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Renal Stone Disease 肾结石
Pub Date : 2010-11-01 DOI: 10.1007/978-1-4613-2069-2
J. Sayer
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引用次数: 69
Contents Index Vol. 115, 2010 目录索引第115卷,2010年
Pub Date : 2010-07-01 DOI: 10.1159/000319721
Sejoong Kim, N. Heo, J. Jung, M. Son, H. Jang, Jay-Wook Lee, Y. Oh, K. Na, K. Joo, J. Han
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引用次数: 0
Author and Subject Index Vol. 115, 2010 作者和主题索引卷115,2010
Pub Date : 2010-07-01 DOI: 10.1159/000319716
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引用次数: 0
Subject Index Vol. 114, 2010 主题索引,2010年第114卷
Pub Date : 2010-04-01 DOI: 10.1159/000313557
A. Brandoni, G. D. Giusto, R. Franca, S. Passamonti, A. Torres
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引用次数: 0
Contents Vol. 114, 2010 目录2010年第114卷
Pub Date : 2010-04-01 DOI: 10.1159/000313558
A. Brandoni, G. D. Giusto, R. Franca, S. Passamonti, A. Torres
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引用次数: 0
Author Index Vol. 114, 2010 作者索引,2010年第114卷
Pub Date : 2010-04-01 DOI: 10.1159/000313556
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引用次数: 0
Quantification of norepinephrine and its metabolites in the plasma of renal failure models. 肾衰模型血浆中去甲肾上腺素及其代谢物的定量测定。
Pub Date : 2010-01-01 Epub Date: 2010-07-08 DOI: 10.1159/000318177
Hiroshi Iijima, Yuji Okada, Makoto Tsunoda, Tomoko Takamiya, Kazuhiro Imai

Background/aims: The plasma concentration of catecholamines and their metabolites generated by catechol-O-methyl transferase (COMT) were measured and their correlation with the progress of renal dysfunction was investigated in two distinctive animal models: a 5/6 nephrectomized Sprague-Dawley rat model and a 1/2 nephrectomized diabetic fatty Zucker rat model.

Methods: A highly sensitive, high-performance liquid chromatography-peroxyoxalate chemiluminescence reaction detection was employed to obtain values for the ratio [NMN]/([NE] + [NMN]), where [NE] represents the plasma concentration of norepinephrine and [NMN] represents the plasma concentration of normetanephrine.

Results: The [NMN]/([NE] + [NMN]) ratio correlated with both the increase in blood urea nitrogen concentration and the decrease in creatinine clearance.

Conclusion: The [NMN]/([NE] + [NMN]) ratio represents a quantitative indicator of the progress of renal dysfunction in the animal models. Regulation of COMT activity seemed to relate with the progress of renal dysfunction.

背景/目的:采用5/6肾切除的Sprague-Dawley大鼠模型和1/2肾切除的糖尿病脂肪性大鼠模型,测定血浆中儿茶酚胺及其代谢物(COMT)的浓度,并探讨其与肾功能障碍进展的相关性。方法:采用高灵敏度、高效液相色谱-过氧草酸盐化学发光反应检测法获得比值[NMN]/([NE] + [NMN]),其中[NE]代表血浆去甲肾上腺素浓度,[NMN]代表血浆去甲肾上腺素浓度。结果:[NMN]/([NE] + [NMN])比值与血尿素氮浓度升高和肌酐清除率降低相关。结论:[NMN]/([NE] + [NMN])比值是动物模型肾功能损害进展的定量指标。COMT活性的调节似乎与肾功能不全的进展有关。
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引用次数: 2
Changes in the sodium and potassium transporters in the course of chronic renal failure. 慢性肾衰竭过程中钠钾转运体的变化。
Pub Date : 2010-01-01 Epub Date: 2010-05-12 DOI: 10.1159/000314542
Sejoong Kim, Nam Ju Heo, Ji Yong Jung, Min-Jeong Son, Hye Ryoun Jang, Jay Wook Lee, Yun Kyu Oh, Ki Young Na, Kwon Wook Joo, Jin Suk Han

Background: In chronic renal failure (CRF), residual nephrons can increase their excretion of sodium (Na) and potassium (K). However, the mechanisms of renal Na and K regulation in late-stage CRF have not been clearly investigated.

