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Glucagon‐independent renal hyperaemia and hyperfiltration after an oral protein load in Child A liver cirrhosis

 

作者: N. G. DE SANTO,   P. ANASTASIO,   C. LOGUERCIO,   C. DEL VECCHIO BLANCO,   G. CAPASSO,   S. COPPOLA,   L. BELLINI,   G. SPAGNUOLO,   P. FEDERICO,   R. ALFIERI,   A. LOMBARDI,   M. POLICASTRO,   A. PERRELLI,  

 

期刊: European Journal of Clinical Investigation  (WILEY Available online 1992)
卷期: Volume 22, issue 1  

页码: 31-37

 

ISSN:0014-2972

 

年代: 1992

 

DOI:10.1111/j.1365-2362.1992.tb01932.x

 

出版商: Blackwell Publishing Ltd

 

关键词: Hyperglucagonaemia;liver cirrhosis;meat meal;renal haemodynamics

 

数据来源: WILEY

 

摘要:

Abstract.The work was designed to study the effects of a meat meal on glomerular filtration rate (GFR), renal plasma flow (RPF), and plasma concentrations of glucagon, insulin, growth hormone, renin, aldoster‐one, total amino acids, and NH3in healthy humans (H) as well as in patients with Child A liver cirrhosis (LC). The meat meal produced renal hyperaemia and hyperfiltration without changes in the filtration fraction. Fractional Na excretion in urine increased significantly after the meat meal only in LC. Hyperinsulinae‐mia and hyperglucagonaemia were seen at baseline in LC and were not affected by the meat meal, whereas in H glucagon concentration increased significantly over baseline within 30 min from the meat meal and insulin within 60 min. Growth hormone concentration was normal at baseline in LC and increased significantly 120–180 min after the meal, whereas it was not affected in H. Renin and aldosterone were stable in both H and LC. Plasma amino acid concentration began to increase 60 min after the meat meal, when hyperfiltration was present. The data indicate that in human Child A cirrhosis of the liver the renal haemodynamic response to a meat meal is independent of changes in glu

 

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