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Enzyme
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Target Concepts:
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Query: UNIPROT:P01185 (
vasopressin
)
23,126
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Fluid retention and ascites are rarely seen in patients with
primary biliary cirrhosis
(
PBC
). This contrasts with the conspicuous tendency of patients with Laennec's cirrhosis to retain salt and water. In an attempt to clarify this clinical observation, renal handling of sodium was studied during extracellular volume expansion (ECVE) and maximal suppression of
antidiuretic hormone
in five patients with
PBC
. These
PBC
patients were compared with two control populations: five edema-free patients with Laennec's cirrhosis and nine healthy volunteers. The natriuretic and diuretic response to ECVE was significantly greater in the patients with
PBC
as compared with the two control groups. CH2O for given rates of urine flow were similar in
PBC
patients as compared with normal subjects. The data suggest that a supranormal rejection of sodium at the proximal tubule in response to ECVE underlies the exaggerated natriuresis of
PBC
. The augmented elimination of salt during ECVE in patients with
PBC
may explain the rarity of ascites and edema in this variety of cirrhosis.
...
PMID:Exaggerated natriuretic response to volume expansion in patients with primary biliary cirrhosis. 60 57
1) Fluid retention and ascites are rarely seen in patients with
primary biliary cirrhosis
(
PBC
). In an attempt to clarify this clinical observation, renal handling of sodium, water and divalent ions was studied during extracellular volume expansion (ECVE) and maximal suppression of
antidiuretic hormone
(
ADH
) secretion in 5 patients with
PBC
and 9 normal subjects. 2) Mean fractional excretion of sodium, water, phosphate and calculated fractional distal delivery of sodium were significantly greater in patients with
PBC
as compared with normal controls. Fractional CH20 for given fractional urine flow was similar in patients with
PBC
and normals. 3) The data suggest that patients with
PBC
have a greater diminution of proximal tubular reabsorption of sodium in response to ECVE than controls. This augmented elimination of salt during ECVE in patients with
PBC
may explain the rarity of ascites and edema in this type of cirrhosis.
...
PMID:Renal handling of sodium, water and divalent ions in patients with primary biliary cirrhosis. 89 21
Neurotensin (NT) and
vasopressin
(AVP) share some similarities as far as their actions on the adrenal weight and secretion are concerned. The present study aimed to compare the in vivo chronic effect of these two peptides on the adrenal cortex of dexamethasone (Dx)-treated rats. NT or AVP were ip. infused at a rate of 2 micrograms/rat/d for 7 d. In the animals concomitantly treated with 15 micrograms Dx/100 g/d for 7 d, both NT and AVP partially prevented adrenal atrophy. AVP enhanced plasma aldosterone concentration (PAC), but not that of corticosterone (
PBC
). On the other hand, NT did not affect either PAC or
PBC
. In rats treated with 35 micrograms Dx/100 g/d for 14 d, neither NT nor AVP administered for the last 7 d exerted any effect on the adrenal weight. However, also under these conditions of profound adrenal atrophy AVP was still able to notably raise PAC, while NT was ineffective. Our findings indicate that the mechanism underlying the aldosterone secretagogue action of AVP does not require, unlike that of NT, the presence of ACTH. Moreover, in light of many recent literature data they could suggest the possibility that in vivo NT acts on the rat adrenal cortex via AVP.
...
PMID:Comparison of the effects of neurotensin and vasopressin on the adrenal cortex of dexamethasone-suppressed rats. 140 18
Combining careful medical preparation with subsequent selective intravascular sclerotherapy, one-year survival rate of patients with bleeding oesophageal varices was increased to 90%. Of 41 patients with bleeding oesophageal varices, class Child A-C, none died of bleeding from the varices within the first year after sclerotherapy. Four patients died within the first year, two from liver failure due to severe alcohol abuse, one from liver failure with terminal
primary biliary cirrhosis
and one from an undiagnosed bleeding duodenal ulcer. Improved results were obtained by two measures: (1) instead of immediate sclerosing at time of diagnosis, initial arrest of bleeding with a Sengstaken tube and, if necessary, administration of
vasopressin
and improvement in general status by intensive measures to stabilise the circulation and clotting mechanism; (2) selective radiologically controlled intravascular sclerotherapy with a flexible special endoscope 1-2 days after admission. The particular advantage of selective intravascular sclerosing, though it is complicated, lies in the fact that fundal varices and supplying veins to the stomach can also be sclerosed and severe early as well as late complications are exceedingly rare.
...
PMID:[Treatment of bleeding oesophageal varices. Results of combined medical and endoscopically selective intravascular sclerotherapy]. 698 6