• The Korean Journal of Physiology
• /
• 제19권1호
• /
• pp.25-33
• /
• 1985

Renal arterial infusion of renotropic agents has been a very useful technique in the renal function studies. This type of experiments have usually been conducted in the large animals such as dogs and sheep. In these animals a catheter can be placed in the site without much disturbances of renal blood flow. Rabbits as an experimental model, however, caused a disturbances of renal blood flow by a catheterization of renal artery by its properties. Therefore we have developed a new technique that allows a simple and selective access to one side of renal arteries and the other as a control, without any disturbances of renal function. The distance between the both bifurcations of renal arteries on abdominal aorta is about 7 mm. To locate the tip of catheter on one side renal artery, ascending cannulation performed via femoral artery was done. We did an experiment with the technique to clarify the effect of calmodulin inhibitor on the renal function. One of the phenothiazine derivatives, trifluoperazine known as a powerful calmodulin inhibitor. Trifluoperazine, actual dose ranges of $2.76-5.20\;ug\;{\cdot}\;kg^{-1}\;{\cdot}\;min^{-1}$, increased urine volume and glomerular filtration rate significantly. Significant increases in urinary excretion of sodium, chloride and potassium were found. Fractional excretion of sodium and free water clearance increased significantly. These data suggest that this new technique is very useful in field of renal physiology and that striking effect of trifluoperazine on the renal function may be caused by increasing the renal hemodynamics, and by the inhibition of sodium, chloride and potassium reabsorption in the renal tubules.

• The Korean Journal of Physiology
• /
• 제11권1호
• /
• pp.37-44
• /
• 1977

In the previous study of the release, excretion, and plasma concentration of aldosterone in normal Koreans, the author found that urinary aldosterone excretion and aldosterone secretion rate of the Korean who usually take high amount of salt are significantly lower, in compared to Americans, although the plasma concentration is only tended to be low. The control of plasma aldosterone level depends on the secretion rate and the metabolic clearance of the hormone. In this experiments, the metabolic clearance rate of aldosterone was determined in normotensive korean and the effects of adrenal stimulations on the rates were also studied in the same subjects. The metabolic clearance rate of the normal Korean was not significantly different from those of the American, and shown a little increase in response to sodium restriction. These results indicate that the decrease in secretion rate rather than the increase in metabolic clearance Tate is the major factor maintaining lower plasma aldosterone level. After furosemide diuresis, on the contrary, the removal of aldosterone showed significant the decrease despite slight increase of secretion rate. This suggest that the reduction in metabolic clearance rate of the hormone during volume depletion found to be major cause of high plasma concentration. Additional potassium supply produced detectable decrease of metabolic clearance rate, but the changes were smaller than that of secretion rate, which suggested that the higher secretion rate could account for elevated plasma concentration of aldosterone rather than metabolic clearance. Above results also support author's previous evidences that the normal Korean who already adapted to a high sodium diet have ability to produce adequate aldosterone activity without producing detectable changes on the metabolic clearance rate under the condition of sodium restriction with approp riate potassium intake.

• Archives of Pharmacal Research
• /
• 제7권1호
• /
• pp.47-52
• /
• 1984

Four polymorphic forms (I, II, III and IV) of hydrochlorothiazide have been characterized on the basis of x-ray diffractometry and differential thermal analysis. Form I was obtained by crystallization from N, N-dimethylformamide and Form II was crystallized from hot methanol. Form III was precipitated from sodium hydroxide aqueous solution by treatment with hydrochloric acid and Form IV was crystallized from 50% methanol. The metastable form I was a most stable form among four polymorphs, which was stable more than ten months at room temperature. The thermodynamic parameters such as heat of solution, enthalpy, entropy, free energy difference and transition temperature were determined by the measurement of intrinsic dissolution rate. The transition temperature and the heat of transition between the metastable Form I an Form II were determined to be $299.15^{\circ}$K and 5.03 Kcal/mole, respectively and free energy difference ($\delta$ F) was 302. 13 cal/mole. Diuretic action of these four polymorphic forms was also evaluated by monitoring the difference in urinary excretion of sodium, potassium and magnesium in rats.

