Proton-pump inhibitor use is associated with low serum magnesium concentrations.

Abstract:

:Although case reports link proton-pump inhibitor (PPI) use and hypomagnesemia, no large-scale studies have been conducted. Here we examined the serum magnesium concentration and the likelihood of hypomagnesemia (<1.6 mg/dl) with a history of PPI or histamine-2 receptor antagonist used to reduce gastric acid, or use of neither among 11,490 consecutive adult admissions to an intensive care unit of a tertiary medical center. Of these, 2632 patients reported PPI use prior to admission, while 657 patients were using a histamine-2 receptor antagonist. PPI use was associated with 0.012 mg/dl lower adjusted serum magnesium concentration compared to users of no acid-suppressive medications, but this effect was restricted to those patients taking diuretics. Among the 3286 patients concurrently on diuretics, PPI use was associated with a significant increase of hypomagnesemia (odds ratio 1.54) and 0.028 mg/dl lower serum magnesium concentration. Among those not using diuretics, PPI use was not associated with serum magnesium levels. Histamine-2 receptor antagonist use was not significantly associated with magnesium concentration without or with diuretic use. The use of PPI was not associated with serum phosphate concentration regardless of diuretic use. Thus, we verify case reports of the association between PPI use and hypomagnesemia in those concurrently taking diuretics. Hence, serum magnesium concentrations should be followed in susceptible individuals on chronic PPI therapy.

journal_name

Kidney Int

journal_title

Kidney international

authors

Danziger J,William JH,Scott DJ,Lee J,Lehman LW,Mark RG,Howell MD,Celi LA,Mukamal KJ

doi

10.1038/ki.2012.452

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

692-9

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)55797-9

journal_volume

83

pub_type

杂志文章
  • Tacrolimus for induction therapy of diffuse proliferative lupus nephritis: an open-labeled pilot study.

    abstract:BACKGROUND:Tacrolimus is a relatively new calcineurin inhibitor that has been increasingly used in transplant medicine. The objective of the current work is to report our preliminary experience with tacrolimus in the treatment of diffuse proliferative glomerulonephritis in systemic lupus erythematosus (SLE). METHODS:N...

    journal_title:Kidney international

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1523-1755.2005.00461.x

    authors: Mok CC,Tong KH,To CH,Siu YP,Au TC

    更新日期:2005-08-01 00:00:00

  • Serum oxalate microassay using chemiluminescence detection.

    abstract::Determination of serum oxalate concentration is important for the diagnosis and monitoring of hyperoxalurias, and extends to patients with all types of renal disease. Approximately 5 to 10 ml of blood is required for each test by conventional methods, and the test is not adapted for use in children. We developed a hig...

    journal_title:Kidney international

    pub_type:

    doi:10.1038/ki.1997.505

    authors: Gaulier JM,Cochat P,Lardet G,Vallon JJ

    更新日期:1997-12-01 00:00:00

  • Transcriptome analysis of a rat PKD model: Importance of genes involved in extracellular matrix metabolism.

    abstract::Transcriptome analysis of a rat polycystic kidney disease (PKD) model: importance of genes involved in extracellular matrix metabolism. PKD is a common genetic cause of chronic renal failure, and is characterized by the accumulation of fluid-filled cysts in the kidneys and other organs. Abnormalities in the expression...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/sj.ki.5000309

    authors: Riera M,Burtey S,Fontés M

    更新日期:2006-05-01 00:00:00

  • Localization of lanthanum in bone of chronic renal failure rats after oral dosing with lanthanum carbonate.

    abstract:BACKGROUND:Lanthanum carbonate has been shown to be a safe, effective phosphate-binding agent. We have shown that an impaired mineralization in chronic renal failure rats treated with high doses of lanthanum carbonate develops secondary to phosphate depletion and is therefore pharmacologically mediated rather than a di...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2005.00281.x

    authors: Behets GJ,Verberckmoes SC,Oste L,Bervoets AR,Salomé M,Cox AG,Denton J,De Broe ME,D'Haese PC

