Inability to reduce morbidity of diarrhea by ORS: can we design a better therapy?

Abstract:

:Diarrheal disease is a worldwide problem that still causes significant morbidity and mortality among children. Currently, oral rehydration solution (ORS) is the standard of care for acute diarrhea in pediatric patients. Although effective in reducing mortality, ORS does not alleviate diarrheal symptoms, thus reducing caregiver compliance and therapeutic efficacy. This article will briefly review the current problem of pediatric diarrhea and the shortcomings of current therapies; however, the focus of this review is to examine the intestinal calcium-sensing receptor (CaSR). The author summarizes the evidence suggesting that targeting the CaSR will enable clinicians to address all four major pathophysiological mechanisms of diarrheal disease, and substantiates the need for future research regarding this therapy.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Harrell JE,Cheng SX

doi

10.1038/pr.2017.295

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

559-563

issue

3

eissn

0031-3998

issn

1530-0447

pii

pr2017295

journal_volume

83

pub_type

杂志文章,评审
  • Body mass index, body composition, and leptin at onset of puberty in male and female rats after intrauterine growth retardation and after early postnatal food restriction.

    abstract::In this study we examined the body composition at onset of puberty in intrauterine growth retarded (IUGR), postnatal food restricted (FR), and control male and female rats. IUGR was induced by ligation of the uterine artery on d 17 of gestation and FR by litter enlargement to 20 pups per mother from d 2 after birth un...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200110000-00009

    authors: Engelbregt MJ,van Weissenbruch MM,Popp-Snijders C,Lips P,Delemarre-van de Waal HA

    更新日期:2001-10-01 00:00:00

  • Hypoxia-ischemia stimulates hippocampal glutamate efflux in perinatal rat brain: an in vivo microdialysis study.

    abstract::We used in vivo microdialysis to determine the impact of a focal hypoxic-ischemic insult on hippocampal amino acid efflux in the immature brain. Microdialysis probes were inserted into the right hippocampus of postnatal d 7 rats. To induce hypoxic-ischemic injury, the right carotid artery was ligated and animals were ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199112000-00021

    authors: Silverstein FS,Naik B,Simpson J

    更新日期:1991-12-01 00:00:00

  • The regional distribution and determinants of myocardial blood flow during asphyxia in the fetal lamb.

    abstract::The syndrome of hypoxemia-related myocardial dysfunction in the newborn is generally associated with severe intrapartum asphyxia. We investigated the changes in total and regional distribution of myocardial blood flow (MBF) that occur during asphyxia and the factors that regulate MBF, in the chronically prepared, near...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198408000-00019

    authors: Davies JM,Tweed WA

    更新日期:1984-08-01 00:00:00

  • The evolution of primitive reflexes in extremely premature infants.

    abstract::A longitudinal study describes the pattern of appearance of eight primitive reflexes in a population of 47 viable extremely premature infants, beginning as early as 25 wk postconceptional age (PCA). Infants were examined weekly, from 1 wk of age until discharge from the neonatal intensive care unit. Primitive reflexes...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198612000-00018

    authors: Allen MC,Capute AJ

    更新日期:1986-12-01 00:00:00

  • Hyperalphalipoproteinemia, birth to age to years.

    abstract::Interrelationships of high-density lipoprotein cholesterol (C-HDL) with total plasma cholesterol (TC), triglyceride, and low-density lipoprotein cholesterol, as well as longitudinal maintenance of C-HDL rank order (tracking) from birth to age 2 years were assessed in 76 hypercholesterolemic neonates (cord blood, TC gr...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198101000-00016

    authors: Tsang RC,Neely K,Glueck CJ

    更新日期:1981-01-01 00:00:00

  • Newborn polymorphonuclear leukocyte aggregation: a study of physical properties and ultrastructure using chemotactic peptides.

    abstract::N-formyl-L-methionyl-L-leucyl-L-phenylalanine (FMLP) and N-formyl-L-methionyl-L-phenylalanine (FMP) were used to investigate neutrophil (PMN) aggregation. Neutrophils were isolated from healthy adult volunteers and term newborn cord blood. Neutrophil aggregation was measured after the addition of FMLP and FMP. Adult P...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198312000-00013

    authors: Olson TA,Ruymann FB,Cook BA,Burgess DP,Henson SA,Thomas PJ

    更新日期:1983-12-01 00:00:00

  • Methylglyoxal concentrations differ in standard and washed neonatal packed red blood cells.

