Literature DB >> 22223876

It is chloride depletion alkalosis, not contraction alkalosis.

Robert G Luke1, John H Galla.   

Abstract

Maintenance of metabolic alkalosis generated by chloride depletion is often attributed to volume contraction. In balance and clearance studies in rats and humans, we showed that chloride repletion in the face of persisting alkali loading, volume contraction, and potassium and sodium depletion completely corrects alkalosis by a renal mechanism. Nephron segment studies strongly suggest the corrective response is orchestrated in the collecting duct, which has several transporters integral to acid-base regulation, the most important of which is pendrin, a luminal Cl/HCO(3)(-) exchanger. Chloride depletion alkalosis should replace the notion of contraction alkalosis.

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Year:  2012        PMID: 22223876      PMCID: PMC3269186          DOI: 10.1681/ASN.2011070720

Source DB:  PubMed          Journal:  J Am Soc Nephrol        ISSN: 1046-6673            Impact factor:   10.121


  33 in total

Review 1.  The nature of the renal response to chronic disorders of acid-base equilibrium.

Authors:  W B Schwartz; J J Cohen
Journal:  Am J Med       Date:  1978-03       Impact factor: 4.965

Review 2.  Symposium on acid-base homeostasis. The generation and maintenance of metabolic alkalosis.

Authors:  D W Seldin; F C Rector
Journal:  Kidney Int       Date:  1972-05       Impact factor: 10.612

Review 3.  Role of anions in metabolic alkalosis and potassium deficiency.

Authors:  W B Schwartz; J P Kassirer
Journal:  N Engl J Med       Date:  1968-09-19       Impact factor: 91.245

4.  Correction of acute chloride-depletion alkalosis in the rat without volume expansion.

Authors:  J H Galla; D N Bonduris; R G Luke
Journal:  Am J Physiol       Date:  1983-02

5.  Regulation of the expression of the Cl-/anion exchanger pendrin in mouse kidney by acid-base status.

Authors:  Carsten A Wagner; Karin E Finberg; Paul A Stehberger; Richard P Lifton; Gerhard H Giebisch; Peter S Aronson; John P Geibel
Journal:  Kidney Int       Date:  2002-12       Impact factor: 10.612

6.  Aldosterone in metabolic alkalosis.

Authors:  J P Kassirer; F M Appleton; J A Chazan; W B Schwartz
Journal:  J Clin Invest       Date:  1967-10       Impact factor: 14.808

7.  Factors influencing chloride reabsorption in the collecting duct segment of the rat.

Authors:  K A Kirchner; J H Galla; R G Luke
Journal:  Am J Physiol       Date:  1980-12

8.  Regulated expression of pendrin in rat kidney in response to chronic NH4Cl or NaHCO3 loading.

Authors:  Sebastian Frische; Tae-Hwan Kwon; Jørgen Frøkiaer; Kirsten M Madsen; Søren Nielsen
Journal:  Am J Physiol Renal Physiol       Date:  2002-10-22

9.  Correction of metabolic alkalosis by the kidney after isomertric expansion of extracellular fluid.

Authors:  J J Cohen
Journal:  J Clin Invest       Date:  1968-05       Impact factor: 14.808

10.  Effect of adrenalectomy on the renal response to chloride depletion in the rat.

Authors:  R G Luke
Journal:  J Clin Invest       Date:  1974-12       Impact factor: 14.808

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  34 in total

Review 1.  Pathophysiology and clinical presentations of salt-losing tubulopathies.

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Journal:  Pediatr Nephrol       Date:  2015-07-16       Impact factor: 3.714

2.  The Use of Selected Urine Chemistries in the Diagnosis of Kidney Disorders.

Authors:  Biff F Palmer; Deborah Joy Clegg
Journal:  Clin J Am Soc Nephrol       Date:  2019-01-09       Impact factor: 8.237

3.  Compared effects of calcium and sodium polystyrene sulfonate on mineral and bone metabolism and volume overload in pre-dialysis patients with hyperkalemia.

Authors:  Yosuke Nakayama; Kaoru Ueda; Sho-Ichi Yamagishi; Miki Sugiyama; Chika Yoshida; Yuka Kurokawa; Nao Nakamura; Tomofumi Moriyama; Goh Kodama; Tomohisa Minezaki; Sakuya Ito; Akiko Nagata; Kensei Taguchi; Junko Yano; Yusuke Kaida; Kazutaka Shibatomi; Kei Fukami
Journal:  Clin Exp Nephrol       Date:  2017-04-18       Impact factor: 2.801

Review 4.  Electrolyte and Acid-Base Disturbances in End-Stage Liver Disease: A Physiopathological Approach.

Authors:  José Víctor Jiménez; Diego Luis Carrillo-Pérez; Rodrigo Rosado-Canto; Ignacio García-Juárez; Aldo Torre; David Kershenobich; Eduardo Carrillo-Maravilla
Journal:  Dig Dis Sci       Date:  2017-05-13       Impact factor: 3.199

5.  Baking soda can settle the stomach but upset the heart: case files of the Medical Toxicology Fellowship at the University of California, San Francisco.

Authors:  Suad A Al-Abri; Kent R Olson
Journal:  J Med Toxicol       Date:  2013-09

Review 6.  Salt-Losing Tubulopathies in Children: What's New, What's Controversial?

Authors:  Robert Kleta; Detlef Bockenhauer
Journal:  J Am Soc Nephrol       Date:  2017-12-13       Impact factor: 10.121

7.  Small-Molecule Inhibitors of Pendrin Potentiate the Diuretic Action of Furosemide.

Authors:  Onur Cil; Peter M Haggie; Puay-Wah Phuan; Joseph-Anthony Tan; Alan S Verkman
Journal:  J Am Soc Nephrol       Date:  2016-05-06       Impact factor: 10.121

Review 8.  Electrolyte abnormalities in cystic fibrosis: systematic review of the literature.

Authors:  Elisabetta Scurati-Manzoni; Emilio F Fossali; Carlo Agostoni; Enrica Riva; Giacomo D Simonetti; Maura Zanolari-Calderari; Mario G Bianchetti; Sebastiano A G Lava
Journal:  Pediatr Nephrol       Date:  2013-12-11       Impact factor: 3.714

9.  Use of Arginine Hydrochloride in the Treatment of Metabolic Alkalosis or Hypochloremia in Pediatric Patients.

Authors:  Caroline M Sierra; Elvin A Hernandez; Kristine A Parbuoni
Journal:  J Pediatr Pharmacol Ther       Date:  2018 Mar-Apr

10.  Hypernatremic alkalosis or chloride depletion alkalosis?

Authors:  Daniele Pinto Vasconcelos; Louize Emanuele Souza; Alexandre Braga Libório
Journal:  Intensive Care Med       Date:  2013-04-23       Impact factor: 17.440

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