    更新日期:2005-05-01 00:00:00

  • Radical scavenger edaravone developed for clinical use ameliorates ischemia/reperfusion injury in rat kidney.

    abstract:BACKGROUND:Edaravone (3-methyl-1-phenyl-2-pyrazolin-5-one) is a potent scavenger of free radicals and has the antioxidant ability to inhibit lipid peroxidation. Its protective effect on brain ischemia has been shown. This study aimed to elucidate its possible therapeutic effects on renal oxidative stress in a rat ische...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2004.00567.x

    authors: Doi K,Suzuki Y,Nakao A,Fujita T,Noiri E

    更新日期:2004-05-01 00:00:00

  • Ultrasound dilution evaluation of pediatric hemodialysis vascular access.

    abstract:BACKGROUND:Hemodialysis access thrombosis is a significant cause of morbidity for hemodialysis patients and results from decreased access flow caused by venous outflow tract stenosis. Ultrasound dilution (UD) is a practical, noninvasive, and reliable indicator of access flow and is effective in predicting venous stenos...

    journal_title:Kidney international

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1523-1755.2001.00753.x

    authors: Goldstein SL,Allsteadt A

    更新日期:2001-06-01 00:00:00

  • Abnormal hemodynamics and elevated angiotensin II plasma levels in polydipsic patients on regular hemodialysis treatment.

    abstract::To investigate the cause and the mechanisms responsible of the compulsive thirst and excessive fluid intake observed in many patients on chronic dialysis treatment, we measured plasma antidiuretic hormone (ADH), angiotensin II (Ang II) and some hemodynamic parameters in seven polydipsic and in six normodipsic patients...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1993.219

    authors: Graziani G,Badalamenti S,Del Bo A,Marabini M,Gazzano G,Como G,Viganò E,Ambroso G,Morganti A

    更新日期:1993-07-01 00:00:00

  • The acid-activated signaling pathway: starting with Pyk2 and ending with increased NHE3 activity.

    abstract::On a typical Western diet, the body is faced with the generation of a metabolically derived acid load that must be excreted to maintain systemic acid-base balance. The kidney is responsible for this task and matches daily acid excretion with daily acid production. Multiple nephron segments are involved in the process,...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1038/sj.ki.5002543

    authors: Preisig PA

    更新日期:2007-12-01 00:00:00

  • Tubuloglomerular feedback and glomerular morphology in Goldblatt hypertensive rats on varying protein diets.

    abstract::The present experiments were performed to examine the effect of variation in protein intake on renal function and morphology in the non-clipped kidneys of Goldblatt hypertensive rats. After renal artery clipping, rats were put on diets containing 5 (LP), 17.5 (NP), or 51% (HP) protein. After 4 to 5 weeks, all rats had...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1986.30

    authors: Schnermann J,Gokel M,Weber PC,Schubert G,Briggs JP

    更新日期:1986-02-01 00:00:00

  • Idiopathic IgA nephropathy with segmental necrotizing lesions of the capillary wall.

    abstract:BACKGROUND:Segmental glomerular necrosis has been described in the biopsy material in a minority of patients with idiopathic IgA nephropathy in the oldest studies on this disease, but this marker of active capillaritis has received little attention in the subsequent literature, and its significance and relevance for th...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2001.059002682.x

    authors: D'Amico G,Napodano P,Ferrario F,Rastaldi MP,Arrigo G

    更新日期:2001-02-01 00:00:00

  • Plasminogen activator inhibitor-1 expression is regulated by the angiotensin type 1 receptor in vivo.