    abstract:BACKGROUND:Preterm infants have a greater risk of necrotizing enterocolitis following transfusion. It is hypothesized that high glucose concentrations in red blood cell (RBC) preservatives lead to increased methylglyoxal (MG) metabolism, causing glycation-driven damage to transfused RBCs. Such changes to the RBCs could...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2013.243

    authors: Kiefer AS,Fleming T,Eckert GJ,Poindexter BB,Nawroth PP,Yoder MC

    更新日期:2014-03-01 00:00:00

  • Aerosol deposition in neonatal ventilation.

    abstract::Lung deposition of inhaled drugs in ventilated neonates has been studied in models of questionable relevance. With conventional nebulizers, pulmonary deposition has been limited to 1% of the total dose. The objective of this study was to assess lung delivery of aerosols in a model of neonatal ventilation using a conve...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000156244.84422.55

    authors: Dubus JC,Vecellio L,De Monte M,Fink JB,Grimbert D,Montharu J,Valat C,Behan N,Diot P

    更新日期:2005-07-01 00:00:00

  • Soluble Fas (CD95/Apo-1), soluble Fas ligand, and activated caspase 3 in the cerebrospinal fluid of infants with posthemorrhagic and nonhemorrhagic hydrocephalus.

    abstract::Hydrocephalus may result in loss of tissue associated with neuronal degeneration, axonal damage, and reactive gliosis. The soluble form of the anti-apoptotic regulator Fas (sFas) and the pro-apoptotic factors soluble FasL (sFasL) and activated caspase 3 were studied in the cerebrospinal fluid of infants with hydroceph...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000084114.83724.65

    authors: Felderhoff-Mueser U,Buhrer C,Groneck P,Obladen M,Bartmann P,Heep A

    更新日期:2003-11-01 00:00:00

  • Mode of delivery and asthma -- is there a connection?

    abstract::Genetic factors cannot explain the recent rapid increase in the incidence of atopic diseases. The phenomenon has been explained by environmental factors, and there are data for and against the hypothesis that a decline in the pressure of microbial stimulation early in life could be behind the allergy epidemic. Changes...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200207000-00004

    authors: Kero J,Gissler M,Grönlund MM,Kero P,Koskinen P,Hemminki E,Isolauri E

    更新日期:2002-07-01 00:00:00

  • Adhesion of human neuroblasts to HIV-1 tat.

    abstract::Several neuropathologic findings in infants and children with human immunodeficiency virus type-1 (HIV-1) infection are different from those observed in adults, probably related to the fact that the retroviral infection occurs in the setting of neuro-development. This report describes the interaction and biologic acti...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199511000-00025

    authors: Cornaglia-Ferraris P,De Maria A,Cirillo C,Cara A,Alessandri G

    更新日期:1995-11-01 00:00:00

  • Airway protection in sleeping infants in response to pharyngeal fluid stimulation in the supine position.

    abstract::This study was designed to evaluate upper airway protective mechanisms in response to pharyngeal fluid stimulation in healthy term and preterm infants at term equivalent age. Five term and seven preterm infants were studied and the following recorded: sleep state, cardiorespiratory function, and swallowing. Infusions ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199811000-00011

    authors: Page M,Jeffery HE

    更新日期:1998-11-01 00:00:00

  • Fetal human airway smooth muscle cell production of leukocyte chemoattractants is differentially regulated by fluticasone.

    abstract:BACKGROUND:Adult human airway smooth muscle (ASM) produce cytokines involved in recruitment and survival of leukocytes within airway walls. Cytokine generation by adult ASM is glucocorticoid-sensitive. Whether developing lung ASM produces cytokines in a glucocorticoid-sensitive fashion is unknown. METHODS:Cultured fet...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2015.168

    authors: Pearson H,Britt RD Jr,Pabelick CM,Prakash YS,Amrani Y,Pandya HC

    更新日期:2015-12-01 00:00:00

  • Polymyxin B/pulmonary surfactant mixtures have increased resistance to inactivation by meconium and reduce growth of gram-negative bacteria in vitro.

    abstract::Pulmonary surfactant is inactivated in meconium aspiration syndrome and neonatal pneumonia. Development of an exogenous surfactant less sensitive to inactivation might be useful for treating these diseases. We investigated in vitro whether addition of the cationic cyclic membrane cross-linking peptide polymyxin B (PxB...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.pdr.0000200806.32822.e6

    authors: Stichtenoth G,Jung P,Walter G,Johansson J,Robertson B,Curstedt T,Herting E

    更新日期:2006-03-01 00:00:00

  • Growth hormone stimulation testing in both short and normal statured children: use of an immunofunctional assay.

