胰岛素依赖型糖尿病的肾小球高滤过:没有证据表明肾素-血管紧张素-醛固酮系统的活性增强

Daniel Carvalho-Braga , Raulina Almeida , Maria Azevedo , Izolett Amaral , José Medina , Manuel Hargreaves
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引用次数: 5

摘要

肾小球高滤过是胰岛素依赖型糖尿病(IDDM)患者的特征性功能异常,但其潜在机制仍有争议。测定10例肾小球滤过率(GFR)正常的IDDM患者、10例GFR升高的IDDM患者和10例非糖尿病对照者的卧位和动态血浆肾素活性(PRA)和醛固酮水平。基础和刺激PRA或醛固酮在三组之间没有显著差异。这些结果表明,在胰岛素依赖型糖尿病中,肾小球高滤过与肾素-血管紧张素-醛固酮系统的高活性没有因果关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Glomerular hyperfiltration in insulin-dependent diabetes mellitus: No evidence for enhanced activity of the renin-angiotensin-aldosterone system

Glomerular hyperfiltration is a characteristic functional abnormality in insulin-dependent diabetes mellitus (IDDM) patients, but the underlying mechanisms remain controversial. Supine and ambulant plasma renin activity (PRA) and aldosterone were measured in ten IDDM patients with normal glomerular filtration rate (GFR), in ten IDDM patients with elevated GFR and in ten nondiabetic controls. Basal and stimulated PRA or aldosterone did not differ significantly between the three groups. These results suggest that in insulin-dependent diabetes the glomerular hyperfiltration is not causally related to hyperactivity of the renin-angiotensin-aldosterone system.

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