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42 APPLIED PHYSIOLOGY
which is found in the mitochondria of the proximal tubular 12. Dunn MJ. Nonsteroidal antiinflammatory drugs and renal
cells. Calcitriol interacts with its high-affinity receptor (the function. Annu Rev Med 1984;35:411.
vitamin D receptor [VDR]) in target tissues forming a 13. Ebert BL, Bunn HF. Regulation of the erythropoietin
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ligand-activated transcription factor that travels to the
14. Eschbach JW, Egrie J, Downing M, et al. Correction of ane-
nucleus of the cell and interacts with specific DNA mia of end-stage renal disease with recombinant human
sequences in vitamin D-responsive genes. erythropoietin. N Engl J Med 1987;316:73–8.
The activity of the 1a-hydroxylase system is closely 15. Fenton RA. Essential role of vasopressin-regulated urea
transport processes in the mammalian kidney. Pflugers Arch
regulated by PTH, calcium, phosphate, and calcitriol itself,
2009;458:169–77.
which exerts negative feedback inhibition on 1a-hydroxy-
16. Fettman MJ, Allen TA, Wilke WL, et al. Single-injection
lase. Hypocalcemia and PTH stimulate calcitriol synthesis. method for evaluation of renal function with 14 C-inulin
3
There is an inverse relationship between calcium and H-tetraethylammonium bromide in dogs and cats.
concentrations and the activity of the 1a-hydroxylase Am J Vet Res 1985;46:482.
17. Finco DR. Simultaneous determination of phenolsul-
enzyme system that may arise directly or may be secondary
fonphthalein excretion and endogenous creatinine clearance
tochangesinthesecretionofPTHinresponsetoalterations in the normal dog. J Am Vet Med Assoc 1971;159:336.
in serum calcium concentration. Some evidence exists to 18. Finco DR, Barsanti JA. Mechanism of urinary excretion of
supportadirectsuppressiveeffectofcalciumon1a-hydrox- creatinine by the cat. Am J Vet Res 1982;43:2207.
4
ylase activity in proximal tubular cells. The 1a-hydroxylase 19. Finco DR, Brown SA, Crowell WA, et al. Exogenous creat-
inine clearance as a measure of glomerular filtration rate in
enzyme system is stimulated by hypophosphatemia and
dogs with reduced renal mass. Am J Vet Res 1991;52:1029.
inhibited by hyperphosphatemia. 20. Finco DR, Coulter DB, Barsanti JA. Simple, accurate
The major effects of 1,25-dihydroxycholecalciferol method for clinical estimation of glomerular filtration rate
(calcitriol) are increased intestinal absorption of calcium in the dog. Am J Vet Res 1981;42:1874.
and phosphate, a permissive effect on PTH-mediated 21. Finco DR, Duncan JR. Evaluation of blood urea nitrogen
bone resorption of calcium and phosphate, and negative and serum creatinine concentrations as indicators of renal
dysfunction: a study of 111 cases and a review of related lit-
feedback control on PTH synthesis and secretion by erature. J Am Vet Med Assoc 1976;168:593.
the parathyroid glands. The actions of vitamin D are 22. Finco DR, Tabaru H, Brown SA, et al. Endogenous creati-
discussed in more detail in Chapter 6. nine clearance measurement of glomerular filtration rate in
dogs. Am J Vet Res 1993;54:1575.
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