Methods: We examined altered expression of major renal Na and K transporters in Sprague-Dawley rats at 4 and 12 weeks after a 5/6 nephrectomy.

Results: CRF rats were azotemic and had gradually increased levels of urinary Na and K excretion over time. At 4 weeks, the abundance of Na-K-2Cl cotransporter (NKCC2), and Na-Cl cotransporter (NCC) in CRF rats increased significantly (477 and 222% of the control, respectively). In contrast, expression of NKCC2 and NCC decreased markedly at 12 weeks (55.4 and 30.8%, respectively). Expression of epithelial Na channel-alpha increased throughout the whole period. The abundance of renal outer medullary K-channel (ROMK) and Na-K-ATPase did not decrease at 4 weeks, but it was reduced at 12 weeks.

Conclusion: We suggest that increased urinary Na excretion in late-stage CRF may be associated with decreased expression of renal Na transporters except ENaC compared to early-stage CRF, and that increased urinary K excretion in the late stage of CRF may not be related to expression of ROMK.

背景:在慢性肾功能衰竭(CRF)中,残留的肾单位可以增加钠(Na)和钾(K)的排泄,然而,晚期CRF中肾脏Na和K的调节机制尚未明确研究。方法:在5/6肾切除术后4周和12周,我们检测了Sprague-Dawley大鼠肾脏主要Na和K转运蛋白的表达变化。结果:CRF大鼠呈氮化,随着时间的推移,尿钠和钾排泄水平逐渐升高。4周时,CRF大鼠Na-K-2Cl共转运体(NKCC2)和Na-Cl共转运体(NCC)的丰度显著增加(分别为对照组的477%和222%)。相比之下,NKCC2和NCC的表达在12周时明显下降(分别为55.4和30.8%)。上皮Na通道α的表达在整个时期均有所增加。肾外髓k通道(ROMK)和na - k - atp酶的丰度在4周时没有减少,但在12周时有所减少。结论:我们认为,与早期CRF相比,晚期CRF尿Na排泄增加可能与肾中除ENaC外的Na转运蛋白表达降低有关,而晚期CRF尿K排泄增加可能与ROMK表达无关。
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引用次数: 20
Distal renal tubular acidosis in Filipino children, caused by mutations of the anion-exchanger SLC4A1 (AE1, Band 3) gene. 菲律宾儿童远端肾小管酸中毒,由阴离子交换剂SLC4A1 (AE1, Band 3)基因突变引起
Pub Date : 2010-01-01 Epub Date: 2010-01-08 DOI: 10.1159/000274484
Francisco E Anacleto, Lesley J Bruce, Peter Clayton, Shivram Hegde, Lourdes P Resontoc, Oliver Wrong

Aim: To describe the clinical features and genetic basis of distal renal tubular acidosis (dRTA) in Filipino children.

Methods: Clinical description and gene analysis of affected members of 7 families.

Results: In all affected children, the disease was associated with mutations of the SLC4A1 gene that codes for the bicarbonate/chloride anion-exchanger 1 (AE1, band 3) protein situated in the red cell membrane and the alpha-intercalated (proton-secreting) cell of the renal collecting duct. In 2 families, affected children were homozygous for a substitution of aspartic acid for glycine in residue 701 of the AE1 protein (G701D); in the other 5 families, affected children were compound heterozygotes of this mutation with the AE1 mutation (Delta400-408) that causes Southeast Asian ovalocytosis (SAO). All affected children had morphological red cell changes that closely resembled SAO, including the children who were homozygous for G701D and did not have the SAO mutation. Homozygous G701D thus produces morphological red cell changes that are not readily distinguishable from SAO. The parents of all 7 families were originally domiciled in the islands of the Visayas group in the central part of the Philippine archipelago.

