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Thus, increased renal ammoniagenesis and gluconeogenesis from plasma glutamine constitute an adaptative response that restores in part the acidbase balance during metabolic acidosis.[17] Renal catabolism of glutamine is acutely activated in response to the onset of metabolic acidosis and is primarily due to increased glutamine plasma and cellular decrease of glutamate and alfa-ketoglutarate (-KG)

doi: 10.1002/2211-5463.13589

USA 92 , 25972601 (1995)