{"id":"4eac1e7b-2026-5186-9078-cac922628481","stable_key":"4df6a932-097e-563a-91fe-5dceec471ffd:chloride-repletion-bicarbonaturia","predicate":"increases","statement":"Urinary bicarbonate excretion increased during correction of chloride-depletion alkalosis.","claim_class":"observational","status":"source_derived_draft","evidence_grade":"ungraded","direction":"context_dependent","is_public":true,"mechanism_event_id":"5ddb6f51-7a0c-5f1e-9ddb-bcefa6001778","mechanism_event_label":"The kidney began removing more of the excess bicarbonate.","subject":{"id":"9a56258e-7dda-5b6a-9a14-58c9fe1856c3","slug":"potassium-chloride","display_name":"Potassium chloride","entity_type_key":"chemical_species"},"object":{"id":"d081f596-2390-5f0a-be17-1ce37b44bcc2","slug":"urinary-bicarbonate-excretion","display_name":"Urinary bicarbonate excretion","entity_type_key":"cellular_process"},"evidence_count":1,"mechanism_event":{"id":"5ddb6f51-7a0c-5f1e-9ddb-bcefa6001778","stable_key":"4df6a932-097e-563a-91fe-5dceec471ffd:chloride-repletion-bicarbonaturia-event","event_type":"observed_intervention","label":"The kidney began removing more of the excess bicarbonate.","description":"Urinary bicarbonate excretion increased during correction of chloride-depletion alkalosis.","status":"provisional","compartment":null,"participants":[{"entity":{"id":"9a56258e-7dda-5b6a-9a14-58c9fe1856c3","slug":"potassium-chloride","display_name":"Potassium chloride","entity_type_key":"chemical_species"},"role":"subject","stoichiometry":null,"state_label":"","sequence_order":0,"notes":""},{"entity":{"id":"d081f596-2390-5f0a-be17-1ce37b44bcc2","slug":"urinary-bicarbonate-excretion","display_name":"Urinary bicarbonate excretion","entity_type_key":"cellular_process"},"role":"target","stoichiometry":null,"state_label":"","sequence_order":1,"notes":""}]},"contexts":[{"dimension":"availability_state","value_text":"nutrient_deficiency","comparator":null,"unit":null,"notes":"Imported condition classification; unverified.","entity":null},{"dimension":"evidence_span","value_text":"{\"source_cache\": \"artifacts/chloride-research/2450456.abstract.txt\", \"locator\": \"Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets\", \"file_sha256\": \"3df006f26c20c11aeb8fd26884ccbd5d1389921d34a40adad6f72edc184360d7\", \"start_char\": 0, \"end_char\": 1348, \"text_sha256\": \"3df006f26c20c11aeb8fd26884ccbd5d1389921d34a40adad6f72edc184360d7\"}","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"experimental_model","value_text":"Human depletion–repletion balance experiment","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"exposure","value_text":"Furosemide plus restricted NaCl; oral KCl repletion over 36 hours","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"limitations","value_text":"Loss-associated depletion; KCl supplies potassium too. Mechanism does not imply self-treatment or apply to every alkalosis.","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"nutrient_topic","value_text":"Chloride research collection; topical membership is not evidence of a direct dietary effect.","comparator":null,"unit":null,"notes":"","entity":{"slug":"chloride","display_name":"Chloride","entity_type_key":"nutrient_element"}},{"dimension":"organism","value_text":"Human men","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"plain_language","value_text":"The kidney began removing more of the excess bicarbonate.","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"primary_references","value_text":"[chloride-p2450456] On the mechanism by which chloride corrects metabolic alkalosis in man. (1988). https://pubmed.ncbi.nlm.nih.gov/2450456/ DOI: 10.1016/0002-9343(88)90265-3","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"tissue_or_cell_type","value_text":"Kidney and systemic acid–base balance","comparator":null,"unit":null,"notes":"","entity":null},{"dimension":"trigger_kind","value_text":"nutrient_deficiency","comparator":null,"unit":null,"notes":"Imported condition classification; unverified.","entity":null}],"evidence":[{"id":"9e340312-912c-5280-8c9b-0d529580cb87","evidence_kind":"source_excerpt","locator":"Lines 848-859","start_line":848,"end_line":859,"excerpt":"### chloride-repletion-bicarbonaturia\nUrinary bicarbonate excretion increased during correction of chloride-depletion alkalosis.\nCondition category: nutrient_deficiency\nnutrient_topic: Chloride research collection; topical membership is not evidence of a direct dietary effect.\nplain_language: The kidney began removing more of the excess bicarbonate.\norganism: Human men\ntissue_or_cell_type: Kidney and systemic acid–base balance\nexperimental_model: Human depletion–repletion balance experiment\nlimitations: Loss-associated depletion; KCl supplies potassium too. Mechanism does not imply self-treatment or apply to every alkalosis.\nexposure: Furosemide plus restricted NaCl; oral KCl repletion over 36 hours\nevidence_span: {\"source_cache\": \"artifacts/chloride-research/2450456.abstract.txt\", \"locator\": \"Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets\", \"file_sha256\": \"3df006f26c20c11aeb8fd26884ccbd5d1389921d34a40adad6f72edc184360d7\", \"start_char\": 0, \"end_char\": 1348, \"text_sha256\": \"3df006f26c20c11aeb8fd26884ccbd5d1389921d34a40adad6f72edc184360d7\"}\n[chloride-p2450456] On the mechanism by which chloride corrects metabolic alkalosis in man. (1988). https://pubmed.ncbi.nlm.nih.gov/2450456/ DOI: 10.1016/0002-9343(88)90265-3","model_system":"Human depletion–repletion balance experiment","directness":"author_interpretation","verification_status":"source_derived_draft","notes":"Exact curation-document quotation, not publisher quotation. 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