ABSTRACT The concentration of calcium, magnesium and phosphate in serum was studied for 24 hours after nephrectomy in rats. An initial rise in calcium and magnesium concentration was seen whereas the phosphate concentration continued to rise. The early rise in serum calcium concentration was independent of the adrenal glands but the values after 24 hours showed subnormal serum calcium concentration in rats with intact adrenals and hypercalcaemia in rats in which the nephrectomy was done together with adrenalectomy. Acetazolamide abolished the initial hypercalcaemia seen after nephrectomy without affecting the concentration of magnesium and phosphate. A rise in the serum calcium concentration after nephrectomy was also seen in parathyroidectomized and thyro-parathyroidectomized rats. The results suggest that the initial rise in serum calcium concentration following nephrectomy is partly due to an increased parathyroid hormone activity and partly to an increased bone resorption probably induced by intracellular acidosis.
Read full abstract