Summary
The effects of acute hypercalcemia on hemodynamics and on water and sodium excretion were studied on the blood-perfused isolated dog kidney. This model advantageously eliminates various factors which modify medullary osmolality and intrarenal hemodynamics, as well as collecting duct permeability. Calcium ion directly inhibits sodium reabsorption in the proximal tubule and in the ascending limb of Henle's loop, leading to increased sodium excretion rate and to decreased free water generation. The vasoconstrictive action of calcium, leading to decreased glomerular filtration rate, may mitigate the strong natriuretic effect of this ion.
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Antoniou, L. D., Eisner, G. M., Slotkoff, L. M., Lilienfield, L. S.: Relationship between sodium and calcium transport in the kidney. J. Lab. clin. Med.74, 410–420 (1969)
Argy, W. P., Handler, J. S., Orloff, J.: Ca2+ and Mg2+ effects on toad bladder response to cyclic AMP, theophylline and ADH analogues. Amer. J. Physiol.213, 803–808 (1967)
Bank, N., Aynedjian, H. S.: On the mechanism of hyposthenuria in hypercalcemia. J. clin. Invest.44, 681–693 (1965)
Beck, D., Levitin, H., Epstein, F. H.: Effect of intravenous infusion of calcium on renal concentrating ability. Amer. J. Physiol.197, 1118–1120 (1959)
Bennett, C. M.: Urine concentration and dilution in hypokalemic and hypercalcemic dogs. J. clin. Invest.49, 1447–1465 (1970)
Berkowitz, H. D., Miller, L. D., Itskowitz, H. D., Bovee, K. C.: Renal function in the isolated perfused kidney. Surg. Gynec. Obstet.127, 1257–1266 (1968)
Berliner, R. W., Bennett, C. M.: Concentration of urine in the mammalian kidney. Amer. J. Med.42, 777–789 (1967)
Brunnette, M., Aras, M.: A microinjection study of nephron permeability to calcium and magnesium. Amer. J. Physiol.221, 1442–1448 (1971)
Brunette, M. G., Vary, J., Carriere, S.: Hyposthenuria in hypercalcemia. Pflügers Arch.350, 9–23 (1974)
Chen, P. S., Neuman, W. F.: Renal excretion of Ca by the dog. Amer. J. Physiol.180, 623–631 (1955)
Curran, P. F., Herresa, F. C., Flanigan, W. J.: The effect of Ca and antidiuretic hormone on Na transport across frog skin. J. gen. Physiol.46, 1011–1027 (1963)
Davis, J. M., Schnermann, J.: The effect of antidiuretic hormone on the distribution of nephron filtration rates in rats with hereditary diabetes insipidus. Pflügers Arch.330, 323–334 (1971)
Di Bona, G. F.: Effect of hypercalcemia on renal tubular sodium handling in the rat. Amer. J. Physiol.220, 49–53 (1971)
Edwards, B. R., Sutton, R. A., Dirks, J. H.: Effect of calcium infusion on renal tubular reabsorption in the dog. Amer. J. Physiol.227, 13–18 (1974)
Epstein, F. H.: Calcium and the kidney. Amer. J. Med.45, 700–714 (1968)
Epstein, F. H., Beck, D., Carone, F. A., Levitin, H., Manitus, A.: Changes in renal concentrating ability produced by parathyroid extract. J. clin. Invest.38, 1214–1221 (1959)
Fisher, R. A., Yates, F.: Statistical tables for biological, agricultural and medical research. 3rd Edit. Edinburgh: Oliver and Boyd Ltd. 1948)
Frohlich, E. D., Scott, J. B., Haddy, F. J.: Effect of cations on resistance and responsiveness of renal and forelimb vascular beds. Amer. J. Physiol.203, 583–587 (1962)
Guignard, J. P., Barraclough, M. A., Jones, N. F.: Effect d'une perfusion intraveineuse de calcium sur le mécanisme de concentration urinaire. Helv. physiol. pharmacol. Acta26, 348–350 (1968)
Guignard, J. P., Jones, N. F., Barraclough, M. A.: Effect of brief hypercalcaemia on free water reabsorption during solute diuresis: Evidence for impairment of sodium transport in Henle's loop. Clin. Sci.39, 337–347 (1970)
