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血液透析后血清中的铝分布情况。

Aluminum distribution in serum following hemodialysis.

作者信息

King S W, Savory J, Wills M R

出版信息

Ann Clin Lab Sci. 1982 Mar-Apr;12(2):143-9.

PMID:7073239
Abstract

Aluminum is a toxic metal and has been implicated as the causative agent in the dialysis encephalopathy syndrome. In the study reported here, the transfer of aluminum to the blood from dialysis fluid during hemodialysis was demonstrated even when deionized water was used in the preparation of the dialysate. Studies were carried out on the binding of aluminum to serum proteins and other constituents in patients on long-term hemodialysis. Five major aluminum peaks were observed on chromatographic separation; four were associated with proteins and one large peak was probably associated with a low molecular weight species. The size of the latter peak was enhanced by increasing the aluminum content of the eluting buffer. It is postulated that this low molecular weight species might be the neurotoxic form of aluminum.

摘要

铝是一种有毒金属,被认为是透析性脑病综合征的致病因素。在本文报道的研究中,即使在制备透析液时使用去离子水,也证明了血液透析期间铝从透析液转移至血液中。对长期接受血液透析患者体内铝与血清蛋白及其他成分的结合情况进行了研究。色谱分离时观察到五个主要的铝峰;四个与蛋白质相关,一个大峰可能与低分子量物质有关。通过增加洗脱缓冲液中的铝含量,后一个峰的大小会增强。据推测,这种低分子量物质可能是铝的神经毒性形式。

相似文献

1
Aluminum distribution in serum following hemodialysis.血液透析后血清中的铝分布情况。
Ann Clin Lab Sci. 1982 Mar-Apr;12(2):143-9.
2
Aluminum and chronic renal failure: sources, absorption, transport, and toxicity.铝与慢性肾衰竭:来源、吸收、转运及毒性
Crit Rev Clin Lab Sci. 1989;27(1):59-107. doi: 10.3109/10408368909106590.
3
Aluminum determination in whole blood, dialysis solution, and tap water samples from Maracaibo dialysis units (Venezuela) by graphite furnace atomic absorption spectrometry.
J Trace Elem Electrolytes Health Dis. 1988 Mar;2(1):3-8.
4
Serum binding of aluminum.铝的血清结合
Res Commun Chem Pathol Pharmacol. 1979 Oct;26(1):161-9.
5
Aluminium studies in dialysis encephalopathy.透析性脑病中的铝研究。
Proc Eur Dial Transplant Assoc. 1978;15:157-63.
6
What is the value of plasma/serum aluminum in patients with chronic renal failure?
Clin Nephrol. 1985;24 Suppl 1:S2-8.
7
Elevated serum aluminum levels in hemodialysis patients associated with use of electric pumps--Wyoming, 2007.
MMWR Morb Mortal Wkly Rep. 2008 Jun 27;57(25):689-91.
8
[Initial evaluation of aluminum concentrations in patients with nephropathy and undergoing hemodialysis at the Miguel Pérez Carreño Hospital and the University Hospital of Caracas (Venezuela)].[对委内瑞拉加拉加斯米格尔·佩雷斯·卡雷诺医院和大学医院肾病及接受血液透析患者铝浓度的初步评估]
Invest Clin. 1989;30(4):193-203.
9
Low serum aluminum values in dialysis patients with increased bone aluminum levels.骨铝水平升高的透析患者血清铝值较低。
Clin Nephrol. 1998 Aug;50(2):69-76.
10
Progressive dialysis encephalopathy from dialysate aluminum.
Arch Intern Med. 1978 Sep;138(9):1375-7.

引用本文的文献

1
Aluminium transport in blood serum. Binding of aluminium by human transferrin in the presence of human albumin and citrate.血清中的铝转运。在人白蛋白和柠檬酸盐存在的情况下人转铁蛋白与铝的结合。
Biochem J. 1991 Dec 1;280 ( Pt 2)(Pt 2):527-32. doi: 10.1042/bj2800527.