An early urea-selective urine-concentrating defect in ADPKD

作者:Bankir Lise*; Bichet Daniel G
来源:Nature Reviews Nephrology, 2012, 8(8): 437-439.
DOI:10.1038/nrneph.2012.139

摘要

A defect in urine-concentrating ability is discernable in patients with autosomal dominant polycystic kidney disease (ADPKD) before any decline in glomerular filtration rate, and is associated with elevated concentrations of vasopressin and copeptin. This defect is 'urea-selective' and accordingly, the urine-to-plasma ratio of urea concentration could be a clinically relevant early marker of renal dysfunction in patients with ADPKD.

  • 出版日期2012-8