Itskovitz, H. D., Stemper, J., Pacholczyk, D., McGiff, J. C.: Renal prostaglandins: Determinants of intrarenal distribution of blood flow. Clin. Sci. Mol. Med.45, (suppl. I), 321–324 (1973)
Jamison, R. L.: Recent advances in the physiology of Henle's loop and the collecting tubule system. Circulat. Res. Suppl.24–25, 1.91–1.100 (1974)
Lassiter, W. E., Frick, A., Rumrich, G., Ullrich, K. J.: Influence of ionic calcium on the water permeability of proximal and distal tubules in the rat kidney. Pflügers Arch. ges. Physiol.285, 90–95 (1965)
Leme, C. E., Wajchenberg, B. L.: Effects of acute intravenous infusion of calcium chloride on the renal concentrating and diluting mechanisms in man. Metabolism21, 1093–1103 (1972)
Lonigro, A. J., Itskovitz, H. D., Crowshaw, K., McGiff, J. C.: Dependency of RBF on prostaglandin synthesis in the dog Circulat. Res.32, 712–717 (1973)
Manitius, A., Levitin, H., Beck, D., Epstein, F. H.: On the mechanism of impairment of renal concentrating ability in hypercalcemia. J. clin. Invest.39, 693–696 (1960)
Massry, S. G., Coburn, J. W., Chapman, L. W., Kleeman, C. R.: Role of serum Ca, parathyroid hormone, and NaCl infusion on renal Ca and Na clearances. Amer. J. Physiol.214, 1403–1409 (1968)
Mueller, C. B., Surtshin, A., Carlin, M. R., White, H. L.: Glomerular and tubular influences on sodium and water excretion. Amer. J. Physiol.165, 411–422 (1951)
Nizet, A.: The isolated perfused kidney. Kidney Int.7, 1–11 (1975)
Nizet, A.: Physiologie du rein en survie extracorporelle. J. Urol. Néphrol.77, 909–927 (1971)
Nizet, A., Cuypers, Y., Deetjen, P., Kramer, K.: Functional capacity of the isolated perfused dog kidney. Pflügers Arch. ges. Physiol.296, 179–195 (1967)
Rector, F. C., Brunner, F. P., Seldin, D. W.: Mechanism of glomerulotubular balance. J. clin. Invest.45, 590–611 (1966)
Rosenbaum, B., Kinney, M. J., Scudder, F. C., Discala, V. A., Stein, R. M.: Effects of potassium depletion on renal tubular sodium and water reabsorption in the dog. Amer. J. Physiol.222, 928–937 (1972)
Seldin, D. W., Eknoyan, G., Suki, W. N., Rector, F. C.: Localization of diuretic action from pattern of water and electrolytes excretion. Ann. N. Y. Acad. Sci.139, 328–343 (1966)
Suki, W. N., Eknoyan, G., Rector, F. C., Seldin, D. W.: The renal diluting and concentrating mechanism in hypercalcemia. Nephron6, 50–61 (1969)
Vanherweghem, J.-L., Ducobu, J., d'Hollander, A.: Effects of indomethacin on renal hemodynamics and on water and sodium excretion by the isolated dog kidney. Pflügers Arch.357, 243–252 (1975)
Vanherweghem, J.-L., Ducobu, J., d'Hollander, A., Toussaint, C.: Interactions between furosemide and vasopressin on hemodynamics and on water excretion by the isolated dog kidney. Pflügers Arch. (in press, 1976)
Wallach, S., Carter, A. C.: Metabolic and renal effects of acute hypercalcemia in dogs. Amer. J. Physiol.200, 359–366 (1961)
Waugh, A. H., Kubo, T.: Development of an isolated perfused dog kidney with improved function. Amer. J. Physiol.217, 277–290 (1969)
Yoffee, H. F., Dingman, J. F.: Effect of hypercalcemia on antidiuretic action of vasopressin. Metabolism9, 995–1004 (1960)
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Vanherweghem, J.L., Ducobu, J., D'Hollander, A. et al. Effects of hypercalcemia on water and sodium excretion by the isolated dog kidney. Pflugers Arch. 363, 75–80 (1976). https://doi.org/10.1007/BF00587405
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DOI: https://doi.org/10.1007/BF00587405