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Research Article Free access | 10.1172/JCI106517

On the pathogenesis of hyperparathyroidism in chronic experimental renal insufficiency in the dog

Eduardo Slatopolsky, Sali Caglar, J. P. Pennell, Dennis D. Taggart, Janet M. Canterbury, Eric Reiss, and Neal S. Bricker

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Slatopolsky, E. in: PubMed | Google Scholar

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Caglar, S. in: PubMed | Google Scholar

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Pennell, J. in: PubMed | Google Scholar

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Taggart, D. in: PubMed | Google Scholar

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Canterbury, J. in: PubMed | Google Scholar

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Reiss, E. in: PubMed | Google Scholar

Renal Division, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

Department of Medicine, Michael Reese Hospital and Medical Center and the University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637

Find articles by Bricker, N. in: PubMed | Google Scholar

Published March 1, 1971 - More info

Published in Volume 50, Issue 3 on March 1, 1971
J Clin Invest. 1971;50(3):492–499. https://doi.org/10.1172/JCI106517.
© 1971 The American Society for Clinical Investigation
Published March 1, 1971 - Version history
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Abstract

Healthy adult dogs were subjected to stepwise reduction of nephron population so as to create the transition from normal renal function to advanced renal insufficiency. Studies were performed at each level of renal function. Glomerular filtration rate (GFR), renal phosphate clearance, and serum radioimmunoassayable parathyroid hormone (PTH) levels were measured. Two groups of animals were studied. In one, phosphorous intake was maintained at 1200 mg/day. As GFR declined, fractional phosphate excretion rose reciprocally, and PTH levels increased over 20-fold. In the second group, phosphorous intake was maintained at less than 100 mg/day. As GFR fell, fractional phosphate excretion changed little, and no increment in PTH levels occurred. The data suggest that the control system regulating phosphate excretion contributes importantly to the pathogenesis of secondary hyperparathyroidism in advancing renal insufficiency.

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