Role of secondary hyperparathyroidism in the development of post-transplant acute tubular necrosis.

Abstract:

:Post-transplant cure tubular necrosis (ATN) represents the most frequent cause of delayed graft function in the immediate post-transplant period. Several causes have been associated with the development of post-transplant ATN such as donor and recipient ages, cold-warm ischemia times, HLA mismatches, and postoperative hypotension. In the present study, we retrospectively evaluated the role of secondary hyperparathyroidism and high parathyroid hormone (PTHi) blood levels in the development of post-transplant ATN. One hundred patients submitted to cadaveric renal transplant between January 1992 and March 1993 in our unit were included. Twenty-seven patients (27%) developed post-transplant ATN and seventy-three (73%) did not. Post-transplant ATN was significantly associated with gender (p < 0.01), recipient age (p < 0.01), number of transplantations (p < 0.01), time on hemodialysis (p < 0.001), cold ischemic time (p < 0.05) and PTHi levels (p < 0.001). The bivariate and multivariate statistical analyses demonstrated that the development of post-transplant ATN was significantly more frequent in females; retransplanted patients, patients with a time on dialysis of more than 5 years, recipients over 60 years old, patients with a PTHi blood level higher than 240 pg/ml (4 times normal level) and a cold ischemia time of more than 18 h. Based on these results, we conclude that high PTHi blood levels in the renal transplant recipients represent a relevant factor in the development of post-transplant ATN. The administration of intravenous pulsed of 1,25(OH)2D3 and/or a calcium channel blocker in the perioperative period could be useful to decrease the incidence and severity of post-transplant ATN in these patients.

journal_name

Nephron

journal_title

Nephron

authors

Torregrosa JV,Campistol JM,Fenollosa B,Montesinos M,Romar A,Martinez de Osaba MJ

doi

10.1159/000189002

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

67-72

issue

1

eissn

1660-8151

issn

2235-3186

journal_volume

73

pub_type

临床试验,杂志文章

相关文献

NEPHRON文献大全
  • Acute Kidney Injury following Cardiac Surgery: A Clinical Model.

    abstract:BACKGROUND:Scientists use preclinical models of acute kidney injury (AKI) to decipher mechanisms and develop therapy, but translation of therapies to patients remains poor. Models that better resemble patients, including those within clinical care, should be considered. SUMMARY:Mice provide many advantages to the stud...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000501559

    authors: Billings FT 4th

    更新日期:2019-01-01 00:00:00

  • Affinity binding of glycosaminoglycans with beta(2)-microglobulin.

    abstract:BACKGROUND:A constant finding in beta (2)-microglobulin (beta 2m) amyloidosis is an increase in tissue heparan sulfate (HS) and chondroitin sulfate (CS) proteoglycans (PGs) at sites of amyloid deposits. However, the binding characteristics of PGs with beta 2m have not been elucidated yet. METHODS:Using affinity retard...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000049037

    authors: Ohashi K,Kisilevsky R,Yanagishita M

    更新日期:2002-02-01 00:00:00

  • Potassium depletion potentiates amphotericin-B-induced toxicity to renal tubules.

    abstract::Hypokalemia and potassium depletion are frequent complications of amphotericin B therapy. Both ischemic and gentamicin-induced renal failure is potentiated by potassium depletion; it is, therefore, possible that amphotericin B nephrotoxicity is similarly influenced. This study evaluated whether the acute nephrotoxic r...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188590

    authors: Bernardo JF,Murakami S,Branch RA,Sabra R

    更新日期:1995-01-01 00:00:00

  • Cigarette-smoking affects platelets and endothelium in chronic hemodialysis patients.

    abstract::Previous work has shown that cigarette-smoking affects platelets and endothelium in men and women without renal failure. The present study compared 10 male habitual smokers receiving maintenance hemodialysis for chronic renal failure with 11 healthy male habitual smokers before and after controlled cigarette-smoking a...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187354

    authors: Davis JW,Arnold J,Wiegmann T

    更新日期:1993-01-01 00:00:00

  • Rapid radioimmunoassay for diagnosing acute tubular necrosis.

    abstract::A previously described method for recovering a proximal renal tubular epitheal antigen (HRTE-1) from normal human kidney was modified by using ion-exchange and immunoaffinity chromatography in order to create easily reproducible conditions for antigen isolation. Radioiodinated HRTE-1 was then used to establish a 3-hou...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181942

    authors: Zager RA,Rubin NT,Ebert T,Maslov N

    更新日期:1980-01-01 00:00:00

  • Trajectory of Estimated Glomerular Filtration Rate Predicts Renal Injury in Children with Multicystic Dysplastic Kidney.

