Bornhof C, Schwille P O
Urol Res. 1977;5(2):75-85. doi: 10.1007/BF00256845.
Clearance studies were performed in 23 dogs undergoing extracellular volume (ECV) expansion by saline in order to evaluate relationship between endogenous glucagon and renal excretion of sodium and calcium. In control animals plasma glucagon (pG1) rose following 120 minutes of ECV expansion and was further increased by additional infusion of arginine. In pancreatectomised dogs ECV expansion failed to increase pG1. Both fractional and absolute urinary excretion of sodium in pancreatectomised dogs were markedly lower compared to control dogs. The difference in renal sodium excretion between control and pancreatectomised animals cannot be explained by the sum of nonhormonal factors influencing sodium excretion. In thyro-parathyroidectomised dogs renal sodium excretion was lower than in control dogs, but significantly higher than in pancreatectomised dogs. The arginine-induced increase of glucagon was associated with an increase of renal sodium and calcium excretion in each group under study without any change in glomerular filtration rate. In control dogs all parameters of renal sodium and calcium excretion investigated in this study were linearly correlated. Thyro-parathyroidectomy did not influence the relationship between renal sodium and calcium excretion. Hyperglucagonaemia therefore might be one factor contributing to the hypercalciuria associated with renal stone formation. In pancreatectomised dogs undergoing ECV expansion there was no significant correlation between renal sodium and calcium excretion. Pancreatic hormones might be involved in the coupling of renal sodium and calcium excretion.
对23只通过输注生理盐水进行细胞外液(ECV)扩充的犬进行了清除率研究,以评估内源性胰高血糖素与钠和钙的肾排泄之间的关系。在对照动物中,ECV扩充120分钟后血浆胰高血糖素(pG1)升高,额外输注精氨酸后进一步升高。在胰腺切除的犬中,ECV扩充未能使pG1升高。与对照犬相比,胰腺切除犬的钠分数排泄和绝对尿排泄均显著降低。对照动物与胰腺切除动物之间肾钠排泄的差异不能用影响钠排泄的非激素因素之和来解释。在甲状腺-甲状旁腺切除的犬中,肾钠排泄低于对照犬,但显著高于胰腺切除犬。在每个研究组中,精氨酸诱导的胰高血糖素增加与肾钠和钙排泄增加相关,而肾小球滤过率无任何变化。在对照犬中,本研究中调查的肾钠和钙排泄的所有参数均呈线性相关。甲状腺-甲状旁腺切除不影响肾钠和钙排泄之间的关系。因此,高胰高血糖素血症可能是导致与肾结石形成相关的高钙尿症的一个因素。在进行ECV扩充的胰腺切除犬中,肾钠和钙排泄之间无显著相关性。胰腺激素可能参与肾钠和钙排泄的耦合。