Localization of Tubular Adaptation to Renal Sodium Loss in Gitelman Syndrome

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Localization of tubular adaptation to renal sodium loss in Gitelman syndrome.

BACKGROUND AND OBJECTIVES Gitelman syndrome (GS) is a salt-wasting tubulopathy that results from the inactivation of the human thiazide-sensitive sodium chloride cotransporter located in the distal convoluted tubule. Tubular adaptation to renal sodium loss has been described and localized in the distal tubule in experimental models of GS but not in humans with GS. DESIGN, SETTING, PARTICIPANT...

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Renal adaptation to potassium in the adrenalectomized rabbit. Role of distal tubular sodium-potassium adenosine triphosphatase.

Potassium secretion and sodium-potassium adenosine triphosphatase (Na-K-ATPase) activity in the distal nephron segments are known to be influenced by the dietary intake of K+. This has been attributed to a change in the plasma aldosterone level, which also influences K+ secretion and Na-K-ATPase activity in the distal nephron. To investigate whether or not dietary K+ can modulate Na-K-ATPase ac...

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Neurogenic regulation of renal tubular sodium reabsorption.

The evidence supporting a role for direct neurogenic control of renal tubular sodium reabsorption is reviewed. Electron microscopic and fluorescence histochemical studies have demonstrated adrenergic nerve terminals in direct contact with basement membranes of mammalian (rat, dog, and monkey) renal tubular epithelial cells. Low-level direct or baroreceptor reflex stimulation of renal sympatheti...

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Neurogenic regulation of renal tubular sodium reabsorption

DIBONA, GERALD F. Neurogenic regulation of renal &xbular sodium reabsorption. Am. J. Physiol. 233(Z): F73-F81, 1977 or Am. J. Physiol.: Renal Fluid Electrolyte Physiol. Z(2): F73-F81, 1977. -The evidence supporting a role for direct neurogenic control of renal tubular sodium reabsorption is reviewed. Electron. microscopic and fluorescence histochemical studies have demonstrated adrenergic nerve...

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Gitelman syndrome.

Hypokalaemia is a common clinical disorder, the cause of which can usually be determined by the patient's clinical history. Gitelman syndrome is an inherited tubulopathy that must be considered in some settings of hypokalaemia. We present the case of a 60-year-old male patient referred to our nephrology department for persistent hypokalaemia. Clinical history was positive for symptoms of orthos...

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ژورنال

عنوان ژورنال: Clinical Journal of the American Society of Nephrology

سال: 2012

ISSN: 1555-9041,1555-905X

DOI: 10.2215/cjn.00940111