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  • 1
    ISSN: 1437-7799
    Keywords: Key words AST-120 ; Glomerulosclerosis ; Hyperlipidemia ; Renal failure ; SHC rat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background. The oral adsorbent, AST-120 Kureha Chemical, has been shown to attenuate the progression of chronic renal failure in rats and humans. Spontaneous hypercholesterolemic male rats, (SHC rats; SHCRs) have been introduced for experimentation because they develop progressive hyperlipidemia and glomerulosclerosis on a cholesterol-free standard diet by their 30th week of life. Methods. The effects of AST-120 were studied in SHCRs. Twenty 10-week-old SHCRs were divided into two groups: a control group (n = 10), and an AST-120 group (n = 10). The experiment was begun at the 12th week and completed at the 34th week of life. Results. At the end of the experiment, we found that the serum levels of total cholesterol were 40% lower in the AST-120 rats than in the control rats (P 〈 0.01). The creatinine clearance in the AST group was 40% higher than that in the controls (P 〈 0.05). At the age of 20 weeks, postheparin lipoprotein lipase in the AST-120 SHCRs and in Sprague-Dawley rats with normal serum lipid levels was comparable, but was clearly lower in the control SHCRs. Finally, in a pathological investigation that determined a sclerosis index for all kidneys, this was significantly lower in the AST group than in the control animals (P 〈 0.01). Conclusions. The reduction of serum lipid levels following the administration of the AST-120 oral adsorbent is associated with amelioration of renal functional and structural changes in SHCRs.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Clinical and experimental nephrology 4 (2000), S. 67-70 
    ISSN: 1437-7799
    Keywords: Key words Lobenzarit disodium ; Hyperkalemia ; Tubulointerstitial nephritis ; Fludrocortisone acetate
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 65-year-old woman was admitted to our hospital because of hyperkalemia and renal dysfunction. Three months after she had been treated with lobenzarit disodium, a disease-modifying anti-rheumatic drug, her serum potassium and blood urea nitrogen levels rose. Neither calcium polystyrene sulfonate nor furosemide was effective in treating the hyperkalemia. On admission, she did not show metabolic acidosis and her creatinine clearance was 41 ml/min. Urinalysis results and urinary β2-microglobulin and N-acetyl-β-D-glucosaminidase concentrations were normal. Her pituitary and adrenal functions and renin-aldosterone axis were also normal. A renal biopsy specimen demonstrated almost normal glomeruli and almost normal proximal tubules. On the other hand, the distal tubules demonstrated patchy atrophy with an increase in the interstitium and an infiltration of mononuclear cells. Fludrocortisone acetate, a synthetic mineralocorticoid, was effective in treating her hyperkalemia. The impaired responsiveness of the distal nephron to mineralocorticoid may have been the pathophysiological mechanism in this patient.
    Type of Medium: Electronic Resource
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