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肾结石的发病机制。

Pathogenesis of kidney stones.

作者信息

van Aswegen C H, du Plessis D J

机构信息

Department of Urology, University of Pretoria, South Africa.

出版信息

Med Hypotheses. 1991 Dec;36(4):368-70. doi: 10.1016/0306-9877(91)90011-m.

DOI:10.1016/0306-9877(91)90011-m
PMID:1809856
Abstract

Although many risk factors and theories exist in the literature for urinary stone formation, a hypothesis is suggested for the pathogenesis of renal stones. According to the matrix theory, a protein such as uromucoid activates the initial crystallisation process by promoting the formation of calcium oxalate and calcium phosphate crystals as well as clumping in whole urine. We put forward a theory whereby one of the most important factors in the matrix theory would be the composition and concentration of the protein. In support of this hypothesis, emphasis is placed on the activities of urokinase and sialidase.

摘要

尽管文献中有许多关于尿石形成的危险因素和理论,但本文提出了一种肾结石发病机制的假说。根据基质理论,诸如尿类粘蛋白之类的蛋白质通过促进草酸钙和磷酸钙晶体的形成以及在全尿中的聚集来激活初始结晶过程。我们提出一种理论,即基质理论中最重要的因素之一是蛋白质的组成和浓度。为支持这一假说,重点关注了尿激酶和唾液酸酶的活性。

相似文献

1
Pathogenesis of kidney stones.肾结石的发病机制。
Med Hypotheses. 1991 Dec;36(4):368-70. doi: 10.1016/0306-9877(91)90011-m.
2
Does urokinase play a role in renal stone formation?尿激酶在肾结石形成过程中起作用吗?
Med Hypotheses. 1997 Jul;49(1):57-9. doi: 10.1016/s0306-9877(97)90253-x.
3
Uromucoid excretion in normal individuals and stone formers.
Curr Probl Clin Biochem. 1979(9):309-24.
4
Tamm-Horsfall glycoprotein: role in inhibition and promotion of renal calcium oxalate stone formation studied with Fourier-transform infrared spectroscopy.Tamm-Horsfall糖蛋白:利用傅里叶变换红外光谱研究其在抑制和促进肾草酸钙结石形成中的作用
Clin Chem. 1994 Sep;40(9):1739-43.
5
Determinants of urinary excretion of Tamm-Horsfall protein in non-selected kidney stone formers and healthy subjects.非选择性肾结石患者和健康受试者中Tamm-Horsfall蛋白尿排泄的决定因素。
Nephrol Dial Transplant. 2000 Oct;15(10):1580-7. doi: 10.1093/ndt/15.10.1580.
6
Sialic acid concentrations in the urine of men with and without renal stones.有肾结石和无肾结石男性尿液中的唾液酸浓度。
Urol Res. 1990;18(1):29-33. doi: 10.1007/BF00294578.
7
Dietary animal protein and urinary supersaturation in renal stone disease.肾结石病中的膳食动物蛋白与尿液过饱和状态
Proc Eur Dial Transplant Assoc. 1983;20:411-6.
8
Juvenile renal stone disease: a study of urinary promoting and inhibiting factors.青少年肾结石病:尿液促进和抑制因素的研究
J Urol. 1983 Dec;130(6):1133-5. doi: 10.1016/s0022-5347(17)51721-8.
9
Partial biochemical and physicochemical characterization of organic macromolecules in urine from patients with renal stones and control subjects.
Kidney Int. 1982 Feb;21(2):379-86. doi: 10.1038/ki.1982.33.
10
Tamm-Horsfall protein in recurrent calcium kidney stone formers with positive family history: abnormalities in urinary excretion, molecular structure and function.有阳性家族史的复发性钙肾结石患者的Tamm-Horsfall蛋白:尿排泄、分子结构及功能异常
Urol Res. 2007 Apr;35(2):55-62. doi: 10.1007/s00240-007-0083-7. Epub 2007 Mar 8.

引用本文的文献

1
Comprehensive proteomic quantification of bladder stone progression in a cystinuric mouse model using data-independent acquisitions.使用数据非依赖采集对胱氨酸尿症小鼠模型中膀胱结石进展进行全面蛋白质组定量分析。
PLoS One. 2022 Jun 30;17(6):e0250137. doi: 10.1371/journal.pone.0250137. eCollection 2022.
2
Association of calcium urolithiasis with urokinase P141L and 3'-UTR C>T polymorphisms in a Japanese population.在日本人群中,钙结石与尿激酶 P141L 和 3'-UTR C>T 多态性相关。
Urolithiasis. 2013 Feb;41(1):47-52. doi: 10.1007/s00240-012-0527-6. Epub 2012 Dec 21.
3
Association of urokinase gene 3'-UTR T/C polymorphism with calcium oxalate urolithiasis in children.
儿童尿激酶基因3'-UTR T/C多态性与草酸钙尿路结石的相关性
Int Urol Nephrol. 2008;40(3):563-8. doi: 10.1007/s11255-008-9335-x. Epub 2008 Feb 1.