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鲑鱼降钙素对完整、甲状腺甲状旁腺切除及磺胺乙酰噻唑诱导的尿毒症大鼠肾脏电解质排泄的急性影响。

Acute effects of salmon calcitonin on renal electrolyte excretion in intact, thyroparathyroidectomized and sulfacetylthiazole-induced uremic rats.

作者信息

Kawamura J, Daizyo K, Hosokawa S, Yoshida O

出版信息

Nephron. 1978;21(6):334-44. doi: 10.1159/000181412.

Abstract

Acute effects of salmon calcitonin (CT) on renal electrolyte excretion were investigated in intact, thyroparathyroidectomized (TPTX) and uremic rats. Glomerular filtration rate did not change during CT infusion and there was no volume expansion in any experimental group. Plasma calcium levels gradually fell below the control period in each experimental group. Urinary calcium excretion increased at the early period in both intact and TPTX rats but fell below the control period with the continuous infusion of CT. In uremic rats, a decrease in plasma calcium was followed by a decrease in calcium excretion. Plasma phosphate gradually decreased and simultaneously measured phosphate excretion increased in both intact and TPTX rats. In uremic rats, however, there was no change in phosphate excretion and only a slight decrease of plasma phosphate. Phosphaturia is the result of the predominant renal action of CT and occurs even when the filtered load of phosphate decreases. In uremic animals, there appears to be a resistance to exogenous CT which manifests itself by the absence of natriuretic, calciuric and phosphaturic responses.

摘要

在完整大鼠、甲状腺甲状旁腺切除(TPTX)大鼠和尿毒症大鼠中研究了鲑鱼降钙素(CT)对肾脏电解质排泄的急性影响。在输注CT期间,肾小球滤过率未发生变化,且任何实验组均未出现血容量扩张。每个实验组的血浆钙水平逐渐降至对照期以下。完整大鼠和TPTX大鼠在早期尿钙排泄增加,但随着CT持续输注,尿钙排泄降至对照期以下。在尿毒症大鼠中,血浆钙降低后钙排泄减少。完整大鼠和TPTX大鼠的血浆磷酸盐逐渐降低,同时测定的磷酸盐排泄增加。然而,在尿毒症大鼠中,磷酸盐排泄无变化,仅血浆磷酸盐略有降低。磷尿是CT主要肾脏作用的结果,即使磷酸盐滤过负荷降低时也会发生。在尿毒症动物中,似乎对外源性CT存在抵抗,表现为无利钠、利钙和利磷反应。

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