A low molecular weight fraction of serum from uremic patients has been found to inhibit several different transport systems. These include the uptake of p-aminohippuric acid (PAH) by rabbit kidney cortical slices, the transepithelial transport of sodium by the isolated frog skin, and finally, sodium reabsorption by the rat kidney tubule. The following possibilities are considered: first, that the substance might be a naturally occurring humoral agent which serves in a homeostatic role to increase sodium excretion rate per nephron as the number of nephrons diminishes in advancing renal disease; and second, that in advanced renal disease, very high levels of this humoral agent could lead to inhibition of sodium transport in extrarenal organs and, thus, could contribute importantly to the symptoms and signs of the uremic state.
Neal S. Bricker, Jacques J. Bourgoignie, Saulo Klahr. A Humoral Inhibitor of Sodium Transport in Uremic SerumA Potential Toxin?. Arch Intern Med. 1970;126(5):860–864. doi:10.1001/archinte.1970.00310110130023
* * Maintenance Notice * *
Maintenance will be performed from 11:00pm CT December 16, 2017 to 4:00pm CT December 17. Please be advised that your site/services may be periodically unavailable during this maintenance window.