Ayus J C, Frommer J P, Eknoyan G, Divine G, Suki W N
Miner Electrolyte Metab. 1984;10(1):67-72.
The present study was undertaken to define the effects of heat-out water immersion on the urinary excretion of phosphate (UPO4V), calcium (UCaV), and magnesium (UMgV) in the awake dog. 53 dogs were divided into three groups: group I, time-control, from 10 a.m. to 4 p.m.; group II, immersion for 2 h, studied from 10 a.m. to 4 p.m., and group III, immersion for 2 h, studied from 4 p.m. to 10 p.m. Our results show that head-out water immersion did not alter the spontaneous pattern of UPO4V. When immersion was performed from 1 p.m. to 3. p.m. (group II), it had no effect on UCaV but induced a significant increase in UMgV although fractional excretion of Mg (FEMg) remained unchanged. When immersion was performed from 7 p.m. to 9 p.m. (group III), however, both UCaV and UMgV increased significantly. FECa also increased significantly in this group but FEMg again remained unchanged. The changes in UCaV were dissociated with UNaV. Changes in plasma PO4 (PPO4) and arterial pH were unrelated to changes in UCaV or UPO4V. Our findings show that head-out water immersion induces significant increases in UCaV and UMgV by mechanisms which are independent of parathyroid hormone (PTH) or acid base changes. The rise in UMgV seems to be related to an increase in the filtered load, while the increases in UCaV are secondary to changes in the renal tubular handling of calcium. Thus, under these experimental circumstances, Ca and Mg reabsorption seem to occur via different distal tubular pathways.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究旨在确定清醒犬头部露出水面的水浸对磷酸盐(UPO4V)、钙(UCaV)和镁(UMgV)尿排泄的影响。53只犬被分为三组:第一组为时间对照组,时间为上午10点至下午4点;第二组,浸泡2小时,研究时间为上午10点至下午4点;第三组,浸泡2小时,研究时间为下午4点至晚上10点。我们的结果表明,头部露出水面的水浸并未改变UPO4V的自发模式。当在下午1点至3点进行浸泡时(第二组),对UCaV没有影响,但导致UMgV显著增加,尽管镁的分数排泄(FEMg)保持不变。然而,当在晚上7点至9点进行浸泡时(第三组),UCaV和UMgV均显著增加。该组的FECa也显著增加,但FEMg再次保持不变。UCaV的变化与UNaV无关。血浆磷酸盐(PPO4)和动脉pH值的变化与UCaV或UPO4V的变化无关。我们的研究结果表明,头部露出水面的水浸通过独立于甲状旁腺激素(PTH)或酸碱变化的机制,导致UCaV和UMgV显著增加。UMgV的升高似乎与滤过负荷的增加有关,而UCaV的增加是肾小管对钙处理变化的继发结果。因此,在这些实验条件下,钙和镁的重吸收似乎通过不同的远端肾小管途径发生。(摘要截断于250字)