1975
DOI: 10.1136/jcp.28.9.722
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Effect of human lysozyme (muramidase) on potassium handling by the perfused rat kidney. A mechanism for renal damage in human monocytic leukaemia.

Abstract: Purified human lysozyme (muramidase) stimulated potassium excretion by the isolated perfused rat kidney. Lysozyme is filtered and reabsorbed, without a tubular maximum. Over 90% of lysozyme filtered is retained within the kidney; 50% was recovered by enzymic assay and histologically localized to the proximal tubular cells. Hypokalaemia seen in some patients with myelomonocytic leukaemia may be directly attributed to an elevated circulating lysozyme level.

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Cited by 17 publications
(5 citation statements)
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“…40 The mechanism of hypokalemia is due to inappropriate kaliuresis and has been postulated to be secondary to increased serum lysozyme levels and lysozymuria-induced tubular damage. 41 The frequency of hypokalemia is so high that patients with acute myelogenous leukemia should have frequent laboratory monitoring and electrolyte supplementation as needed.…”
Section: Hypokalemia Associated With Cancermentioning
confidence: 99%
“…40 The mechanism of hypokalemia is due to inappropriate kaliuresis and has been postulated to be secondary to increased serum lysozyme levels and lysozymuria-induced tubular damage. 41 The frequency of hypokalemia is so high that patients with acute myelogenous leukemia should have frequent laboratory monitoring and electrolyte supplementation as needed.…”
Section: Hypokalemia Associated With Cancermentioning
confidence: 99%
“…wt. 13 0oO; Mason, Howes, Taylor & Ross, 1975). An additional feature of the histological distribution of light chain was the diffuse staining observed in distal tubular cells.…”
Section: Renal Handling Of Human Light Chainmentioning
confidence: 82%
“…Other workers (Rosenthal, Maglio and Moloney, 1972;Greenberger, Rosenthal and Moloney, 1973) have demonstrated in chloroleukaemic and normal rats that only prolonged elevation in serum lysozyme causes lysozymuria and hyperkaluria. Mason, Howes and Taylor (1975) found no tubular maximum (Tm) for resorption of lysozyme in the perfused rat kidney, and lysozymuria occurred even at low perfusate levels of lysozyme.…”
mentioning
confidence: 83%