    abstract:BACKGROUND:The fibrinolytic system plays an important role in degrading fibrin-rich thrombi and in vascular and tissue remodeling. Elevated levels of plasminogen activator inhibitor-1 (PAI-1) can reduce the efficiency of the endogenous fibrinolytic system. Angiotensin (Ang) has been shown to regulate PAI-1 expression v...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2000.00160.x

    authors: Nakamura S,Nakamura I,Ma L,Vaughan DE,Fogo AB

    更新日期:2000-07-01 00:00:00

  • Effect of prolonged bicarbonate administration on plasma potassium in terminal renal failure.

    abstract::In hemodialysis patients with hyperkalemia, i.v. sodium bicarbonate has recently been found to be ineffective in lowering plasma potassium within one hour. In the present study the effect of a prolonged bicarbonate infusion on plasma potassium was investigated. Twelve patients with terminal renal failure who were on h...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1992.51

    authors: Blumberg A,Weidmann P,Ferrari P

    更新日期:1992-02-01 00:00:00

  • Mineralocorticoid effect on K+ permeability of the rabbit cortical collecting tubule.

    abstract::Mineralocorticoid hormones stimulate Na+ absorption and K+ secretion by the cortical collecting tubule. There is good evidence that this stimulation involves increasing luminal membrane Na+ permeability and the turnover rate (or number) of the Na+-K+ pumps. These experiments were designed to examine whether mineraloco...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1985.177

    authors: Stokes JB

    更新日期:1985-10-01 00:00:00

  • Non-muscle myosin IIA is required for the development of the zebrafish glomerulus.

    abstract::Mutations in the MYH9 gene, coding for the non-muscle myosin heavy chain IIA (NMHC-IIA), are responsible for syndromes characterized by macrothrombocytopenia associated with deafness, cataracts, and severe glomerular disease. Electron microscopy of renal biopsies from these patients found glomerular abnormalities char...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2011.256

    authors: Müller T,Rumpel E,Hradetzky S,Bollig F,Wegner H,Blumenthal A,Greinacher A,Endlich K,Endlich N

    更新日期:2011-11-01 00:00:00

  • Glucocorticoid regulation of proteoglycan synthesis in mesangial cells.

    abstract:BACKGROUND:Proteoglycans are integral components of the mesangial matrix and glomerular permeability barrier. Recent studies have shown that changes in glomerular proteoglycan expression may play a major role in the pathogenesis of renal disease. Steroid hormones are used as first-choice therapy for the treatment of gl...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2002.00524.x

    authors: Kuroda M,Sasamura H,Shimizu-Hirota R,Mifune M,Nakaya H,Kobayashi E,Hayashi M,Saruta T

    更新日期:2002-09-01 00:00:00

  • Characterization of the endothelium-derived hyperpolarizing factor (EDHF) response in the human interlobar artery.

    abstract:BACKGROUND:In addition to nitric oxide (NO) and prostacyclin (PGI2), the vascular endothelium can influence local vascular tone by a mechanism involving the hyperpolarization of vascular smooth muscle cells. This response is attributed to the release of an endothelium-derived hyperpolarizing factor (EDHF). The present ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2003.00910.x

    authors: Büssemaker E,Popp R,Binder J,Busse R,Fleming I

    更新日期:2003-05-01 00:00:00

  • Dual RAAS blockade is desirable in kidney disease: con.

    abstract::Dual renin-angiotensin aldosterone (RAAS) blockade is associated with higher risk of hyperkalemia and has not been shown, in any outcome trial of validated renal end points, that is, doubling of creatinine, time to dialysis, or death, to be superior over other approaches. It shows promise in advanced proteinuric nephr...

    journal_title:Kidney international

    pub_type: 评论,杂志文章,评审

    doi:10.1038/ki.2010.226

    authors: Bakris GL

    更新日期:2010-09-01 00:00:00

  • Nitric oxide synthase expression in AT2 receptor-deficient mice after DOCA-salt.

