Cortisol Binding in Uremic Plasma
作者:
Paul M. Rosman,
Renrick Benn,
Martin Kay,
Jean Tito,
Eleanor Z. Wallace,
期刊:
Nephron
(Karger Available online 1984)
卷期:
Volume 37,
issue 3
页码: 160-165
ISSN:1660-8151
年代: 1984
DOI:10.1159/000183237
出版商: S. Karger AG
关键词: Uremia;Chronic renal failure;Equilibrium dialysis;Plasma cortisol;Plasma free cortisol;Corticosteroid-binding globulin
数据来源: Karger
摘要:
Increased morning plasma free cortisol levels have been reported previously in chronic renal failure (CRF) patients. To see whether binding abnormalities of plasma proteins contributed to the increase in morning free cortisol, binding characteristics of corticosteroid-binding globulin (CBG) were studied in pooled plasma from CRF patients and normal subjects. Using an isocolloidosmolar equilibrium dialysis method the unbound, albumin-bound, and CBG-bound fractions of plasma cortisol were measured within the physiologic range of plasma cortisol levels. Cortisol binding to CBG was equal in uremic and nonuremic plasma as determined by the affinity constants and the binding capacities of CBG for cortisol. In addition, the distribution of cortisol binding was identical in uremic and in nonuremic plasma samples at equal total cortisol concentrations. By confirming that cortisol binding properties of CBG are unaltered in CRF patients, these data support the assertion that elevated morning free cortisol levels in CRF patients are probably due to increases of plasma total cortisol.
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