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幼年比格犬对饮食中磷变化的肾脏反应。

Renal response to alterations in dietary phosphate in the young beagle.

作者信息

Russo J C, Nash M A

出版信息

Biol Neonate. 1980;38(1-2):1-10. doi: 10.1159/000241319.

Abstract

Hyperphosphatemia is present in the young of many species compared to adult animals. We studied the renal response to alterations in dietary phosphate in 4- to 7-day-old beagle puppies. Puppies were phosphate restricted with oral aluminum hydroxide gel (Group I) or phosphate loaded with oral sodium phosphate (Group II). Puppies in both groups had hyperphosphatemia (Group I 8.6, Group II 12.2 mg/dl) relative to dogs (3.4--4.8 mg/dl). Plasma phosphate concentration (P) and rate of excretion of phosphate (Ep) were independent of glomerular filtration rate (GFR). At any filtered load of phosphate Ep was greater and rate of reabsorption less in Group II independent of P. The maximal rate of phosphate reabsorption (TmP) was higher in Group I (100 micrograms/ml GFR) than Group II (26 micrograms/ml GFR). Negative values for phosphate reabsorption in 4 animals support the presence of a secretory mechanism for phosphate. Relative hyperphosphatemia in the puppy is not secondary to a renal limitation in phosphate excretion. The 1- to 2-week-old puppy adjusts renal reabsorption of phosphate to maintain a concentration of phosphate in plasma higher than in the adult animal. The renal alterations in response to variations in dietary phosphate occur independently of plasma phosphate concentration, GFR, or filtered load of phosphate.

摘要

与成年动物相比,许多物种的幼崽都存在高磷血症。我们研究了4至7日龄比格幼犬对饮食中磷变化的肾脏反应。幼犬被限制摄入磷(口服氢氧化铝凝胶,第一组)或摄入过量磷(口服磷酸钠,第二组)。相对于成年犬(3.4 - 4.8mg/dl),两组幼犬均出现高磷血症(第一组8.6mg/dl,第二组12.2mg/dl)。血浆磷浓度(P)和磷排泄率(Ep)与肾小球滤过率(GFR)无关。在任何磷滤过量下,第二组的Ep均更高,重吸收率更低,且与P无关。第一组的最大磷重吸收率(TmP)(100微克/毫升GFR)高于第二组(26微克/毫升GFR)。4只动物的磷重吸收出现负值,这支持了磷分泌机制的存在。幼犬的相对高磷血症并非继发于肾脏排磷受限。1至2周龄的幼犬会调节肾脏对磷的重吸收,以维持血浆中磷的浓度高于成年动物。肾脏对饮食中磷变化的反应独立于血浆磷浓度、GFR或磷滤过量。

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