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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-4-22
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pubmed:abstractText |
In a prospective randomized study, the effects of the calcium entry blocker nifedipine on shock-wave-induced tubular impairment were studied. 24 patients with renal pelvic or calyceal stones undergoing anesthesia-free extra-corporeal shock wave lithotripsy (ESWL) without ancillary measures were randomly assigned to the nifedipine group (n = 12) or the control group (n = 12). Four doses of nifedipine (10 mg t.i.d.) were given orally, starting the night before ESWL. Controls received no medication. To assess renal tubular function, the urinary excretion of alpha 1-microglobulin (A1M), N-acetyl-beta-glucosaminidase (NAG) and Tamm-Horsfall protein (THP) were measured before, immediately, 12 and 24 h after ESWL. After lithotripsy, there was a rise in urinary A1M and NAG which was significantly higher in the control than in the nifedipine group. THP, a glycoprotein synthesized by distal tubular cells, fell significantly less in the nifedipine group compared to the controls. Our results indicate that nifedipine exhibits a protective effect on shock-wave-induced tubular damage similar to verapamil. The underlying mechanisms are not clarified yet, direct actions on tubular cells and interference with renal hemodynamics have to be discussed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Acetylglucosaminidase,
http://linkedlifedata.com/resource/pubmed/chemical/Alpha-Globulins,
http://linkedlifedata.com/resource/pubmed/chemical/Mucoproteins,
http://linkedlifedata.com/resource/pubmed/chemical/Nifedipine,
http://linkedlifedata.com/resource/pubmed/chemical/Protease Inhibitors,
http://linkedlifedata.com/resource/pubmed/chemical/UMOD protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Uromodulin,
http://linkedlifedata.com/resource/pubmed/chemical/alpha-1-microglobulin
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pubmed:status |
MEDLINE
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pubmed:issn |
0302-2838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
99-104
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:7511106-Acetylglucosaminidase,
pubmed-meshheading:7511106-Alpha-Globulins,
pubmed-meshheading:7511106-Humans,
pubmed-meshheading:7511106-Kidney Calculi,
pubmed-meshheading:7511106-Kidney Tubules,
pubmed-meshheading:7511106-Lithotripsy,
pubmed-meshheading:7511106-Mucoproteins,
pubmed-meshheading:7511106-Nifedipine,
pubmed-meshheading:7511106-Prospective Studies,
pubmed-meshheading:7511106-Protease Inhibitors,
pubmed-meshheading:7511106-Uromodulin
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pubmed:year |
1994
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pubmed:articleTitle |
Limitation of shock-wave-induced renal tubular dysfunction by nifedipine.
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pubmed:affiliation |
Department of Urology, Eberhard-Karls-University, Tübingen, FRG.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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