Diurnal variation in water, sodium and potassium excretion in primary glomerulonephritic patients and its relation to diurnal kallikrein excretion. 1990

Y M Chen, and T J Tsai, and P I Chang, and B S Hsieh, and W Y Chen, and T S Yen
Department of Internal Medicine, National Taiwan University Hospital, Taipei, R.O.C.

In order to investigate whether or not primary glomerulonephritic patients have abnormal diurnal water, sodium, and potassium excretion and its relation to diurnal urinary kallikrein excretion (UKE)., we studied the diurnal patterns of urinary water, sodium, potassium, and kallikrein excretion in 16 primary glomerulonephritic patients and 12 normal persons. Urinary kallikrein activity was measured by the enzymatic hydrolysis of synthetic chromogenic substrate S-2266, and urinary electrolytes were measured by flame photometry. The day, night, and 24-hour urine outputs were significantly higher in glomerulonephritic patients, but urinary sodium, potassium and kallikrein excretion at all periods of collection did not differ between glomerulonephritic patients and normal controls. UKE was positively correlated with urinary potassium excretion in both normal controls (r = 0.5, p less than 0.05) and glomerulonephritic patients (r = 0.66, p less than 0.01), whereas no correlation existed between UKE and urinary water excretion, or UKE and urinary sodium excretion in either group. The day/night output ratio of water, sodium and potassium excretion were not different between glomerulonephritic patients and normal subjects. These results indicate that: (1) there is no abnormal diurnal water, sodium, potassium, and kallikrein excretion in primary glomerulonephritic patients with fair renal function; and (2) urinary kallikrein may play a role in the regulation of urinary potassium excretion.

UI MeSH Term Description Entries
D007610 Kallikreins Proteolytic enzymes from the serine endopeptidase family found in normal blood and urine. Specifically, Kallikreins are potent vasodilators and hypotensives and increase vascular permeability and affect smooth muscle. They act as infertility agents in men. Three forms are recognized, PLASMA KALLIKREIN (EC 3.4.21.34), TISSUE KALLIKREIN (EC 3.4.21.35), and PROSTATE-SPECIFIC ANTIGEN (EC 3.4.21.77). Kallikrein,Kininogenase,Callicrein,Dilminal,Kallidinogenase,Kalliginogenase,Kallikrein A,Kallikrein B',Kallikrein Light Chain,Kinin-Forming Enzyme,Padutin,alpha-Kallikrein,beta-Kallikrein,beta-Kallikrein B,Enzyme, Kinin-Forming,Kinin Forming Enzyme,Light Chain, Kallikrein,alpha Kallikrein,beta Kallikrein,beta Kallikrein B
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011188 Potassium An element in the alkali group of metals with an atomic symbol K, atomic number 19, and atomic weight 39.10. It is the chief cation in the intracellular fluid of muscle and other cells. Potassium ion is a strong electrolyte that plays a significant role in the regulation of fluid volume and maintenance of the WATER-ELECTROLYTE BALANCE.
D001834 Body Water Fluids composed mainly of water found within the body. Water, Body
D002940 Circadian Rhythm The regular recurrence, in cycles of about 24 hours, of biological processes or activities, such as sensitivity to drugs or environmental and physiological stimuli. Diurnal Rhythm,Nyctohemeral Rhythm,Twenty-Four Hour Rhythm,Nycthemeral Rhythm,Circadian Rhythms,Diurnal Rhythms,Nycthemeral Rhythms,Nyctohemeral Rhythms,Rhythm, Circadian,Rhythm, Diurnal,Rhythm, Nycthemeral,Rhythm, Nyctohemeral,Rhythm, Twenty-Four Hour,Rhythms, Circadian,Rhythms, Diurnal,Rhythms, Nycthemeral,Rhythms, Nyctohemeral,Rhythms, Twenty-Four Hour,Twenty Four Hour Rhythm,Twenty-Four Hour Rhythms
D005260 Female Females
D005921 Glomerulonephritis Inflammation of the renal glomeruli (KIDNEY GLOMERULUS) that can be classified by the type of glomerular injuries including antibody deposition, complement activation, cellular proliferation, and glomerulosclerosis. These structural and functional abnormalities usually lead to HEMATURIA; PROTEINURIA; HYPERTENSION; and RENAL INSUFFICIENCY. Bright Disease,Kidney Scarring,Glomerulonephritides,Scarring, Kidney
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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