    abstract::Accurate interpretation of the results of GH stimulation tests is of pivotal importance not only in the evaluation of the etiology of growth retardation in children but also in the selection of the best candidates for GH therapy. We performed this study to test a novel immunofunctional GH ( IFGH) assay that makes use ...

    journal_title:Pediatric research

    pub_type: 评论,杂志文章

    doi:10.1203/00006450-200011000-00010

    authors: Mauras N,Walton P,Nicar M,Welch S,Rogol AD

    更新日期:2000-11-01 00:00:00

  • Effect of multisensory stimulation on analgesia in term neonates: a randomized controlled trial.

    abstract::Many attempts have been made to obtain safe and effective analgesia in newborns. Oral glucose-water has been found to have analgesic properties in neonates. We investigated whether other sensory stimulation added to oral glucose provided more effective analgesia than oral glucose alone. In a randomized prospective dou...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1203/00006450-200204000-00010

    authors: Bellieni CV,Bagnoli F,Perrone S,Nenci A,Cordelli DM,Fusi M,Ceccarelli S,Buonocore G

    更新日期:2002-04-01 00:00:00

  • Pre- and postnatal development of granulocytic stem cells in the rat.

    abstract::Bacterial sepsis is a relatively common problem in the neonatal period, particularly among prematurely delivered infants. The newborn rat has been widely used as a model for sepsis neonatorum, and in that model incomplete development of the neutrophil system has been postulated to be an important factor predisposing n...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198407000-00006

    authors: Christensen RD,Rothstein G

    更新日期:1984-07-01 00:00:00

  • Effects of maternal-fetal transmission of viruses and other environmental agents on lung development.

    abstract::New information is emerging concerning the influence of environmental factors (e.g., viruses, pollutants, nutrients) on fetal lung development and the prenatal modulation of cellular and molecular effectors essential to the control of airway function, which may shed new light into the pathogenesis of chronic obstructi...

    journal_title:Pediatric research

    pub_type: 杂志文章,评审

    doi:10.1038/s41390-019-0657-4

    authors: Piedimonte G,Harford TJ

    更新日期:2020-01-01 00:00:00

  • Inhibition of receptor-dependent and receptor-independent generation of the respiratory burst in human neutrophils and monocytes by human serum IgA.

    abstract::An important feature of the role of IgA in protection against infection and disease at the level of the mucosal surfaces might be the elimination of pathogens without induction of a strong inflammatory reaction. In the present study we addressed the question whether IgA has a regulatory effect on the generation of rea...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199408000-00016

    authors: Wolf HM,Vogel E,Fischer MB,Rengs H,Schwarz HP,Eibl MM

    更新日期:1994-08-01 00:00:00

  • Temperature-sensitive mutants of influenza A virus: response of children to the influenza A/Hong Kong/68-ts-1(E) (H3N2) and influenza A/Udorn/72-ts-1(E) (H3N2) candidate vaccine viruses and significance of immunity to neuraminidase antigen.

    abstract::One of two slightly different influenza A/ts-1[E] recombinant candidate live vaccines was given intranasally to each of 23 young children. Twelve of 15 children who had no serum HI antibody but who did have serum ANAB at the time of administration became infected and 1 had mild rhinitis. All eight who lacked both type...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197604000-00008

    authors: Kim HW,Arrobio JO,Brandt CD,Parrott RH,Murphy BR,Richman DD,Chanock RM

    更新日期:1976-04-01 00:00:00

  • Molecular and genetic analyses of two patients with Pearson's marrow-pancreas syndrome.

    abstract::Pearson's syndrome, a rare and fatal disorder characterized by refractory sideroblastic anemia and pancreatic insufficiency in infancy, is classified into mitochondrial cytopathies. To understand the molecular and genetic bases of this disorder, we have investigated the mitochondrial respiratory chain enzymes and the ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199307000-00024

    authors: Sano T,Ban K,Ichiki T,Kobayashi M,Tanaka M,Ohno K,Ozawa T

    更新日期:1993-07-01 00:00:00

  • The effect of recombinant human insulin-like growth factor-I on chronic puromycin aminonucleoside nephropathy in rats.

    abstract::We recently demonstrated that recombinant hGH exacerbates renal functional and structural injury in chronic puromycin aminonucleoside (PAN) nephropathy, an experimental model of glomerular disease. Therefore, we examined whether recombinant human (rh) IGF-I is a safer alternative for the treatment of growth failure in...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199601000-00002

    authors: Trachtman H,Maesaka J,Futterweit S,Ma C,Valderrama E,Chan JC,Chan W

    更新日期:1996-01-01 00:00:00

  • Ultrastructural lesions in the small bowel of patients with cystic fibrosis.

