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尿石形成的抑制与增强的悖论。

The paradox of inhibition and enhancement of the formation of urinary stones.

作者信息

Drach G W, Sarig S, Randolph A D, Thorson S

出版信息

Urol Res. 1982;10(4):165-8. doi: 10.1007/BF00255938.

DOI:10.1007/BF00255938
PMID:6184871
Abstract

Nucleation (Bo) and linear crystal growth (G) rates, average particle size (L1,0) and total mass (MT) of calcium oxalate dihydrate crystals were measured in artificial urine with and without polylysine, polyglutamic acid or heparin. The purpose of the study was to see if any of these polymers had effects on crystallisation similar to those created by addition of 5% natural urine to artificial urine, wherein Bo had increased but G, L1,0 and MT decreased. Polylysine addition had insignificant effects. Heparin increased Bo and decreased G, L1,0 and MT significantly, and polyglutamate had similar but more marked effects than did heparin. It is concluded that properly structured organic polymers can significantly inhibit calcium oxalate dihydrate crystallisation by paradoxical enhancement of nucleation. It is possible that such polymers may act as nucleation substrates.

摘要

在含有和不含有聚赖氨酸、聚谷氨酸或肝素的人工尿液中,测量了二水合草酸钙晶体的成核速率(Bo)和线性晶体生长速率(G)、平均粒径(L1,0)和总质量(MT)。本研究的目的是观察这些聚合物中是否有任何一种对结晶的影响类似于向人工尿液中添加5%天然尿液所产生的影响,其中Bo增加而G、L1,0和MT降低。添加聚赖氨酸的影响不显著。肝素显著增加了Bo并降低了G、L1,0和MT,而聚谷氨酸具有与肝素相似但更显著的影响。得出的结论是,结构适当的有机聚合物可以通过反常地增强成核作用来显著抑制二水合草酸钙结晶。这些聚合物有可能作为成核底物。

相似文献

1
The paradox of inhibition and enhancement of the formation of urinary stones.尿石形成的抑制与增强的悖论。
Urol Res. 1982;10(4):165-8. doi: 10.1007/BF00255938.
2
Effects of urinary organic macromolecules on crystallization of calcium oxalate: enhancement of nucleation.尿中有机大分子对草酸钙结晶的影响:成核增强
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3
Nucleation of calcium oxalate crystals by albumin: involvement in the prevention of stone formation.白蛋白介导的草酸钙晶体成核作用:对预防结石形成的影响。
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The effect of serum on the crystallization of calcium oxalate in whole human urine: inhibition disguised as apparent promotion.血清对人全尿中草酸钙结晶的影响:看似促进实则伪装的抑制作用。
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Effects of urinary organic macromolecules on crystallization of calcium oxalate: enhancement of nucleation.尿中有机大分子对草酸钙结晶的影响:成核作用增强
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Urinary glycosaminoglycans are selectively included into calcium oxalate crystals precipitated from whole human urine.尿糖胺聚糖被选择性地纳入从全人类尿液中沉淀出的草酸钙晶体中。
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引用本文的文献

1
The many roles of oxalate in nature.草酸盐在自然界中的多种作用。
Trans Am Clin Climatol Assoc. 2002;113:1-20.
2
Glycosaminoglycans and other sulphated polysaccharides in calculogenesis of urinary stones.糖胺聚糖及其他硫酸化多糖在尿路结石形成过程中的作用
World J Urol. 1994;12(1):43-8. doi: 10.1007/BF00182050.
3
Evaluation of the relative inhibitory potential of fractionated urinary macromolecules.分级尿大分子相对抑制潜力的评估

本文引用的文献

1
The amount and nature of the organic matrix in urinary calculi: a review.尿结石中有机基质的数量与性质:综述
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Effects of urinary organic macromolecules on crystallization of calcium oxalate: enhancement of nucleation.尿中有机大分子对草酸钙结晶的影响:成核增强
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The amino acid factor in stone formers' and normal urines.结石患者尿液和正常尿液中的氨基酸因素。
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The presence of protein-bound gamma-carboxyglutamic acid in calcium-containing renal calculi.含钙肾结石中蛋白质结合的γ-羧基谷氨酸的存在。
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Crystal growth inhibitors in human urine. Effect on calcium oxalate kinetics.
Invest Urol. 1978 May;15(6):478-85.