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肾结石患者的氨基酸血浆水平和尿排泄。

Plasma levels and urinary excretion of amino acids by subjects with renal calculi.

机构信息

Department of Urology, Alexandrov's University Hospital, Medical University, G. Sofiisky Blvd 1, 1431, Sofia, Bulgaria.

出版信息

Amino Acids. 2010 May;38(5):1277-82. doi: 10.1007/s00726-009-0359-z. Epub 2009 Sep 29.

DOI:10.1007/s00726-009-0359-z
PMID:19787430
Abstract

Plasma levels and urinary amino acid excretions were estimated by high-performance liquid chromatography in 15 control subjects and 36 stone formers (SFs) classified according to the stone type: (1) 22 cases with calcium oxalate stones; (2) four cases with pure uric acid stones; (3) 10 cases with magnesium-ammonium phosphate stones, either pure or mixed with apatite. Some types of stones (namely oxalate and uric acid calculi) are mainly formed as a result of a metabolic deficiency that may affect the amino acid metabolism, and thus may be reflected in the urinary amino acid pattern. Data demonstrated clearly that there is a general tendency towards decreased amino acid excretions in all SFs with all types of stones. As a whole, one can observe a higher percentage of patients with calcium oxalate and phosphate calculosis, who have low urine excretions of amino acids; about 50% are the SFs with lower urine excretion of serine, glycine, taurine and i-leucine; the high percentage of patients with CaOX calculi shows lower urine excretions of tyrosine and ornithine.

摘要

15 名对照受试者和 36 名结石形成者(SFs)的血浆水平和尿氨基酸排泄量通过高效液相色谱法进行了估计,这些 SFs 根据结石类型进行了分类:(1)22 例草酸钙结石;(2)4 例纯尿酸结石;(3)10 例镁-铵磷酸盐结石,无论是纯的还是与磷灰石混合的。某些类型的结石(即草酸钙和尿酸结石)主要是由于代谢缺陷形成的,这可能会影响氨基酸代谢,因此可能会反映在尿氨基酸模式中。数据清楚地表明,所有类型结石的所有 SFs 均存在氨基酸排泄普遍减少的趋势。总的来说,大约有 50%的草酸钙和磷酸盐结石患者的尿氨基酸排泄量较低;大约 50%的 SFs 的丝氨酸、甘氨酸、牛磺酸和异亮氨酸尿排泄量较低;高百分比的 CaOX 结石患者的酪氨酸和鸟氨酸尿排泄量较低。

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