    abstract::In the small bowel of patients with cystic fibrosis, primary defects involving both chloride transport and mucus secretion have been demonstrated, but there is no general consensus about the morphologic counterpart of functional and biochemical abnormalities. We have studied the intestinal mucosa in a group of patient...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199802000-00013

    authors: Sbarbati A,Bertini M,Catassi C,Gagliardini R,Osculati F

    更新日期:1998-02-01 00:00:00

  • Effect of dexamethasone treatment on serum GH, IGF-I, and the binding proteins IGFBP-1 and -3 in ventilated very preterm infants.

    abstract::Very preterm infants developing bronchopulmonary dysplasia frequently show a compromised growth in the neonatal period especially when steroids are given to facilitate weaning from the ventilator. The aim of this study was to evaluate the short-term effect of dexamethasone (DEXA) on the GH-IGF axis in ventilated very ...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章

    doi:10.1203/01.PDR.0000065727.45195.69

    authors: Huysman MW,Hokken-Koelega AC,Hop WC,Sauer PJ

    更新日期:2003-07-01 00:00:00

  • Role of pili in Haemophilus influenzae adherence to, and internalization by, respiratory cells.

    abstract::To determine the role of pili in mediating adherence of type b and nontypeable Haemophilus influenzae to several respiratory cell types, piliated bacteria, nonpiliated phase variants, and nonpiliated mutants possessing insertionally inactivated pilin genes were tested. Both piliated and nonpiliated strains adhered to ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199602000-00025

    authors: Gilsdorf JR,Tucci M,Marrs CF

    更新日期:1996-02-01 00:00:00

  • Galactose metabolism in human ovarian tissue.

    abstract::Galactose metabolism was studied in human ovarian tissue obtained from 14 women controls between 21 and 72 y of age, and one 21-y-old galactosemic patient with hypergonadotrophic hypogonadism. Tissue slices were incubated with 1-14C-galactose, and labeled intermediates were analyzed by anion-exchange column chromatogr...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198902000-00015

    authors: Xu YK,Ng WG,Kaufman FR,Lobo RA,Donnell GN

    更新日期:1989-02-01 00:00:00

  • Sleep state organization in premature infants of less than 35 weeks' gestational age.

    abstract::To assess sleep organization in premature infants of < 35 wk gestational age (w GA), we performed polygraphic recordings in 24 neurologically normal neonates (eight per group): artificially ventilated 27-30 and 31-34 w GA infants and nonventilated 31-34 w GA infants. Sleep states were defined by concordance of EEG and...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199311000-00013

    authors: Curzi-Dascalova L,Figueroa JM,Eiselt M,Christova E,Virassamy A,d'Allest AM,Guimarâes H,Gaultier C,Dehan M

    更新日期:1993-11-01 00:00:00

  • Erythropoietin production by macrophages from preterm infants: implications regarding the cause of the anemia of prematurity.

    abstract::In the human fetus, liver macrophages appear to be the primary source of erythropoietin (Epo). Epo production shifts from the liver to peritubular cells in the kidney sometime during the 3rd trimester. Some preterm infants experience a hyporegenerative anemia that appears to be caused by inadequate Epo production. It ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199402000-00008

    authors: Ohls RK,Li Y,Trautman MS,Christensen RD

    更新日期:1994-02-01 00:00:00

  • Predictive analytics in the pediatric intensive care unit for early identification of sepsis: capturing the context of age.

    abstract:BACKGROUND:Early recognition of patients at risk for sepsis is paramount to improve clinical outcomes. We hypothesized that subtle signatures of illness are present in physiological and biochemical time series of pediatric-intensive care unit (PICU) patients in the early stages of sepsis. METHODS:We developed multivar...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-019-0518-1

    authors: Spaeder MC,Moorman JR,Tran CA,Keim-Malpass J,Zschaebitz JV,Lake DE,Clark MT

    更新日期:2019-11-01 00:00:00

  • Infant body composition relationship to maternal adipokines and fat mass: the PONCH study.

    abstract:BACKGROUND:Infant adiposity is linked to both high maternal fat mass (FM) and excessive gestational FM gain, whereas the association with maternal adipokines is less clear. The aim was to determine how levels of maternal leptin, the soluble leptin receptor (sOB-R), adiponectin, and FM during pregnancy were linked to in...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-01115-9

    authors: Andersson-Hall UK,Pivodic A,de Maré HK,Pernilla Svedin J,Carina Mallard E,Albertsson-Wikland KG,Holmäng AB

    更新日期:2020-09-14 00:00:00