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尿毒症中的高胰高血糖素血症:肾移植可使其逆转。

Hyperglucagonemia in uremia: reversal by renal transplantation.

作者信息

Bilbrey G L, Faloona G R, White M G, Atkins C, Hull A R, Knochel J P

出版信息

Ann Intern Med. 1975 Apr;82(4):525-8. doi: 10.7326/0003-4819-82-4-525.

DOI:10.7326/0003-4819-82-4-525
PMID:1091189
Abstract

Chronic renal failure in man is associated with hyperglucagonemia that is not corrected by hemodialysis. Plasma glucagon concentrations were measured in nine patients before and after renal transplantation. Mean plasma glucagon concentration in eight patients with chronic renal failure before transplantation was 295 plus or minus 171 pg/ml (plus or minus SD). After successful transplantation, mean plasma glucagon concentration fell to 134 plus or minus 81 pg/ml (plus or minus SD) (P less than 0.001). Plasma glucagon concentration remained elevated in an additional patient who received a cadaveric graft that never functioned. Immunologic rejection of transplanted kidneys was associated with a dramatic increase of plasma glucagon concentration.

摘要

人类慢性肾衰竭与高胰高血糖素血症相关,且血液透析无法纠正该病症。对9例患者在肾移植前后的血浆胰高血糖素浓度进行了测量。8例慢性肾衰竭患者在移植前的血浆胰高血糖素平均浓度为295±171 pg/ml(±标准差)。成功移植后,血浆胰高血糖素平均浓度降至134±81 pg/ml(±标准差)(P<0.001)。另一名接受了无功能尸体肾移植的患者,其血浆胰高血糖素浓度持续升高。移植肾的免疫排斥反应与血浆胰高血糖素浓度的显著升高有关。

相似文献

1
Hyperglucagonemia in uremia: reversal by renal transplantation.尿毒症中的高胰高血糖素血症:肾移植可使其逆转。
Ann Intern Med. 1975 Apr;82(4):525-8. doi: 10.7326/0003-4819-82-4-525.
2
Hyperglucagonemia of renal failure.肾衰竭时的高胰高血糖素血症。
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3
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All products of proglucagon are elevated in plasma from uremic patients.尿毒症患者血浆中胰高血糖素原的所有产物水平均升高。
J Clin Endocrinol Metab. 1992 Feb;74(2):379-84. doi: 10.1210/jcem.74.2.1730817.
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Renal transplantation--substitution therapy in advanced stage uremia.肾移植——晚期尿毒症的替代疗法。
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Renal transplantation in multiple myeloma. A case report.多发性骨髓瘤患者的肾移植。病例报告。
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9
Selection of kidney donors.肾供体的选择。
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引用本文的文献

1
Carbohydrate metabolism and uraemia-mechanisms for glycogenolysis and gluconeogenesis.碳水化合物代谢与尿毒症——糖原分解和糖异生的机制
Klin Wochenschr. 1980 Oct 1;58(19):1051-64. doi: 10.1007/BF01476876.
2
The gastrointestinal endocrine system.胃肠内分泌系统。
Can Med Assoc J. 1980 Feb 9;122(3):287-92.
3
Glicentin 1-61 probably represents a major fraction of glucagon-related peptides in plasma of anaesthetized uraemic pigs.胰高血糖素原1-61可能是麻醉的尿毒症猪血浆中胰高血糖素相关肽的主要成分。
Diabetologia. 1986 Jul;29(7):462-7. doi: 10.1007/BF00506540.
4
Influence of uremia and hemodialysis on the turnover and metabolic effects of glucagon.尿毒症和血液透析对胰高血糖素周转及代谢效应的影响。
J Clin Invest. 1976 Mar;57(3):722-31. doi: 10.1172/JCI108330.
5
Pathogenesis and characterization of hyperglucagonemia in the uremic rat.尿毒症大鼠高胰高血糖素血症的发病机制与特征
J Clin Invest. 1976 Nov;58(5):1266-72. doi: 10.1172/JCI108581.
6
Heterogeneity of plasma glucagon. Circulating components in normal subjects and patients with chronic renal failure.血浆胰高血糖素的异质性。正常受试者和慢性肾衰竭患者的循环成分。
J Clin Invest. 1976 Sep;58(3):742-50. doi: 10.1172/JCI108521.
7
Urinary sodium and calcium in various dog models and relationship to endogenous plasma glucagon.各种犬模型中的尿钠和钙及其与内源性血浆胰高血糖素的关系。
Urol Res. 1977;5(2):75-85. doi: 10.1007/BF00256845.
8
The role of the liver in glucagon metabolism.肝脏在胰高血糖素代谢中的作用。
J Clin Invest. 1977 Aug;60(2):421-8. doi: 10.1172/JCI108791.
9
Glucagon metabolism in the rat.大鼠体内的胰高血糖素代谢
J Clin Invest. 1978 Jul;62(1):6-13. doi: 10.1172/JCI109114.
10
Glucose intolerance in uremia (A- and B-cell function during conservative and dialytic management.尿毒症中的葡萄糖不耐受(保守治疗和透析治疗期间的A细胞和B细胞功能)
Acta Diabetol Lat. 1977 Sep-Dec;14(5-6):235-49. doi: 10.1007/BF02580972.