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实验性肾衰竭中的牛磺酸代谢

Taurine metabolism in experimental renal failure.

作者信息

Michalk D V, Essich H J, Böhles H J, Schärer K

出版信息

Kidney Int Suppl. 1983 Nov;15:S16-21.

PMID:6584673
Abstract

Taurine is important for the regulation of ionic fluxes in excitable tissues, especially in heart where it is the most abundant amino acid. To investigate a possible role of taurine in uremia, we measured the taurine concentrations in plasma, liver, muscle, heart, and brain tissues of young male Wistar rats. Two groups of rats were studied: (1) rats with acute renal failure (ARF) 12, 24, and 48 hours after bilateral nephrectomy and (2) rats with chronic renal failure (CRF) studied 3 weeks after 5/6 nephrectomy. In ARF animals, taurine increased in plasma and liver two to three times the normal levels, remained unchanged in muscle and brain, but decreased in heart tissue; this decrease (-20%) was significantly correlated with the concomitant increase of BUN and plasma creatinine. In CRF animals, taurine was unchanged in plasma, liver, muscle, and heart, but was increased by 70% in brain accompanied by a high content of gamma-aminoisobutyric acid. The data suggest that in uremia accumulation of taurine is counteracted by increased hepatic elimination and/or decreased synthesis. The depletion of taurine in cardiac muscle might be related to the development of uremic heart disease. The increased concentrations of brain taurine might represent a compensation for the increased neuroexcitability in CRF.

摘要

牛磺酸对于可兴奋组织中离子通量的调节很重要,尤其是在心脏中,它是含量最丰富的氨基酸。为了研究牛磺酸在尿毒症中的可能作用,我们测量了年轻雄性Wistar大鼠血浆、肝脏、肌肉、心脏和脑组织中的牛磺酸浓度。研究了两组大鼠:(1)双侧肾切除术后12、24和48小时的急性肾衰竭(ARF)大鼠,以及(2)5/6肾切除术后3周的慢性肾衰竭(CRF)大鼠。在ARF动物中,血浆和肝脏中的牛磺酸增加至正常水平的两到三倍,肌肉和脑中的牛磺酸保持不变,但心脏组织中的牛磺酸减少;这种减少(-20%)与血尿素氮和血浆肌酐的同时增加显著相关。在CRF动物中,血浆、肝脏、肌肉和心脏中的牛磺酸没有变化,但脑中的牛磺酸增加了70%,同时伴有高含量的γ-氨基丁酸。数据表明,在尿毒症中,肝脏消除增加和/或合成减少抵消了牛磺酸的积累。心肌中牛磺酸的消耗可能与尿毒症性心脏病的发展有关。脑中牛磺酸浓度的增加可能代表了对CRF中神经兴奋性增加的一种补偿。

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