    abstract:BACKGROUND/AIMS:Children with a solitary functioning kidney have a risk of renal injury caused by hyperfiltration. Timely intervention with renin-angiotensin inhibitors may be beneficial. We examined whether trajectory of estimated glomerular filtration rate (eGFR) would predict renal injury, defined as microalbuminuri...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000490200

    authors: Matsumura K,Sugii K,Awazu M

    更新日期:2018-01-01 00:00:00

  • Reappraisal of protein losses in patients undergoing continuous ambulatory peritoneal dialysis.

    abstract::Dialysate effluent protein content was measured in 22 patients undergoing continuous ambulatory peritoneal dialysis (9 with and 13 without previous peritonitis). The average amount of protein in those patients without peritonitis was 1.3 g/2 liters exchanged over a 6-hour period, while that of patients with previous p...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181990

    authors: Katirtzoglou A,Oreopoulos DG,Husdan H,Leung M,Ogilvie R,Dombros N

    更新日期:1980-01-01 00:00:00

  • Comorbidity and mortality in peritoneal dialysis: a comparative study of type 1 and 2 diabetes versus nondiabetic patients. Peritoneal dialysis and diabetes.

    abstract::We conducted a retrospective study with 750 peritoneal dialysis (PD) patients in a Spanish multicenter registry between 1993 and 1999 to analyze comorbidity and mortality in type 1 diabetes (T1D), type 2 diabetes (T2D) and nondiabetic (ND) patients. 163 patients (21.7%) were diabetic--96 T1D (58.8%) and 67 T2D (42.2%)...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000049065

    authors: Miguel A,García-Ramón R,Pérez-Contreras J,Gómez-Roldán C,Alvariño J,Escobedo J,García H,Lanuza M,López-Menchero R,Olivares J,Tornero F,Albero D,Levante PD Multicenter group.

    更新日期:2002-03-01 00:00:00

  • Effects of dietary protein on uranyl-nitrate-induced acute renal failure.

    abstract::The effects of dietary protein both before and after uranyl-nitrate-induced acute renal failure were investigated. Male Sprague-Dawley rats were maintained on high-protein (60%), normal-protein (20%), low-protein (5%) and no-protein diets for 8 days prior to intravenous administration of uranyl nitrate (10 mg/kg). Imm...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000184167

    authors: Andrews PM,Bates SB

    更新日期:1987-01-01 00:00:00

  • Effects of chronic sodium depletion on renal tubular sodium and water reabsorption in man.

    abstract::In order to assess the effects of sodium depletion on tubular Na and H2O transport in man, renal clearance studies were performed under control conditions and after sodium depletion in 7 normal subjects. The control diet contained 250 mEq of Na daily. Sodium depletion was induced by placing subjects on a 20-mEq/day na...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182635

    authors: DiScala VA,Stein RM

    更新日期:1982-01-01 00:00:00

  • Effect of 1alpha-hydroxycholecalciferol, 1,25-dihydroxycholecalciferol, 3 deoxy-1alpha-hydroxycholecalciferol, 24R, 25-dihydroxycholecalciferol and successful renal transplantation on calcium absorption in haemodialysis patients.

    abstract::Using a 2-hour 47Ca absorption test, significant depression of active calcium absorption was demonstrated in 48 vitamin D untreated haemodialysis patients. This malabsorption of calcium could be corrected by the daily oral administration of 1--2 microgram of 1alphaOHD3 and 1--1.5 microgram of 1,25(OH)2D3. 5 microgram ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181223

    authors: Pierides AM,Aljama P,Kerr DN,Scott M,Norman AW

    更新日期:1978-01-01 00:00:00

  • Glycogen synthesis from serine in isolated perfused hindquarters of acutely uraemic rats.

    abstract::Isolated hindquarters of bilaterally nephrectomized and sham-operated rats were perfused in the presence and absence of 14C-labelled serine, respectively. After a perfusion period of 30 min 14C-serine was 4,074 +/- 270 dpm/ml in the perfusion medium of sham-operated animals and decreased to 2,800 +/- 190 dpm/ml in the...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183003

    authors: Djovkar A,Hörl WH,Heidland A

    更新日期:1983-01-01 00:00:00

  • Interference of heparin with peritoneal solute transport.

    abstract::To verify the action of heparin on peritoneal transport, we selected 20 patients on acute peritoneal dialysis and performed two 2-hour cycles with 2,000 cm3 of a 1.5% solution, adding 2,000 units of heparin to the second cycle. The patients were also randomized into 2 groups: group A, adding 1.5 mg gentamycin/kg to th...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000183336

    authors: Ponce SP,Barata JD,Santos JR

    更新日期:1985-01-01 00:00:00

  • Serial evaluation of parathyroid size by ultrasonography is another useful marker for the long-term prognosis of calcitriol pulse therapy in chronic dialysis patients.