• 농촌의학ㆍ지역보건
• /
• 제16권1호
• /
• pp.27-32
• /
• 1991

한국인은 많은 양의 염류를 섭취하며 저단백식을 주로 한다는 사실이 1960년대로부터 알려져왔다. 일련의 연구로부터, 한국인이 많은 양의 염류를 섭취하는 것은 저단백식과 관계가 있는 것으로 여겨져왔다. 지난 30년간 한국인의 식사중 단백성분은 크게 증가해 왔다. 본 연구는 1990년 현재 한국 농촌지역 거주자의 소변 중에 배설되는 나트륨과 칼륨의 양 및 총 소변 배설량을 측정하여 유의할 만한 변화가 있었는지를 알아보기 위하여 실시되었다. 또, 도시지역 거주자와의 비교를 위해 34명의 농촌지역 거주자와 9명의 도시지역 거주자를 대상으로 하였다. 조사기간중 조사대상자를 일상생활을 그대로 영위하도록 하였다. 34시간 동안 배설된 소변을 수집하여 그중의 나트륨, 칼륨, 크레아티닌 농도를 측정하였다. 마지막 뇨 수집 시에는 정맥혈을 채취하여 혈장 중의 나트륨, 칼륨, 총단백 농도를 측정하였다. 그 결과는 다음과 같다. 1) 혈장 중의 나트륨, 칼륨, 총단백 농도는 정상범위 내에 있었다. 2) 농촌인구에서는 24시간 소변중의 나트륨, 칼륨 배설량은 각각 $255{\pm}95.6$mEq/day, $45{\pm}15.1$mEq 이었으며 24시간동안 수집된 소변의 총량은 $1800{\pm}514.3$ml/day이었다. 이 수치를 1960년의 자료와 비교할 때 수집된 나트륨 배설량은 감소추세를 보였으나 칼륨과 총 소변배설량에 있어서는 별 변화를 발견할 수 없었다. 3) 농촌거주자의 소변중 Na/K 비는 도시거주자에 비해 유의하게 높았으며 도시지역거주자에 있어서 소변중 나트륨 배설량의 감소추세가 더욱 두드러졌다. 4) 이 수치를 서양인의 수치와 비교하면 아직도 한국 농촌지역 거주자의 염분 섭취가 높음을 보이고 있는 반면 칼륨에 있어서는 서양인에 비해 훨씬 낮음을 알 수 있다. 5) 염분과 단백의 섭취 사이에 있을 수 있는 관계를 고찰했다.

• Childhood Kidney Diseases
• /
• 제16권1호
• /
• pp.54-57
• /
• 2012

요로감염환자에서 이차성 거짓저알도스테론증이 발생할 수 있다는 보고들이 흔하지 않게 보고되고 있다. 많은 경우들에서는 요로계통의 기형을 동반하였으나, 요로계기형이 없는 급성 신우신염 환자들에서도 거짓저알도스테론증의 발생이 보고되었다. 대부분의 경우들은 영아에서 발생하였다. 거짓저알도스테론증은 저나트륨혈증, 고칼륨혈증, 그리고 대사성 산증을 특징으로 심할 경우 치명적인 결과를 초래할 수 있다. 더군다나, 본 증례에서와 같이 전해질 불균형에 의한 증세가 식욕부진, 성장장애(failure to thrive) 등으로 미미할 경우 이차성 거짓저알도스테론증의 조기 진단이 어려울 수 있다. 세뇨관 기능이 아직 미숙하고, 요로감염의 발병율이 높은 영아에서는 요로감염으로 진단시 저나트륨혈증, 고칼륨혈증 등의 전해질 불균형의 동반 가능성을 염두에 두어야 할 것으로 사려된다.

