nm. No plateau was reached except with lowest dose. At each Ca dose, successive calcaemia levels can be fitted by a straight line and the regression calculated. With studied doses, calculated slopes were : 3.6 ; 8.3 ; 11.8 and 19.1 mumole l--1 min--1 respectively ; these slopes were found to be significantly different from each other. A linear dose-response relationship was calculated between blood [Ca] increase rate and Ca dose : Y = --3.01 + 2.44 X (mumole l--1 min-1 increase rate per mumole kg--1 min-1 Ca dose). Correspondence analysis emphazises the influence of zero time calcaemia.

Animals↗