    abstract::To clarify whether the changes of parathyroid size have any correlations with the long-term prognosis of calcitriol pulse therapy, we examined the time course of serum levels of parathyroid hormone (PTH) and size of parathyroid glands in 14 chronic dialysis patients during and after the oral calcitriol pulse therapy. ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188261

    authors: Fukagawa M,Kitaoka M,Yi H,Fukuda N,Matsumoto T,Ogata E,Kurokawa K

    更新日期:1994-01-01 00:00:00

  • Effect of gemfibrozil on lipoprotein abnormalities in chronic renal insufficiency: a controlled study in human chronic renal disease.

    abstract:BACKGROUND:Renal dyslipoproteinemia is characterized by the accumulation of intact and partially metabolized triglyceride-rich lipoproteins. Reduced lipolytic enzyme activities may be one of the major pathophysiological mechanisms contributing to a retarded catabolism of these lipoproteins in patients with renal insuff...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000189551

    authors: Samuelsson O,Attman PO,Knight-Gibson C,Kron B,Larsson R,Mulec H,Weiss L,Alaupovic P

    更新日期:1997-01-01 00:00:00

  • Estimation of statistical moments for desferrioxamine and its iron and aluminum chelates: contribution to optimisation of therapy in uremic patients.

    abstract::We investigated the best time of administration of desferrioxamine (DFO) with respect to the dialysis session, using the approach of the stochastic dynamic system, integrated with the classical pharmacokinetic models. In the 6 patients studied, the mean arrival times of DFO, aluminoxamine (AlO) and ferrioxamine (FO) w...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188845

    authors: Andriani M,Nordio M,Saporiti E

    更新日期:1996-01-01 00:00:00

  • Urinary excretion of alpha 2 mu-globulin and albumin by adult male rats following treatment with nephrotoxic agents.

    abstract::Nephrotoxic agents such as puromycin aminonucleoside (PAN) and sodium maleate (MAL) have been used to induce experimental glomerular proteinuria and tubular disease, respectively. Current studies show that PAN caused a massive loss of albumin in the urine while not affecting the excretion of the smaller, sex-dependent...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182134

    authors: Neuhaus OW,Flory W,Biswas N,Hollerman CE

    更新日期:1981-01-01 00:00:00

  • Impact of vascular endothelial growth factor single nucleotide polymorphism association on acute renal allograft rejection.

    abstract:BACKGROUND:Vascular endothelial growth factor (VEGF) is a cytokine which plays an important role in the division, proliferation and migration of endothelial cells. In the kidney, VEGF expression is found in glomerular podocytes and in tubular epithelial cells, which may result in acute inflammatory reactions. METHODS:...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000368700

    authors: Prakash S,Agrawal S,Kumar S,Prasad N

    更新日期:2015-01-01 00:00:00

  • A model of long-term peritoneal dialysis in the dog.

    abstract::We describe two preparations for chronic peritoneal dialysis in the dog. In one group uremia was induced by nephrectomy and in the other by ureteral ligation. Peritoneal access was obtained using the Ash disc column catheter. Survival of the animals ranged from 27 to 83 days. Using a dialysis schedule similar in conce...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183093

    authors: Rubin J,Jones Q,Quillen E,Bower JD

    更新日期:1983-01-01 00:00:00

  • Parathyroid hormone effect on the fragility of human young and old red blood cells in uremia.

    abstract::Parathyroid hormone (PTH) is elevated in patients with chronic renal failure (CRF) and was suggested to be one of the factors responsible for the anemic syndrome of these patients because it raises the osmotic fragility of the red blood cells (RBC). In the present study, the youngest and oldest RBC were separated from...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183633

    authors: Malachi T,Bogin E,Gafter U,Levi J

    更新日期:1986-01-01 00:00:00

  • Calcium and phosphate plasma levels in dialysis patients after dietary Ca-P overload. Role of gastric acid secretion.

    abstract::In normal subjects, the gastric ionisation of calcium and phosphate seems to be a prerequisite for their intestinal absorption. We investigated the behavior of the plasma calcium and phosphate profile in 30 patients on regular dialysis treatment in the 6 h following a meal containing 1 g of calcium and 2 g of phosphat...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000064290

    authors: Graziani G,Badalamenti S,Como G,Gallieni M,Finazzi S,Angelini C,Brancaccio D,Ponticelli C

    更新日期:2002-07-01 00:00:00

  • Changes in protein-bound calcium during haemodialysis in relation to bone disease.

    abstract::29 patients receiving haemodialysis treatment for chronic renal failure were divided into two groups on the basis of the presence or absence of bone disease as defined by radiology and bone alkaline phosphatase. The group of patient with bone disease showed a significantly greater increase in protein-bound calcium dur...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181632

    authors: Gosling P,Naik RB,Price CP,Sammons HG,Robinson BH

    更新日期:1979-01-01 00:00:00

  • Acute renal failure after rifampicin: a case report and survey of the literature.

