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Demonstration of Protective (Inhibitory) Effects of Urinary Macromolecules on the Crystallization of Calcium Oxalate

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Abstract

Several inhibitors of kidney stone salt crystallization have been found to be effective in human urine which has led to the hypothesis that kidney stones may be caused by a deficiency of inhibitors in an otherwise normal supersaturated urine. Several small molecular weight (<1000) inhibitors of calcium oxalate and/or calcium phosphate crystallization have been reported 1 2 3. In a comparison of human urinary retentates with their dialysates, our laboratory has previously found a significant inhibition of the crystallization of urinary calcium oxalate by urinary macromolecules (UMM).4

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References

  1. Russell, R.G. and Fleisch, H. Pyrophosphate and Stone Formation p. 165 in Renal Stone Research Symposium, Leeds, 1968. Ed. Hodgkinson, P. and Nordin, B. Churchill Publ., London.

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  2. Thomas, W.C. Inhibitors of Mineralization & Renal Stones p141 Nordin, B. Churchill Publ., London Ibid

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  3. Sutor, D.J. Growth Studies of Calcium Oxalate in the Presence of Various Ions and Compounds. I Brit. J. Urol. 4l:171, 1969, II Brit. J. Urol. 42:296, 1970.

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  4. Gill, W.B. and Roma, M.J. Determinants of Supersaturation Levels and Crystallization Rates of Calcium Oxalate from Urines of Normal Humans & Stone-Formers: Effects of Non-Dialyzable Materials. Presented 7th Ann. Meeting Assoc. Academic Surgery, Nov., 1973, Rochester, N.Y. (in press) J. Surgical Research.

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  5. Gill, W.B. and Karesh, J.W. A Crystallization Profile of Urinary Calcium Oxalate (Supersaturation Levels, Crystallization Rates, Metastable Limits and Heterogeneous Nucleation). Presented at the Int. Colloq. Renal Lithiasis. Jan., 1975 U. of Fla. (in press).

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  6. Gill, W.B., Silvert, M.A. and Roma, M.J. Supersaturation Levels & Crystallization Rates from Urines of Normal Humans and Stone-Formers Determined by a 14C-Oxalate Technique. J. Invest. Urol. 12:203, 1974.

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© 1976 Plenum Press, New York

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Gill, W.B., Karesh, J.W. (1976). Demonstration of Protective (Inhibitory) Effects of Urinary Macromolecules on the Crystallization of Calcium Oxalate. In: Fleisch, H., Robertson, W.G., Smith, L.H., Vahlensieck, W. (eds) Urolithiasis Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4295-3_29

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  • DOI: https://doi.org/10.1007/978-1-4613-4295-3_29

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4297-7

  • Online ISBN: 978-1-4613-4295-3

  • eBook Packages: Springer Book Archive

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