    abstract:BACKGROUND:Angiotensin II type 2 receptor-deficient mice (AT(2)-/y) provide an opportunity to study the relationship between the angiotensin II type 1 receptor (AT(1)) and nitric oxide synthase (NOS) isoforms without concomitant AT(2) receptor-related effects. To test this relationship, the expression of renal NOS isof...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2004.00646.x

    authors: Obst M,Gross V,Bonartsev A,Janke J,Müller DN,Park JK,Kärgel E,Luft FC

    更新日期:2004-06-01 00:00:00

  • Molecular cloning of KS, a novel rat gene expressed exclusively in the kidney.

    abstract:BACKGROUND:We aimed to identify genes with kidney specific, developmentally regulated expression. Here we report the cDNA sequence and expression pattern of KS, a novel kidney-specific rat gene. METHODS:A partial cDNA was identified by differential display polymerase chain reaction (PCR) of a renal cell fraction enric...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.1998.00143.x

    authors: Hilgers KF,Nagaraj SK,Karginova EA,Kazakova IG,Chevalier RL,Carey RM,Pentz ES,Gomez RA

    更新日期:1998-11-01 00:00:00

  • Increased nitric oxide inactivation by reactive oxygen species in lead-induced hypertension.

    abstract:BACKGROUND:We have recently found evidence for increased reactive oxygen species (ROS) in rats with lead-induced hypertension. We hypothesized that increased ROS activity may contribute to hypertension by enhancing inactivation of nitric oxide (NO) in this model. METHODS:Rats were treated for 12 weeks with either lead...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.1999.00670.x

    authors: Vaziri ND,Liang K,Ding Y

    更新日期:1999-10-01 00:00:00

  • High-dose erythropoietin has no effect on short- or long-term graft function following deceased donor kidney transplantation.

    abstract::We evaluated short- and long-term effects of high-dose recombinant human erythropoietin (rHuEPO) in kidney transplantation in a prospective double-blind, placebo-controlled study. Patients with chronic kidney disease following receipt of a deceased donor kidney allograft were randomized to 3 doses of 40,000 units rHuE...

    journal_title:Kidney international

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/ki.2011.349

    authors: Hafer C,Becker T,Kielstein JT,Bahlmann E,Schwarz A,Grinzoff N,Drzymala D,Bonnard I,Richter N,Lehner F,Klempnauer J,Haller H,Traeder J,Fliser D

    更新日期:2012-02-01 00:00:00

  • Renal adaptation to altered dietary sulfur amino acid intake occurs at luminal brushborder membrane.

    abstract::The beta-amino acid transport capabilities of rat renal epithelium were assessed using brushborder membrane vesicles (BBMV). Taurine, a metabolically inert sulfur-containing amino acid, was studied with emphasis on the renal adaptation to dietary sulfur amino acid alteration. Three isoproteinic diets were given to Spr...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1983.198

    authors: Chesney RW,Gusowski N,Friedman AL

    更新日期:1983-11-01 00:00:00

  • Renal bradykinin and vasopressin receptors: ligand selectivity and classification.

    abstract::We studied the specific binding of radiolabeled bradykinin ([3H]BK) and vasopressin ([3H]AVP) to membrane preparations of bovine and porcine kidney medulla. [3H]BK reversibly labeled a single site (Kd = 1.06 nM) in bovine kidney medulla independently of [Mg2+]. The number of BK receptors in bovine kidney medulla, Bmax...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1996.353

    authors: Howl J,Yarwood NJ,Davies AR,Wheatley M

    更新日期:1996-08-01 00:00:00

  • Phosphate: despite advances in research, the benefits to patients remain limited.

    abstract::Tremendous progress has been made over recent years in the understanding of the mechanisms regulating calcium, phosphorus, vitamin D, and parathyroid hormone homeostasis in the normal human body and in patients with different degrees of renal failure. In addition, some of these findings have been translated into clini...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2008.692

    authors: De Broe ME

    更新日期:2009-05-01 00:00:00

  • Atherosclerotic renovascular disease in United States patients aged 67 years or older: risk factors, revascularization, and prognosis.