Conclusion: Recessive renal tubular acidosis in Filipinos is usually caused by SLC4A1 mutations, commonly G701D.

目的:探讨菲律宾儿童远端肾小管酸中毒(dRTA)的临床特点及遗传基础。方法:对7个家族患病成员进行临床描述和基因分析。结果:在所有受影响的儿童中,该疾病与SLC4A1基因突变有关,该基因编码位于红细胞膜和肾集管α嵌入(分泌质子)细胞的碳酸氢盐/氯阴离子交换器1 (AE1,带3)蛋白。在2个家庭中,患病儿童在AE1蛋白(G701D)残基701中用天冬氨酸代替甘氨酸为纯合子;在其他5个家庭中,受影响的儿童是该突变与导致东南亚卵母细胞增生症(SAO)的AE1突变(Delta400-408)的复合杂合子。所有受影响的儿童红细胞形态变化与SAO非常相似,包括G701D纯合子且没有SAO突变的儿童。因此,纯合子G701D产生的红细胞形态变化不易与SAO区分。所有7个家庭的父母最初都居住在菲律宾群岛中部的米沙鄢群岛。结论:菲律宾人隐性肾小管酸中毒多由SLC4A1突变引起,以G701D居多。
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引用次数: 14
Integrating effects of aquaporins, vasopressin, distal delivery of filtrate and residual water permeability on the magnitude of water diuresis. 水通道蛋白、抗利尿素、远端滤液输送和残余水渗透性对水利尿强度的综合影响。
Pub Date : 2010-01-01 Epub Date: 2010-01-27 DOI: 10.1159/000277633
Mitchell L Halperin, Man S Oh, Kamel S Kamel
In physiologic terms, water diuresis has two components, the ability to excrete a large volume of water and the need to ‘desalinate’ this urine. The basic concept is that nephron segments that lack aquaporins do not reabsorb an appreciable volume of water even though there is an extremely large transtubular osmolar driving force ( table 1 ). After a large and rapid intake of water, the concentration of sodium (Na + ) in arterial plasma (P Na ) falls and the volume of cells in the brain increases [2] . The function of water diuresis is to minimize this fall in the P Na and thereby, prevent the development of a dangerous degree of brain cell swelling [3] . On the other hand, control mechanisms are needed to permit the retention of a small and safe volume of ingested water ( 1 liter in an adult), which can be used at a later time for heat dissipation by evaporation of water in sweat [4] . This explains why the arterial P Na can fall to 136 mmol/l without inhibiting the release of vasopressin sufficiently to initiate a water diuresis providing that water is not ingested quickly. If water is ingested rapidly, the arterial (but not necessarily the brachial venous) P Na falls sufficiently to provide the signal to inhibit the release of vasopressin [2] . To add a quantitative perspective to the renal control system for water homeostasis, consider a 70-kg adult huIn this issue of Nephron , Bockenhauer et al. [1] describe a family with 6 members who had mutations in the gene encoding the V 2 receptor for vasopressin that should cause congenital nephrogenic diabetes insipidus. They gathered clinical data on these patients including their response to the administration of desaminoD -arginine vasopressin (dDAVP). They performed in vitro studies of V 2 receptor cell surface expression, the affinity of vasopressin to bind to its V 2 receptor and produce cyclic AMP, as well as on the effects of the chaperone SR121463 on these parameters. Thus this is an impressive state-ofthe-art investigation, which employs a breadth of techniques. Our goal is to provide a critique of the clinical parameters that are used to determine whether a sufficient number of aquaporin-2 water channels (AQP2) are inserted in the luminal membranes of the late distal nephron in patients with nephrogenic diabetes insipidus in response to certain interventions. If this occurred, the rate of excretion of electrolyte-free water in the urine must decrease appreciably, but other causes for this fall in urine output must first be ruled out. As a background, we begin with a succinct synopsis of the physiology of this process and this is followed by an examination of the three clinical tools commonly employed in this assessment – urine flow rate, osmole excretion rate, and urine osmolality (U Osm ). Published online: January 27, 2010
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引用次数: 6
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Nephron Physiology
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