SODIUM EXCRETION IN THE ADRENALECTOMIZED RAT AFTER INTRAVENOUS SALINE INFUSION

1960 ◽  
Vol 20 (2) ◽  
pp. 112-122 ◽  
Author(s):  
C. J. EDMONDS

SUMMARY The excretion of sodium, potassium and water, and the changes of glomerular filtration rate (g.f.r.) in response to intravenous infusions of hypertonic saline have been studied in normal and adrenalectomized rats. The increase in sodium excretion in response to infusion was considerably depressed after adrenalectomy. It was not restored to normal by cortisone or cortisol administration, although the adrenalectomized rats treated with these steroids were able to excrete water after a water load as rapidly as normal rats. Potassium excretion was increased to a similar extent by the infusions in both normal and adrenalectomized rats. g.f.r. rose in both groups during the infusion but the rise was depressed by adrenalectomy. In both normal and adrenalectomized rats treated with cortisone, g.f.r. remained elevated throughout the infusion, but the initial rise was less rapid in the latter than in the normal animals. In adrenalectomized rats maintained on 1% saline only, the rise of g.f.r. was not sustained and by the 4th hr of infusion had fallen to the pre-infusion level. When i.v. cortisol was given immediately before the infusion, the initial rise of g.f.r. was restored to normal. Comparison of the changes of g.f.r. with those of sodium excretion suggested that impairment of sodium excretion during the infusions was due, in part at least, to a change in renal tubular reabsorption of sodium following adrenalectomy.

2011 ◽  
Vol 164 (5) ◽  
pp. 839-847 ◽  
Author(s):  
Andrea Trombetti ◽  
Laura Richert ◽  
Karine Hadaya ◽  
Jean-Daniel Graf ◽  
François R Herrmann ◽  
...  

BackgroundWe examined the hypothesis that high FGF-23 levels early after transplantation contribute to the onset of hypophosphatemia, independently of parathyroid hormone (PTH) and other factors regulating phosphate metabolism.MethodsWe measured serum phosphate levels (sPi), renal tubular reabsorption of Pi (TmPi/GFR), estimated GFR (eGFR), intact PTH (iPTH), calcitriol, intact (int) and C-terminal (Cter) FGF-23, dietary Pi intake and cumulative doses of glucocorticoids in 69 patients 12 days (95% confidence interval, 10–13) after renal transplantation.ResultsHypophosphatemia was observed in 43 (62%) of the patients 12 days after transplantation. Compared with non-hypophosphatemic subjects, their post-transplantation levels of intact and CterFGF-23 were higher (195 (108–288) vs 48 (40–64) ng/l, P<0.002 for intFGF-23; 205 (116–384) vs 81 (55–124) U/ml, P<0.002, for CterFGF-23). In all subjects, Cter and intFGF-23 correlated inversely with sPi (r=−0.35, P<0.003; −0.35, P<0.003, respectively), and TmPi/GFR (r=−0.50, P<0.001; −0.54, P<0.001, respectively). In multivariate models, sPi and TmPi/GFR were independently associated with FGF-23, iPTH and eGFR. Pre-transplant iPTH levels were significantly higher in patients developing hypophosphatemia after renal transplantation. Pre-transplant levels of FGF-23 were not associated with sPi at the time of transplantation.ConclusionIn addition to PTH, elevated FGF-23 may contribute to hypophosphatemia during the early post-renal transplant period.


1965 ◽  
Vol 208 (6) ◽  
pp. 1165-1170 ◽  
Author(s):  
W. Joseph Rahill ◽  
Mackenzie Walser

Simultaneous clearances of inulin, calcium, and either Be7, Ba140, or Ra226, given by constant infusion, were measured in salt-depleted dogs or dogs undergoing mild saline, mannitol, or sulfate diuresis. Urine-to-plasma ratios of all three cations less than 0.5 were noted, suggesting that all can be actively reabsorbed. Clearances of barium and radium were correlated with calcium clearance, but the clearance of beryllium was unpredictable. Protein binding of beryllium was shown to be of the same order of magnitude as other alkaline earths when errors due to adsorption of Be7 onto containers were minimized. Protein binding of barium averaged 54%. The excreted-to-filtered ratio for barium was a constant power (.54) of the ratio for calcium. The data do not exclude the possibility that these cations are reabsorbed by a common transport mechanism with calcium.


1978 ◽  
Vol 54 (2) ◽  
pp. 22P-23P
Author(s):  
R. J. Walton ◽  
B. E. Cluett ◽  
H. S. Platt

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