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Which arterial pH will initiate the formation of ammonium (NH4) from ammonia (NH3), referred to as acidemia, in the tubular lumen of the kidney?

a) Acidic pH
b) Neutral pH
c) Alkaline pH
d) Basic pH

User Jalgames
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Final answer:

Ammonium formation from ammonia in the kidneys occurs at an acidic pH, due to acidemia. This process helps regulate the acid-base balance and is a response to the higher concentration of H+ ions.

Step-by-step explanation:

The formation of ammonium (NH4+) from ammonia (NH3) in the tubular lumen of the kidney is initiated at an acidic pH. This process is related to acidemia, which is a condition where the arterial pH is lower than normal. Under these acidic conditions, the higher concentration of hydrogen ions (H+) combines with ammonia (NH3), which is a byproduct of protein metabolism. NH3 is converted into NH4+ primarily by the enzyme glutaminase in the kidney tubules, as part of nitrogen waste regulation and acid-base balance.

In the kidneys, this reaction helps conserve cations like Na+ and K+ ions and supports the excretion of acid. Overall, acidemia, marked by an acidic pH, enhances the conversion process from ammonia to ammonium, facilitating the body's ability to maintain a stable pH and electrolyte balance.

User Simen Echholt
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