    abstract:BACKGROUND:Although atherosclerotic renovascular disease is increasingly recognized in chronic kidney disease, few national level studies have examined its clinical epidemiology. METHODS:Claims data from a 5% random sample of the United States Medicare population were used to select patients without atherosclerotic re...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2005.00406.x

    authors: Kalra PA,Guo H,Kausz AT,Gilbertson DT,Liu J,Chen SC,Ishani A,Collins AJ,Foley RN

    更新日期:2005-07-01 00:00:00

  • Pathogenesis of Dent's disease and related syndromes of X-linked nephrolithiasis.

    abstract::Renal stone disease, which affects 12% of males and 5% of females by the seventh decade, occurs as an inherited disorder in 45% of patients and is most commonly associated with hypercalciuria. The biochemical basis for hereditary nephrolithiasis and hypercalciuria is unknown, and this has therefore been investigated b...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1046/j.1523-1755.2000.00916.x

    authors: Thakker RV

    更新日期:2000-03-01 00:00:00

  • Urinary peptidomics provides a noninvasive humanized readout of diabetic nephropathy in mice.

    abstract::Nephropathy is among the most frequent complications of diabetes and the leading cause of end-stage renal disease. Despite the success of novel drugs in animal models, the majority of the subsequent clinical trials employing those drugs targeting diabetic nephropathy failed. This lack of translational value may in par...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1016/j.kint.2016.06.023

    authors: Klein J,Ramirez-Torres A,Ericsson A,Huang Y,Breuil B,Siwy J,Mischak H,Peng XR,Bascands JL,Schanstra JP

    更新日期:2016-11-01 00:00:00

  • Baseline total kidney volume and the rate of kidney growth are associated with chronic kidney disease progression in Autosomal Dominant Polycystic Kidney Disease.

    abstract::Autosomal dominant polycystic kidney disease (ADPKD) is characterized by progressive enlargement of kidney cysts leading to chronic kidney disease (CKD) and end-stage renal disease (ESRD). Identification of an early biomarker that can predict progression of CKD is urgently needed. In an earlier Consortium for Radiolog...

    journal_title:Kidney international

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.kint.2017.09.027

    authors: Yu ASL,Shen C,Landsittel DP,Harris PC,Torres VE,Mrug M,Bae KT,Grantham JJ,Rahbari-Oskoui FF,Flessner MF,Bennett WM,Chapman AB,Consortium for Radiologic Imaging Studies of Polycystic Kidney Disease (CRISP).

    更新日期:2018-03-01 00:00:00

  • Intra-tubular deposits, urine and stone composition are divergent in patients with ileostomy.

    abstract::Patients with ileostomy typically have recurrent renal stones and produce scanty, acidic, sodium-poor urine because of abnormally large enteric losses of water and sodium bicarbonate. Here we used a combination of intra-operative digital photography and biopsy of the renal papilla and cortex to measure changes associa...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2009.321

    authors: Evan AP,Lingeman JE,Coe FL,Bledsoe SB,Sommer AJ,Williams JC Jr,Krambeck AE,Worcester EM

    更新日期:2009-11-01 00:00:00

  • A molecular morphometric approach to diabetic kidney disease can link structure to function and outcome.

    abstract::Diabetic kidney disease is the leading cause of kidney failure. However, studies of molecular mechanisms of early kidney damage are lacking. Here we examined for possible linkage between transcriptional regulation and quantitative structural damage in early diabetic kidney disease in Pima Indians with type 2 diabetes....

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1016/j.kint.2017.08.013

    authors: Nair V,Komorowsky CV,Weil EJ,Yee B,Hodgin J,Harder JL,Godfrey B,Ju W,Boustany-Kari CM,Schwarz M,Lemley KV,Nelson PJ,Nelson RG,Kretzler M

    更新日期:2018-02-01 00:00:00