Compensatory renal hypertrophy I. Following unilateral nephrectomy

Urological Research - Tập 3 - Trang 169-175 - 1975
S. Olesen1,2,3, P. O. Madsen1,2
1Urology Section, Veterans Administration Hospital, Madison, U.S.A.
2Department of Surgery, University of Wisconsin School of Medicine, Madison, U.S.A.
3Sabro, Denmark

Tóm tắt

The compensatory renal hypertrophy and hyperfunction following unilateral nephrectomy have been studied in dogs over a two-year period. It was found that a sharp increase in function and volume of kidney tissue takes place during the first two weeks. CCr and volume of kidney tissue continue to increase reaching average values after two years of 88% and 92% respectively of those for two kidneys. CPAH and TmPAH remain almost stable at 65% and 57% respectively after an initial increase during the first two weeks. All values are expressed in percent of the function of two normal kidneys before unilateral nephrectomy. The filtration seems to be increasingly efficient and the functional integrity of the nephrons is preserved, although a glomerular predominance is encountered two years following unilateral nephrectomy.

Tài liệu tham khảo

Åsheim, Å., Persson, F., Persson, S.: Renal clearance in dogs with regard to variations according to age and sex. Acta Physiol. Scand. 51, 150 (1961) Bialestock, D.: Microdissection of specimens of hydronephrosis with comparative nephron measurements. Aust. N. Z. J. Surg. 29, 211 (1960) Bricker, N. S., Morin, P. A. F., Kime, S. W., Jr.: The pathologic physiology of chronic Bright's disease: An exposition of the “Intact Nephron Hypothesis”. Amer. J. Med. 28, 77 (1960) Bugge-Asperheim, B., Kiil, F.: Examination of growth-mediated changes in haemodynamics and tubular transport of sodium, glucose and hippurate after nephrectomy. Scand. J. Clin. Lab. Invest. 22, 255 (1968) Corcoran, A. C., Page, I. H.: Effects of anesthetic dosage of pentobarbital sodium on renal function and blood pressure in dogs. Amer. J. Physiol. 140, 234 (1943) Folin, O., Wu, H.: A system of blood analysis. J. Biol. Chem. 38, 81 (1919) Glauser, K. F., Selkurt, E. E.: Effect of barbiturates on renal function in the dog. Amer. J. Physiol. 168, 469 (1952) Hayman, J. M., Jr., Shumway, N. P., Dumke, P., Miller, M.: Experimental hyposthenuria. J. Clin. Invest. 18, 195 (1939) Hinman, F.: Renal counterbalance. J. Urol. 9, 289 (1923) Kolberg, A.: Relations of renal tubular and glomerular function as influenced by 75% reduction of nephron number. A pathophysiological study. Scand. J. Clin. Lab. Invest. (Suppl. 41). 11, 1 (1959) Maluf, N. S. R., Ford, R. V., Spurr, C. S.: Physiology of the human solitary kidney. J. Urol. 78, 118 (1957) Oester, A., Olesen, S., Madsen, P. O.: Determination of glomerular filtration rate. Old and new methods. A comparative study in dogs. Invest. Urol. 6, 315 (1968) Olesen, S., Genster, H.: Estimation of renal volume and function in dogs from the radiological appearance. Invest. Urol. 7, 363 (1970) Owen, J. A., Iggo, B., Scandrett, F. J., Stewart, C. P.: The determination of creatinine in plasma or serum, and in urine; a critical examination. Biochem. J. 53, 426 (1954) Oliver, J.: When is a kidney not a kidney? J. Urol. 63, 373 (1950) Platt, R.: Structural and functional adaption in renal failure. Brit. Med. J. 1952 I, 1313 Sendroy, J., Jr., Cecchini, L. P.: Determination of human body surface area from height and weight. J. Appl. Physiol. 7, 1 (1954) Smith, H. W., Finkelstein, N., Alminosa, L., Crawford, B., Graber, M.: The renal clearances of substituted hippuric acid derivatives and other aromatic acids in dog and man. J. Clin. Invest. 24, 388 (1945) Smith, H. W.: Principles of renal physiology. New York: Oxford University Press 1956 Smith, H. W.: The kidney. Structure and function in health and disease. 3rd Ed. 1958 New York: Oxford University Press