CHLORIDE-ION PLAYS AN IMPORTANT ROLE IN SODIUM INDUCED VOLUME EXPANSION IN NORMAL HUMANS

被引:7
作者
TOMITA, Y
UENO, M
TSUCHIHASHI, T
MURATANI, H
KOBAYASHI, K
TAKISHITA, S
FUJISHIMA, M
机构
[1] The Second Department of Internal Medicine, Kyushu University, Fukuoka
关键词
Blood volume; Chloride; Citrate; Norepinephrine; Renin; Sodium;
D O I
10.1093/ajh/3.6.485
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Eight normal women took part in a randomized crossover study to investigate the effect of dietary supplementation with 105 mEq sodium chloride (NaCl) for 3 days or equimolar sodium citrate (NaCit) after salt depletion. NaCit supplement induced greater urinary sodium and potassium excretions than did the NaCl supplement (197 ± 10 v 107 ± 19 mEq/3 days for sodium, P <. 01, 130 ± 7 v 96 ± 6 mEq/3 days for potassium, P <. 01, respectively) and less body weight gain (+0.6 ± 0.1 v +1.6 ± 0.1 kg, P <. 01). Suppressions of plasma norepinephrine, renin activity and aldosterone concentration were significantly smaller with NaCit than with NaCl supplement. We conclude that the an-ionic component of sodium salts may have some effects on renal sodium handling and modulates volume expansion and humoral factors. © 1990 by the American Journal of Hypertension, Ltd.
引用
收藏
页码:485 / 487
页数:3
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  • [1] Kawasaki T., Delea C., Bartter F.C., Smith H., The effect of high-sodium and low-sodium intakes on blood pressure and other related variables in human subjects with idio-pathic hypertension, Am J Med, 64, pp. 93-198, (1978)
  • [2] Shore A.C., Markandu N.D., MacGregor G.A., A randomized crossover study to compare the blood pressure response to sodium loading with and without chloride in patients with essential hypertension, J Hypertens, 6, pp. 613-617, (1988)
  • [3] Kurtz T.W., Al-Bander H.A., Morris R.C., Salt sensitive” essential hypertension in men. Is the sodium ion alone important?, N Engl J Med, 317, pp. 1043-1048, (1987)
  • [4] Kurtz T.W., Morris R.C., Dietary chloride as a determinant of “sodium dependent” hypertension, Science, 222, pp. 1139-1141, (1983)
  • [5] Morgan T.O., The effect of potassium and bicarbonate ions on the rise in blood pressure caused by sodium chloride, Clin Sci, 63, pp. 407s-409s, (1982)
  • [6] Burg M.B., Renal handling of sodium, chloride, water, amino acids, and glucose, in Brenner BM, Recto FC (eds), The Kidney, pp. 145-175, (1986)
  • [7] Kinne R., Kinne-Saffran E., Scholermann B., Schiitz H., The anion specificity of the sodium-potassium-chloride cotransporter in rabbit kidney outer medulla: studies on medullary plasma membranes, Pfliigers Arch, 407, pp. S168-S173, (1986)
  • [8] Hebert S.C., Andreoli T.E., Control of NaCl transport in the thick ascending limb, Am J Physiol, 246, pp. F745-F756, (1984)
  • [9] Hamlyn J.M., Blaustein M.P., Sodium chloride, extracellular fluid volume, and blood pressure regulation, Am J Physiol, 251, pp. F563-F575, (1986)
  • [10] Galla J.H., Kirchner K.A., Kotchen T.A., Luke R.G., Effect of hypochloremia on loop segment chloride and solute reabsorption in the rat during volume expansion, Kidney Int, 20, pp. 569-574, (1981)