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  • Articles  (6)
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  • OceanRep
  • Cushing-Syndrom  (3)
  • Microperfusion  (3)
  • Springer  (6)
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  • Articles  (6)
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  • Springer  (6)
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  • 1
    ISSN: 1432-1440
    Keywords: Cushing-Syndrom ; Hypertonie ; Renin-Aktivität ; Aldosteronismus ; Cushing's syndrome ; Hypertension ; Renin activity ; Aldosteronism
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary To investigate the role of the renin angiotensin system in the pathogenesis of hypertension in Cushing's syndrome two patients with hypercorticism were infused with 20 mg saralasin (1-sar-8-alaangiotensin II) over a period of 30 minutes under constant blood pressure control. In addition, one patient with primary aldosteronism, an established form of mineralocorticoid hypertension, served as control. Neither in the two patients with Cushing's syndrome nor in the patient with primary aldosteronism could a blood pressure lowering effect of saralasin be observed. In the two patients with hypercorticism both renin activity and plasma aldosterone increased during saralasin infusion. The patient with primary aldosteronism only showed a weak increase in plasma aldosterone concentration. These results seem to exclude an important role of the renin angiotensin system in the pathogenesis of hypertension in Cushing's syndrome. The unresponsiveness of elevated blood pressure to saralasin in the two patients with hypercorticism and in the patient with primary aldosteronism indirectly supports the assumption that in patients with Cushing's syndrome increased mineralocorticoid activity may be the main factor in the pathogenesis of hypertension.
    Notes: Zusammenfassung Um die Bedeutung des Renin-Angiotensin Systems in der Pathogenese der Hypertonie bei Cushing-Syndrom zu untersuchen, wurden bei 2 Patienten mit Hyperkortizismus 20 mg Saralasin (1-Sar-8-Ala-Angiotensin II) über einen Zeitraum von 30 min unter ständiger Blutdruckkontrolle infundiert. Zusätzlich diente ein Patient mit primärem Aldosteronismus, einer etablierten Form von Mineralokortikoidhochdruck, als Kontrolle. Weder bei den 2 Patienten mit Cushing-Syndrom noch bei dem Patienten mit primärem Aldosteronismus ließ sich ein blutdrucksenkender Effekt des Saralasins nachweisen. Die beiden Patienten mit Hyperkortizismus zeigten unter Saralasin sowohl einen Anstieg der Renin-Aktivität als auch des Plasmaaldosterons. Bei dem Patienten mit primärem Aldosteronismus ließ sich nur ein geringgradiger Anstieg der Plasmaaldosteronkonzentration nachweisen. Diese Ergebnisse sprechen gegen eine wichtige Rolle des Renin-Angiotensin Systems in der Pathogenese der Hypertonie bei Cushing-Syndrom. Die Unbeeinflußbarkeit des Hochdrucks durch Saralasin bei den beiden Patienten mit Hyperkortizismus und dem Patienten mit primärem Aldosteronismus stützen indirekt die Annahme, daß bei Patienten mit Cushing-Syndrom eine erhöhte Mineralokortikoidaktivität der Hauptfaktor in der Pathogenese der Hypertonie ist.
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  • 2
    ISSN: 1432-1289
    Keywords: Schlüsselwörter Hypokaliämische Hypertonie ; Phäochromozytom ; CRH ; Cushing-Syndrom
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Eine 34jährige Patientin stellte sich mit anfallsartigen Kopfschmerzen und Hypertonie vor. Der klinische Verdacht eines Phäochromozytoms ließ sich bestätigen. Danben bestand bei Zunahme des Gesichtsumfanges, verändertem Hautturgor, Hypokaliämie und Hyperglykämie der Verdacht eines Hyperkortisolismus, der laborchemisch gesichert wurde. Als Ursache des Hyperkortisolismus konnte eine paraneoplastische CRH-Produktion diagnostiziert werden. Postoperativ kam es zu einer raschen Normalisierung des Kortisolstoffwechsels. Bei regelmäßigen Nachkontrollen ergab sich bisher kein Hinweis für ein Rezidiv.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 51 (1973), S. 1025-1026 
    ISSN: 1432-1440
    Keywords: Cushing's syndrome ; hydrocortison ; circadian rhythm ; Cushing-Syndrom ; Cortisol ; Tagesrhythmus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Wiederholte ambulante Plasmacortisolbestimmungen bei einer Patientin mit deutlichen klinischen Zeichen des Hyperkortizismus ergaben mit 16–24 µg/100 ml normale Werte. Erst ein unter standardisierten Bedingungen erstelltes Plasmacortisol-Tagesprofil erbrachte den eindeutigen Nachweis der Hypercortisolämie. Im Vergleich zu gesunden Normalpersonen liegen die Plasmacortisolspiegel der Cushing-Patientin auf einer höheren Ebene. Die physiologischen Phasen ruhender Cortisolsekretion in den Abend- und Nachtstunden fehlen. Wie bei Gesunden können wir bei diesem Fall von Hypercortic ismus, beruhend auf bilateraler Nebennierenrinden-Hyperplasie, große Schwankungen des Plasmacortisolspiegels beobachten. Der Wert wiederholter Plasmacortisolbestimmungen in der Abklärung des Cushing-Syndroms wird diskutiert.
