Base excess in the other. A secondary (compensatory) process can be readily identified because it "opposes" the observed deviation in blood pH. For example, inadequate ventilation, a respiratory problem, causes a buildup of CO, hence respiratory acidosis; the kidneys then attempt to compensate for the low pH by raising blood bicarbonate. The kidneys only partially compensate, so the patient may still have a low blood pH, i.e. acidosis. In summary, the kidneys partially compensate for respiratory acidosis by raising blood bicarbonate. A high base excess, thus metabolic alkalosis, usually involves an excess of bicarbonate. It can be caused by A base deficit
Subcommissural organ neuronal cell bodies within the subcommissural organ, although the specialized cells receive some innervation from outside neurons. Ependymal cells secrete high molecular mass glycoproteins into the cerebrospinal fluid, in which the bulk of them condense to form a filamentous structure named Reissner’s fiber. The subcommissural organ/Reissner’s fiber complex is thought to be involved in the reabsorption and circulation of the cerebrospinal fluid, and with functions related to electrolyte and water balance. One of the proteins secreted by the subcommissural organ, and which is present in Reissner’s fiber, is spondin. SCO-spondin is a “giant” (5000 amino acids) glycoprotein (thrombospondin superfamily) found