Abstract
It is now recognized that methylguanidine (MG) and guanidinosuccinic acid (GSA) are the prototypes of low molecular weight uremic toxins1,2. There remain, however, many problems concerning the origin of these substances. This study is designed to evaluate the effect of dietary energy intake in preventing the accumulation of MG and GSA. We report that in the presence of a high energy intake the serum levels of MG, GSA, and urea nitrogen diminish and the nutritional status improves.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
P. L. Balestri, M. Biagini and P. Rindi, Uremic toxins, Arch. Intern. Med., 126: 843 (1970).
B. D. Cohen, I. M. Stein and J. E. Bonas, Guanidinosuccinic aciduria in uremia, Am. J. Med., 45: 63 (1968).
G. Grodstein, M. J. Blumenkrantz and J. D. Kopple,Nutritional and metabolic response to catabolic stress in uremia, Am. J. Clin. Nutr., 33: 1411 (1980).
Y. S. M. Taylor, N. S. Scrimshaw and V. R. Young, The relationship between serum urea levels and dietary nitrogen utilization in young men, Br. J. Nutr., 32: 407 (1974).
A. Ando, Y. Orita, K. Nakata, Y. Tsubakihara, Y. Takamitsu, N. Ueda, M. Yanase and H. Abe, Effect of low protein diet and surplus of essential amino acids on the serum concentration and the urinary excretion of methylguanidine and guanidino succinic acid in chronic renal failure, Nephron., 24: 161 (1979).
S. Giovannetti, M. Biagini, P. L. Balestri, R. Navalesi, P. Giognoni, T. de Matteis, P. Ferro-Milone and C. Perfetti, Uraemia-like syndrome in dogs chronically intoxicated with methylguanidine and creatinine, Clin. Sci., 36: 445 (1969).
S. Giovannetti, P. L. Balestri, M. Biagini, C. G. Menichini, P. Rindi, Implications of dietary therapy, Arch. Intern. Med., 126: 900 (1970).
E. P. Cottini, D. L. Gallina and J. M. Dominguez, Urea excretion in adult humans with varing degrees of kidney malfunction fed milk, egg or amino acid mixture assessment of nitrogen balance, J. Nutr., 103: 11 (1973).
C. Abitobol, G. Jean and M. Broyer, Urea synthesis in moderate experimental uremia, Kidney Int., 19: 648 (1981).
I. M. Stein, B. D. Cohen and R. S. Kornhauser, Guanidinosuccinic acid in renal failure, experimental azotemia and in born errors of the urea cycle, N. Engl. J. Med., 280: 926 (1969).
S. Natelson and J. E. Sherwin, Proposed mechanism for urea nitrogen reutilization: relationship between urea and proposed guanidinie cycles, Clin. Chem., 25: 1343 (1979).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Springer Science+Business Media New York
About this chapter
Cite this chapter
Fujiwara, S., Nakano, T., Isoda, K., Miayahara, T. (1985). The Importance of Energy Intake for Preventing the Accumulation of Guanidino Compounds in Patients with Chronic Renal Failure. In: Mori, A., Cohen, B.D., Lowenthal, A. (eds) Guanidines. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-0752-6_33
Download citation
DOI: https://doi.org/10.1007/978-1-4757-0752-6_33
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-0754-0
Online ISBN: 978-1-4757-0752-6
eBook Packages: Springer Book Archive