• Journal of Nutrition and Health
• /
• 제34권4호
• /
• pp.440-448
• /
• 2001

As diverse physiological functions of taurine have been reported, taurine-containing health drinks and products are marketed worldwide for the treatment of various conditions such as improvements of liver, heart and circulatory functions or as an aid to athletic performance. Although animal studies have shown that taurine is fairly safe when supplemented in the diet for an extended period, the effective dose range of taurine for dietary supplements is in controversy. Reports on dietary taurine intakes have been sparse, and would serve as a guideline for determining an appropriate taurine dosage. The present study was aimed to estimate dietary intake level of taurine using the taurine content database of commonly used food stuffs established recently in our laboratory, and also to evaluate plasma concentration and urinary excretion of taurine in adolescents and adults residing in Seoul area. Dietary taurine intakes of the subjects were 219$\pm$16.9mg/day for 16-19 years old(n=123), 177$\pm$18.1mg/day for adults older than 20 years old(n=123). Male subjects(n=115) consumed 216$\pm$21.1mg of taurine/day, while female subjects(n=131) consumed 181$\pm$14.3mg of taurine/day(p<0.05). The level of dietary taurine intake was positively correlated with the levels of dietary intakes of energy, carbohydrate, total lipids, cholesterol, vitamin A, vitamin B$_1$, niacin, vitamin C, calcium, phosphorous, sodium and potassium at p<0.01, and with dietary intakes of iron and animal lipids at p<0.05, respectively. Plasma taurine concentration of subjects were 135$\pm$5.9$\mu$mol/L, which is considered to be within a normal range for healthy subjects. The subjects excreted 1158$\pm$72.7nmol/ of tarine mg creatinine in their urine, which is approximated as 150-170mg of taurine/24hr urine based on the assumption that 18mg creatinine/kg/day is excreted in the urine of healthy adults, and this would be about 80% of the daily taurine intake observed in the same subjects. Dietary taurine intake level was positively correlated with plasma taurine concentration, as well as with urinary taurine excretion corrected by creatinine excretion at p<0.05. The present study was the first report of taurine intake, and plasma concentration and urinary excretion of taurine in a Korean population so far, and these results would serve as an index for the future study evaluating taurine status in a diverse population within and outside Korea. (Korean J Nutrition 34(4) : 440~448, 2001)

• 약학회지
• /
• 제45권2호
• /
• pp.205-213
• /
• 2001

The dopaminergic receptors were consisted of two distinct subtypes, $D_1$and $D_2$, each having different function. The present study was attempted to investigate the effects of R(-)-2,10,11-trihydroxy-N-n-propylnoraporphine (TNPA), a dopamine $D_2$receptor agonist, on renal function in dog. TNPA (5.0~15.0 $\mu$g/kg), when given into the vein, produced a dose-dependently antidiuresis along with the decrease in osmolar clearance ( $C_{osm}$) and urinary excretion of sodium and potassium ( $E_{Na}$ , and $E_{K}$). It also increased reabsorption rates of sodium and potassium in renal tubules ( $R_{Na}$ , $R_{K}$) without any changes in glomerular filtration rate (GFR), renal plasma flow (RPF) and free water clearance ( $C_{H2o}$). TNPA (0.5~1.5 $\mu$g/kg/min) infused into a renal artery decreased urine flow both in the experimental and the control kidneys. TNPA (1.5~5.0 $\mu$g/kg) administered via the carotid artery also greatly exhibited antidiuresis even at intravenously ineffective doses. Changes of renal function by TNPA given into both the renal artery and the carotid artery were almost the same aspect to those induced by intravenous TNPA. These results obtained from the present study suggest that TNPA produces antidiuresis by increasing the reabsorption rates of electrolytes in renal tubules, mainly distal tubule, through changing of central function.unction.

