Urinary LDH-release for evaluation of postischemic renal function

作者: G. Kehrer , M. Blech , M. Kallerhoff , H. J. Bretschneider

DOI: 10.1007/BF01721673

关键词: Lumen (anatomy)PerfusionInternal medicineIschemiaRenal ischemiaUrineUrologyRenal functionUrinary systemChemistryEndocrinologyKidney

摘要: Following renal ischemia under protection, the perfusion of tubular system increases concomitant to rise GFR. The transport into urine enzymes entering lumen due ischemic injury is dependent on flow. Thus, we examined if in early post-ischemic phase urinary enzyme determinations can contribute evaluation a changing washout. Canine kidneys were perfused with different protective solutions and subsequently rendered ischemic. From beginning reperfusion endogenous creatinine clearance, minute volume LDH-concentration determined. allowed only rough assessment damage. adjustment LDH amounts GFR resulted better graduation according stress. With such standardized parameter release was somewhat lower average when L-aspartate added HTK solution place chloride. In conclusion, during postischemic recovery after protection examination may be useful diagnostic means for extent an appropriate frame reference applied.

参考文章(17)
H. M. Piper, R. Spahr, J. F. Hütter, P. G. Spieckermann, Enzyme release and glycolytic energy production Adult heart muscle cells. pp. 143- 147 ,(1984) , 10.1007/978-3-662-11041-6_28
Wolfgang P Raab, Diagnostic Value of Urinary Enzyme Determinations Clinical Chemistry. ,vol. 18, pp. 5- 25 ,(1972) , 10.1093/CLINCHEM/18.1.5
I. Anundi, J. King, D. A. Owen, H. Schneider, J. J. Lemasters, R. G. Thurman, Fructose prevents hypoxic cell death in liver. American Journal of Physiology-gastrointestinal and Liver Physiology. ,vol. 253, ,(1987) , 10.1152/AJPGI.1987.253.3.G390
HERVEY B. ELKINS, LEONARD D. PAGNOTTO, HENRY L. SMITH, Concentration Adjustments in Urinalysis American Industrial Hygiene Association Journal. ,vol. 35, pp. 559- 565 ,(1974) , 10.1080/0002889748507072
Brian D. Ross, Joseph Espinal, Patricio Silva, Glucose metabolism in renal tubular function. Kidney International. ,vol. 29, pp. 54- 67 ,(1986) , 10.1038/KI.1986.8
G. Kehrer, M. Blech, M. Kallerhoff, M. Langheinrich, H. -J. Bretschneider, Contribution of amino acids in protective solutions to postischemic functional recovery of canine kidneys Research in Experimental Medicine. ,vol. 189, pp. 381- 396 ,(1989) , 10.1007/BF01855006
R.G. Price, Urinary enzymes, nephrotoxicity and renal disease. Toxicology. ,vol. 23, pp. 99- 134 ,(1982) , 10.1016/0300-483X(82)90092-0
T Higgins, The influence of ATP depletion on the action of phospholipase C on cardiac myocyte membrane phospholipids Journal of Molecular and Cellular Cardiology. ,vol. 13, pp. 1027- 1030 ,(1981) , 10.1016/0022-2828(81)90478-8
G. KEHRER, M. BLECH, M. KALLERHOFF, M. LANGHEINRICH, H.-J. BRETSCHNEIDER, Postischaemic interrelations between energy metabolism and functional recovery of protected canine kidneys European Journal of Clinical Investigation. ,vol. 19, pp. 328- 336 ,(1989) , 10.1111/J.1365-2362.1989.TB00238.X