The Renal Handling of Phosphate by Renal Transplant Patients: Correlation with Serum Parathyroid Hormone (SPTH), Cyclic 3′,5′-Adenosine Monophosphate (cAMP) Urinary Excretion, and Allograft Function

Autor: Rufino C. Pabico, H. N. Ward, Richard B. Freeman, McKenna Ba
Rok vydání: 1977
Předmět:
Zdroj: Advances in Experimental Medicine and Biology ISBN: 9781461342199
DOI: 10.1007/978-1-4613-4217-5_20
Popis: Hypophosphatemia and hyperphosphaturia have been observed in renal transplant patients (1). Numerous factors can affect urinary phosphate excretion in the post-transplant state, but PTH is probably the most important. The persistence of an elevated SPTH level in the post-transplant period, despite good allograft function, suggests that phosphaturia may be directly related to the hyper-parathyroid state. Since PTH-induced phosphaturia is mediated by cAMP (2), there should be a correlation between SPTH and urinary cAMP excretion (UcAMP). Our study was initiated with the following objectives: a. To correlate the level of allograft function (determined by endogenous creatinine clearance, Ccreat) and SPTH concentration. b. To define the relationship between SPTH level and UCAMP- c. To correlate phosphate handling by the allograft with SPTH and UCAMP excretion.
Databáze: OpenAIRE