    abstract::A new case of acute renal failure after rifampicin is presented, together with a review of the 36 similar cases published up to date in the literature. Evidence is provided that irregularities in drug intake, either as true intermittent treatment or as discontinuation of continuous therapy, play an important role in t...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000180596

    authors: Nessi R,Bonoldi GL,Redaelli B,di Filippo G

    更新日期:1976-01-01 00:00:00

  • Urinary fibrinogen and fibrin fragments in children with renal disease.

    abstract::Fibrinogen fragments (X, Y, D and E) and fibrin fragments (D-dimer and E) were examined in the urine of 52 patients with various types of renal diseases. One or more of the fibrinogen fragments were detectable in all the urine specimens. D-Dimer together with fibrinogen fragments was found in 38 of the 52 patients. Th...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182833

    authors: Yoshioka K,Iseki T,Akano N,Uraoka Y,Miyata H,Maki S

    更新日期:1982-01-01 00:00:00

  • Age-related appearance of amyloid P component in human renal glomeruli.

    abstract::Amyloid P component (AP) is a matrix glycoprotein of adult renal glomeruli. To establish whether the deposition of AP in glomeruli is an age-related phenomenon, this study used indirect immunofluorescence (IF) to investigate 34 renal biopsy specimens and 11 renal autopsy specimens. The biopsy specimens were taken from...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000190315

    authors: Rantala IS,Helin HJ,Mustonen JT,Reunala T

    更新日期:1997-01-01 00:00:00

  • Concentrations of thyroxine-binding globulin in sera and peritoneal dialysates in patients on chronic peritoneal ambulatory dialysis.

    abstract::Losses in thyroxine-binding globulin (TBG) in peritoneal dialysate and thyroid function were evaluated in patients undergoing continuous ambulatory peritoneal dialysis (CAPD), in comparison to patients on hemodialysis (HD) without TBG loss in the dialysate. The TBG concentration in the peritoneal dialysate was 0.26 +/...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183634

    authors: Inaba M,Nishizawa Y,Nishitani H,Miki T,Onishi Y,Mizutani Y,Yamakawa M,Morii H

    更新日期:1986-01-01 00:00:00

  • Effects of a polyunsaturated fatty acid-rich diet on serum lipids in patients with chronic renal failure.

    abstract::An abnormal level of serum lipids may be one of the major risk factors for the development of atherosclerosis in patients with chronic renal failure (CRF). In the present study, the effect of polyunsaturated fatty acid-rich and low carbohydrate diet on serum lipids and HDL-cholesterol was studied in 6 nonnephrotic and...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182652

    authors: Tsukamoto Y,Okubo M,Yoneda T,Marumo F,Nakamura H

    更新日期:1982-01-01 00:00:00

  • Transcapillary oncotic pressure in the edema of congestive heart failure.

    abstract::Tissue fluid and plasma oncotic pressure levels were measured in an unselected group of 13 patients presenting with congestive heart failure. Patients had a mean serum albumin of 3.6 g/dl +/- (SD) 0.35; serum oncotic pressure was 22.23 +/- 1.8 mm Hg; tissue fluid (lower leg) oncotic pressure was 0.985 +/- 0.34 mm Hg. ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000185804

    authors: Kwan T,Pintea M,Garcia Morino F,Preston RR,Li J,Caruso C,Berlyne SD,Berlyne GM

    更新日期:1990-01-01 00:00:00

  • Xanthogranulomatous pyelonephritis-presentation as acute renal failure in a child with a solitary kidney.

    abstract::A 4-year-old girl, who had been in perfect health, presented with the acute onset of renal failure and abdominal mass. Investigations revealed a solitary left kidney which on histology had the typical features of xanthogranulomatous pyelonephritis. The child had no previous history suggestive of chronic renal disease ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181387

    authors: Noah M,Schoeneman MJ,Haycock G,Levitt SB,Bennett B,Greifer I

    更新日期:1978-01-01 00:00:00

  • Clinical Predictors of Response to Prednisone Plus Cyclophosphamide in Patients with Idiopathic Membranous Nephropathy.

    abstract:BACKGROUND:Complete remission (CR) and partial remission (PR) are beneficial to the long-term outcome of patients with idiopathic membranous nephropathy (iMN). However, we are lacking in studies that evaluate the clinical predictors of response to treatment with prednisone plus cyclophosphamide (CP). The objectives of ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000448291

    authors: Li S,Wang L,Zhang M,Zhou W,Fang W,Wang Q,Qi C,Mou S,Shao X,Ni Z

    更新日期:2017-01-01 00:00:00