The urine cyclic AMP response to parathyroid extract (PTE) administration in normal subjects and patients with parathyroid dysfunction

Metabolism ◽  
1979 ◽  
Vol 28 (8) ◽  
pp. 814-819 ◽  
Author(s):  
J.R. Tucci ◽  
R.S. Perlstein ◽  
L.E. Kopp
1984 ◽  
Vol 106 (2) ◽  
pp. 219-226
Author(s):  
S. Khoury ◽  
J. R. Tucci

Abstract. Studies were performed in 60 patients with proven primary hyperparathyroidism pre-operatively and in 54 of these patients post-operatively, 22 patients with permanent hypoparathyroidism and 34 normal subjects. Urinary and nephrogenous cyclic AMP excretion were increased in the hyperparathyroid patients with an overlap of values with the normal group of 10 and 9%, respectively. Values fell in all patients post-operatively, and were decreased in those with permanent hypoparathyroidism. TmPO4/GFR was decreased in the preoperative hyperparathyroid patients and rose postoperatively while it was increased in the hypoparathyroid patients with an overlap of values with the normal group of 9%. Post-operative hypocalcaemia due to bone hunger was associated with continuing normo- or hypophosphataemia and urinary cyclic AMP that exceeded 4.5 nm/dl GF while those who developed permanent hypoparathyroidism had hyperphosphataemia, increased TmPO4/GFR and urinary cyclic AMP that was less than 3.5 nM/dl G.F. Urinary and nephrogenous cyclic AMP were equally effective in characterizing patients with primary hyperparathyroidism and less effective in distinguishing patients with hypoparathyroidism from normal while TmPO4/GFR estimates were more effective in delineating the hypoparathyroid state.


Blood ◽  
1987 ◽  
Vol 69 (6) ◽  
pp. 1613-1616 ◽  
Author(s):  
M Peracchi ◽  
V Toschi ◽  
F Bamonti-Catena ◽  
L Lombardi ◽  
B Bareggi ◽  
...  

Abstract To verify the clinical usefulness of extracellular cyclic nucleotide determination as a tumor marker, plasma cyclic AMP (cAMP) and cyclic GMP (cGMP) levels were measured in 70 normal subjects and 173 acute leukemia patients studied in different stages of their disease. Mean plasma cAMP levels were similar in leukemic and normal subjects, although in 48 patients in the active stage of the disease, first diagnosis, or relapse, the cAMP values were below the normal range, and most of these patients failed to respond to chemotherapy. Plasma cGMP levels were markedly elevated in untreated patients, normalized in all patients who attained complete remission, and increased promptly to pretreatment values in patients who relapsed, suggesting that their determination may be useful to monitor the patients' response to treatment.


1978 ◽  
Vol 10 (02) ◽  
pp. 158-161 ◽  
Author(s):  
H. Lilienfeld-Toal ◽  
K. Mackes ◽  
U. Klehr ◽  
H. Dengler

1982 ◽  
Vol 138 (4) ◽  
pp. 411-418
Author(s):  
HIROSHI UNAKAMI ◽  
YOHTARO FURUKAWA ◽  
HYO EUY SOHN ◽  
SHIGERU YUMITA ◽  
RYO MIURA ◽  
...  

1970 ◽  
Vol 39 (1) ◽  
pp. 89-94 ◽  
Author(s):  
M. R. Wills ◽  
J. Wortsman ◽  
C. Y. C. Pak ◽  
F. C. Bartter

1. Gastrointestinal calcium absorption was studied in six normal subjects and in one patient with idiopathic hypoparathyroidism during a control period and during treatment with parathyroid extract. 2. In all subjects there was a small increase in the gastro-intestinal absorption of calcium during the administration of parathyroid extract.


1984 ◽  
Vol 66 (2) ◽  
pp. 193-199 ◽  
Author(s):  
V. R. Walker ◽  
R. A. L. Sutton

1. Idiopathic calcium stone-formers with hypercalciuria during fasting have significantly lower urinary cyclic AMP levels (nmol/dl of glomerular filtrate) than fasting normocalciuric stone-formers. 2. Female subjects, including both normal subjects and idiopathic calcium stone-formers, have higher urinary cyclic AMP levels than their male counterparts, and this difference is significant when urinary cyclic AMP is expressed in the units μmol/g of creatinine. Expressing urinary cyclic AMP in nmol/dl of glomerular filtrate reduces this difference but does not abolish it. Thus, in comparing urinary cyclic AMP levels in various subgroups of the calcium stone-formers and in normal subjects, both sex differences and the units of urinary cyclic AMP expression must be taken into consideration. 3. The magnitude of the change in urinary cyclic AMP in response to an oral calcium load appears to depend on the antecedent urinary cyclic AMP excretion rate, whereby those individuals (either normal subjects or calcium stone-formers) having the highest urinary cyclic AMP levels demonstrate the greatest fall in urinary cyclic AMP after a calcium load.


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