    Notes: Summary In a patient with typical features of Cushing's disease, repeated ambulant determinations of plasma cortisol showed normal values with 16 to 24 µg/100 ml. The entire analysis of the circadian variations of plasma cortisol under standardized conditions led to the diagnosis of hypercorticism. Compared with 2 healthy subjects the patient's curve is set at a higher level. Physiological, quiet periods of cortisol secretion in late day-time do not occur. In accord to the normal, we find great variations of plasma cortisol in this case of Cushing's syndrome due to bilateral adrenal hyperplasia. The diagnostic value of plasma cortisol determinations at short term intervals in differentiating the various forms of hypercorticism is discussed.
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pflügers Archiv 337 (1972), S. 277-284 
    ISSN: 1432-2013
    Keywords: Renal Tubule ; Microperfusion ; Cystine Reabsorption ; Arginine Reabsorption ; Cystinuria Pathogenesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In microperfusion experiments the reabsorption of14C-labelledl-cystine,l-cysteine, andl-arginine from rat proximal tubule was measured, and the transport interaction of these amino acids and some derivatives was tested. The following results were obtained: 1. l-arginine,l-lysine, andl-cysteine inhibitedl-cystine reabsorption. 2. Glycine, agmantine, and 2,6-diaminopimelic acid showed no influence onl-cystine reabsorption. 3. l-cysteine reabsorption was inhibited byl-arginine, but not by glycine. 4. l-cysteine and 2,6-diaminopimelic acid were unable to influence reabsorption ofl-arginine. From these results and some observations reported in the literature, the following concept is put forward for discussion.l-arginine,l-lysine andl-ornithine may be reabsorbed by two separate mechanisms in the proximal tubule.l-cystine may use only one of these ways. Here, it is possible thatl-cystine is transported asl-cysteine. This concept may find relevance in the explanation of the pathogenesis of cystinuria.
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pflügers Archiv 371 (1977), S. 141-145 
    ISSN: 1432-2013
    Keywords: Renal tubule ; Disaccharide reabsorption ; Maltase ; Brush border enzymes ; Microperfusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Renal tubular reabsorption of maltose, sucose and lactose were studied in vivo et situ by continuous microperfusion of single proximal convolutions of rat kidney. The14C-label of maltose (2.5 mmol/l) was removed from the lumen of the proximal tubule at about the same rate as found for glucose. Maltose reabsorption was completely inhibited in presence of 30 mmol/l glucose or of 0.1 mmol/l phlorizin. Chemical analysis of the samples showed a complete conversion of maltose into glucose within a perfusion distance of 2 mm. It is concluded from these results that within the tubular lumen maltose is split very rapidly by a brush border glucosidase. The short half time of this process permits the breakdown product glucose to be almost completely reabsorbed subsequently within the proximal tubule. In contrast, sucrose and lactose were neither split nor reabsorbed by the tubule brush border.
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  • 6
    ISSN: 1432-2013
    Keywords: Kidney ; Tubular resorption ; Microperfusion ; Specificity ; Glutamate ; Aspartate ; Cysteate ; γ-Carboxyglutamate ; Pyroglutamate ; 5-oxo-proline
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Single sections of superficial proximal convolutions of rat kidney were microperfused in vivo and in situ. The perfusion fluids contained radioactively labelledl- ord-aspartate,l-glutamate,l-pyroglutamate, or N-methyl-d-aspartate.l-γ-Carboxyglutamate as well as the other amino acids were added in the unlabelled from. Results.l- andd-Aspartate (0.073 mmol·1−1) are quickly resorbed at about the same rate.d-Aspartate resorption was blocked byl-aspartate (5 mmol·1−1) but not by β-alanine (5 mmol·1−1).l-Aspartate resorption was inhibited byl-glutamate (2 mmol·1−1) but not byd-glutamate,l-asparagine,l-phenylalanine or by succinate (2 mmol·1−1, each). The fast resorption ofl-glutamate (0.073 mmol·1−1) was blocked byd-aspartate,l-cysteate (2 mmol·1−1), but not by 3-mercaptopicolinic acid (0.15 mmol·1−1),l-glutamine, 2-oxoglutarate, taurine, N-methyl-l-glutamate or kainic acid (2 mmol·1−1, each).l-γ-Carboxyglutamate (0.66 mmol·1−1) and N-methyl-d-aspartate (2μmol·1−1) were found to be resorbed only at an extremely small rate.l-pyroglutamate (0.076 mmol·1−1) resorption was not influenced byl-glutamate (1 mmol·1−1). Fractional excretion of γ-carboxyglutamate was 7–25% (l-from) or 45–70% (d-form) at an artificially elevated plasma level of 12μmol·1−1. It is concluded thatl- andd-aspartate,l-glutamate,l-cysteate and, to a much smaller extent,l-γ-carboxyglutamate, are accepted by the tubular resorption mechanism highly specific for “acidic” amino acids. N-Substitution, the amidation of the β- or γ-carboxyl group, or the removal of the α-amino moiety almost completely abolish the ability of such compounds to be resorbed via this carrier; N-methylated or γ-carboxylated derivatives of “acidic” amino acids are not resorbed at all from the proximal tubule. The resorption of glutamate, but not of aspartate, is highly stereospecific.
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