Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29671960
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Physiol+Rep
2018 ; 6
(8
): e13661
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Renal potassium handling in carriers of the Gly40Ser mutation of the glucagon
receptor suggests a role for glucagon in potassium homeostasis
#MMPMID29671960
Bankir L
; Barbato A
; Russo O
; Crambert G
; Iacone R
; Bouby N
; Perna L
; Strazzullo P
Physiol Rep
2018[Apr]; 6
(8
): e13661
PMID29671960
show ga
Plasma potassium concentration (P(K) ) is tightly regulated. Insulin is known to
favor potassium entry into cells. But how potassium leaves the cells later on is
not often considered. Previous studies in rats showed that glucagon infusion
increased urinary potassium excretion dose-dependently and reversibly. This
prompted us to investigate the possible influence of glucagon on potassium
handling in humans. We took advantage of the Gly40Ser mutation of the glucagon
receptor (GR) that results in a partial loss of function of the GR. In the
Olivetti cohort (male workers), 25 subjects who carried this mutation were
matched 1:4 to 100 noncarriers for age and weight. Estimated osmolarity of serum
and 24-h urine (S(osm) and U(osm,) respectively) was calculated from the
concentrations of the main solutes: [(Na+K)*2 + urea (+glucose for serum)].
Transtubular potassium gradient (TTKG), reflecting the intensity of K secretion
in the distal nephron, was calculated as [(urine K/serum K)(U(osm) /S(osm) )].
There was no significant difference in serum K, or 24-h urine urea, Na and K
excretion rates. But urine K concentration was significantly lower in carriers
than in noncarriers. Means (interquartile range): 38 (34-43) versus 47 (43-51)
mmol/L, P = 0.030. TTKG was also significantly lower in carriers: 4.2 (3.9-4.6)
versus 5.0 (4.7-5.2), P = 0.015. This difference remained statistically
significant after adjustments for serum insulin and 24-h Na and urea excretions.
These results in humans suggest that glucagon stimulates K secretion in the
distal nephron. Thus, in conjunction with insulin, glucagon may also participate
in K homeostasis by promoting renal K excretion.