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Potassium balance and the control of renin secretion.

作者信息

Sealey J E, Clark I, Bull M B, Laragh J H

出版信息

J Clin Invest. 1970 Nov;49(11):2119-27. doi: 10.1172/JCI106429.

DOI:10.1172/JCI106429
PMID:4319969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC535787/
Abstract

Plasma renin activity and renin substrate were measured in nine groups of rats which were maintained for 7 wk on diets in which the proportions of sodium and potassium were varied. Balance data indicated that the highest dietary intake of potassium employed (92 mEq K(+)/100 g food) consistently induced sodium depletion. With less consistency, the highest sodium intake employed (52 mEq Na(+)/100 g food) tended to induce potassium depletion.In accordance with previous reports, sodium deprivation induced significant increases in plasma renin activity. But the present results indicated that changes in potassium intake exerted a highly significant modulating influence on this characteristic response. The results describe an inverse relationship between potassium administration and the concurrent level of plasma renin activity. The highest serum renin levels of all occurred in the potassium-depleted animals and the usual renin response to sodium deprivation was virtually abolished in the presence of a high potassium diet. Neither the suppressing effect of K(+) administration nor the stimulating effect of K(+) depletion on plasma renin activity could be explained in terms of any predicted changes in aldosterone secretion or observed changes in sodium balance. Therefore, the effect seems to be mediated by a direct influence of potassium ions on renal renin secretion, perhaps via induced changes in sodium load to the macula densa.These studies point to an important role for potassium in the regulation of renin secretion. The results in turn raise the possibility that renin secretion per se may be importantly involved in effecting potassium conservation and potassium elimination. The means by which these interactions are finally mediated remain to be clarified.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de75/535787/b35261a7a2e9/jcinvest00227-0182-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de75/535787/b35261a7a2e9/jcinvest00227-0182-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de75/535787/b35261a7a2e9/jcinvest00227-0182-a.jpg

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THE EFFECTS OF INTRAVENOUS INFUSIONS OF VALINE-5 ANGIOTENSIN II AND OTHER PRESSOR AGENTS ON URINARY ELECTROLYTES AND CORTICOSTEROIDS, INCLUDING ALDOSTERONE.静脉输注缬氨酸 -5 血管紧张素 II 及其他升压药对尿电解质和皮质类固醇(包括醛固酮)的影响。
J Clin Invest. 1961 Feb;40(2):338-47. doi: 10.1172/JCI104261.
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The nature of the aldosterone-stimulating factor in dog kidneys.犬肾中醛固酮刺激因子的性质。
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Hypotensive agents and pressor substances. The effect of epinephrine, norepinephrine, angiotensin II, and others on the secretory rate of aldosterone in man.
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Rationale and Design of the Genotype-Blinded Trial of Torasemide for the Treatment of Hypertension (BHF UMOD).托拉塞米治疗高血压的基因盲法试验(BHF UMOD)的原理和设计。
Am J Hypertens. 2021 Feb 18;34(1):92-99. doi: 10.1093/ajh/hpaa166.
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Mutation affecting the conserved acidic WNK1 motif causes inherited hyperkalemic hyperchloremic acidosis.突变影响保守酸性 WNK1 基序导致遗传性高钾性高氯性酸中毒。
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Sex difference in kidney electrolyte transport II: impact of K intake on thiazide-sensitive cation excretion in male and female mice.性别对肾脏电解质转运的影响 II:钾摄入量对雄性和雌性小鼠噻嗪类敏感阳离子排泄的影响。
Am J Physiol Renal Physiol. 2019 Oct 1;317(4):F967-F977. doi: 10.1152/ajprenal.00125.2019. Epub 2019 Aug 7.
8
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Am J Physiol Endocrinol Metab. 2015 Sep 15;309(6):E534-45. doi: 10.1152/ajpendo.00035.2015. Epub 2015 Jul 14.
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Cyp2c44 epoxygenase in the collecting duct is essential for the high K+ intake-induced antihypertensive effect.集合管中的 Cyp2c44 环氧合酶对高钾摄入引起的降压作用是必不可少的。
Am J Physiol Renal Physiol. 2014 Aug 15;307(4):F453-60. doi: 10.1152/ajprenal.00123.2014. Epub 2014 Jun 25.
10
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Kidney Int. 2011 Feb;79(4):423-31. doi: 10.1038/ki.2010.380. Epub 2010 Oct 6.
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Renal origin of an aldosterone-stimulating hormone in dogs with thoracic caval constriction and in sodium-depleted dogs.患有胸段腔静脉狭窄的犬以及缺钠犬体内醛固酮刺激激素的肾脏来源。
J Clin Invest. 1961 Aug;40(8 Pt 1-2):1466-74. doi: 10.1172/JCI104377.
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A study of the mechanism of secretion of the sodium-retaining hormone (aldosterone).一项关于保钠激素(醛固酮)分泌机制的研究。
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[Inhibition of plasmatic renin activity by potassium].
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