• Childhood Kidney Diseases
• /
• 제4권1호
• /
• pp.11-16
• /
• 2000

목 적 : 소변내 Ca 배설량을 측정하는데 있어 24시간 뇨 Ca 배설량 측정이 흔히 사용되어 왔으나, 이의 결과를 알기까지 많은 시간과 비용이 소모되는 단점이 있어 빠른 시간내에 결과를 알 수 있는 간편한 검사를 알아보기 위해 저자들은 소변내 Ca 배설량이 소변내 sodium(Na), potassium(K), creatinine(Cr)과 밀접한 관련이 있음에 착안하여 일회뇨(Spot urine) Na/K 비를 이용하여 요칼슘배설량을 예측할 수 있는지 알아보기 위하여 이 연구를 시행하였다. 대상 및 방법 : 1998년 5월부터 7월까지 고려대학교 의료원 구로병원 소아과에 비뇨기계 증상으로 입원한 환아 84명을 대상으로 spot urine에서 Na, K, Ca, Cr를 측정하여 Ca/cr비와 Na/K 비를 서로 비교하였다. 또한 고칼슘뇨증 (Ca/cr비 >0.21)으로 예측할 수 있는 Na/K 비의 cut off value를 계산하여 그 민감도, 특이도, 양성예측도, 음성예측도를 구하였다. 결 과 : 1) spot urine Ca/cr비와 Na/K비와는 통계적으로 의의있는 상관관계를 보였다(r=0.496,P<0.001, Ca/cr=Na/K x 0.01671-0.061). 2) 고칼슘뇨증으로 예측할 수 있는 spot urine Na/K비의 cut off value를 2.68로 정했을 경우 민감도 $100\%$, 특이도 $54.5\%$, 양성예측도 $37.5\%$, 음성예측도 $100\%$를 보였다. 결 론 : 소변내 Ca 배설량을 예측하는데 spot urine Na/K 비를 이용할 수 있으리라 생각되며,이는 고칼슘뇨증의 선별에도 유용하리라 생각된다.

• 생약학회지
• /
• 제12권1호
• /
• pp.31-43
• /
• 1981

In order to determine the effect of Oryeongsan reputed to have diuretic action since Han Dynasty and possible synergetic action of Dianthi Semen, Polygonum avicularis Herba, Kochiae Fructus and Akebiae Lignum, herbs with similar reputation, when added to the above prescription, their decoction powders were solved into distilled water and injected into rabbits through the ear vein. Upon the treatment, the excretion of sodium, potassium and chloride ion together with urine volume was kinetically determined. At the same time the clearance of plasma creatinine and sodium ion was determined and the following results were obtained. Every experimental group demonstrated diuretic action, though feable, of relatively long duration. The diuretic mechanism in the case of Oryeongsan made up by mixing the seperate extracts of individual components and Oryeongsan(A) plus Dianthi Semen was found to be inhibitory effect of renal tubular reabsorption in contrast to the case of Oryeongsan(A) plus Polygonum avicularis Herba, Kochiae Fructus or Akebiae Lignum in which case the diuretic mechanism was found to be glomerular vascular dilatation. The urinary excretion of potassium ion was increased in the case of Oryeongsan(A) plus Dianthi Semen, Kochiae Fructus of Akebiae Lignum whereas in the other cases no similar change was registered. The diuretic action was most remarkable in the case of Oryeongsan(A) plus Polygonum avicularis Herba followed by Oryeongsan(A) plus Kochiae Fructus, Oryeongsan(A) plus Dianthi Semen, extract mixture of individual component of Oryeongsan, Oryeongsan(A) and Oryeongsan(A) plus Akebiae Lignum decreasing order. The duration of diuretic action was found to be 90 minutes in the case of Oryeongsan and mixture of individual component of Oryeongsan, and 60 minutes in the case of Oryeongsan(A) plus Dianthi Semen, Kochiae Fructus or Akebiae Lignum in contrast to the case of Oryeongsan(A) plus Polygonum avicularis Herba which lasted up to 120 minutes.

• 약학회지
• /
• 제18권1호
• /
• pp.39-48
• /
• 1974

Intravenously administered total water extract of Hoelen, (Pachymae fungus) in a dose of 10mg/kg and its methanol lextract, in a smaller dose than total water extract, produced significantly increase on urinary volume, sodium nad potassium excretion, and osmolar nad free water clearances. Increasing the doses produced more pronounced renal responses. Glomerular filtration rate and renal plasma flow changed littl with both extract. On the contrary, water extract from residue obtained on extraction with organic solvents exhibited no significant changes on the parameters of the renal function. In experiments, in which the total water extract was infused directly into a renal artery and urines from both ureters were collected separetely, a small dose of 0.3mg/kg/min showed no diuresis, but a large dose of 1.0mg/kg/min elicited diuretic action even on the contralateral kindneys. It is, therfore, concluded that Hoelen induces diuresis, mainly by inhibiting reabsorption of electrolytes in the renal tubules, and that the renotropic action may be mediated by some endogenous humoral substances.