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The target "acid-base balance via conversion of acetate to bicarbonate" refers to a metabolic pathway in which acetate is metabolized to acetyl-CoA, enters the citric acid cycle, and produces carbon dioxide, which is then converted into bicarbonate ions. This process plays a crucial role in maintaining systemic acid-base homeostasis, especially when acetate (commonly administered as sodium acetate) is used therapeutically to correct metabolic acidosis.
Acetate is metabolized to acetyl-CoA, which enters the citric acid cycle, producing CO₂. CO₂ is then converted to bicarbonate by carbonic anhydrase, increasing serum bicarbonate concentration and buffering excess acids.
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