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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1995-2-28
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pubmed:abstractText |
1. In the syndrome of inappropriate secretion of antidiuretic hormone, hyponatraemia is associated with a normal bicarbonate concentration despite dilution. This normal bicarbonate concentration is related to the development of a hyperaldosteronism, which is attributed to a direct stimulation of the zona glomerulosa by the hyponatraemic state. Some workers have suggested that, to develop this hyperaldosteronism requires the presence of a pituitary factor. To determine whether the pituitary gland plays a role in this hyponatraemia-induced hyperaldosteronism, water intoxication was performed for 24 h in normal and in panhypopituitaric rats. 2. In normal rats, hyponatraemia (108 mmol/l), induced by the administration of 1-desamino-8-D-arginine vasopressin and 2.5% D-glucose-0.45% NaCl by gavage (15% body weight) was associated with a mild increase in bicarbonate concentration, and blood acid-base equilibrium showed a mixed metabolic and respiratory alkalosis (pH 7.57, partial pressure of CO2 29 mmHg, base excess +5.5 mmol/l), and aldosterone concentration was increased 3-fold as compared with the control value. When hyponatraemia (110 mmol/l) was induced in a similar manner in panhypopituitaric rats, we observed a very low aldosterone concentration (< 50 pg/ml) and a compensated respiratory alkalosis (pH 7.45, partial pressure of CO2 30 mmHg, base excess -2.6 mmol/l). The restoration of a hyperaldosteronaemic state in this group of rats was related essentially to corticosteroid intake. 3. These data suggest that corticosteroids play a critical role in the development of hyponatraemia-related hyperaldosteronism, a phenomenon not necessarily dependent on a pituitary factor.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0143-5221
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
87
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
435-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7834996-Acid-Base Equilibrium,
pubmed-meshheading:7834996-Alkalosis, Respiratory,
pubmed-meshheading:7834996-Animals,
pubmed-meshheading:7834996-Dexamethasone,
pubmed-meshheading:7834996-Hyperaldosteronism,
pubmed-meshheading:7834996-Hyponatremia,
pubmed-meshheading:7834996-Hypopituitarism,
pubmed-meshheading:7834996-Male,
pubmed-meshheading:7834996-Pituitary Gland,
pubmed-meshheading:7834996-Rats,
pubmed-meshheading:7834996-Rats, Wistar,
pubmed-meshheading:7834996-Thyroxine,
pubmed-meshheading:7834996-Water Intoxication
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pubmed:year |
1994
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pubmed:articleTitle |
Restoration by corticosteroids of the hyperaldosteronism in hyponatraemic rats with panhypopituitarism.
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pubmed:affiliation |
Unité de Recherche du métabolisme hydrominéral, Hôpital Universitaire Erasme, Université Libre de Bruxelles, Belgium.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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