Association between angiotensin converting enzyme gene polymorphism and clinical features in autosomal dominant polycystic kidney disease.

We investigated the association between angiotensin converting enzyme (ACE) gene polymorphism and clinical manifestations in 47 patients with autosomal dominant polycystic kidney disease (ADPKD). One-hundred, age- and sex-matched subjects with non-ADPKD served as the controls. ACE gene polymorphism was analysed using a GeneAnp kit. Renal size was determined by abdominal CT scan, by adding the longitudinal axis of each kidney. Incidence of extrarenal complication was also examined. Out of 47 patients, 24 patients (51%) were II, 18 (38%) ID and 5 (11%) DD type. The frequencies of the I and D alleles as well as the distributions of ACE genotypes in ADPKD did not differ from those in controls. The number of patients undertaking renal replacement therapy was 11 in II (46%), 6 (33%) in ID and 2 (40%) in DD genotype, respectively, that was not significantly different among the groups. The mean age of the initiation of renal replacement therapy did not vary among the three genotypes. The slopes of 1/serum creatinine did not differ between II and ID genotypes, whose initial serum creatinine levels ranged from 1.5 to 2.5 mg/dl. Renal size, blood pressure, and extrarenal complications including liver cysts and cardiac valvular disease were unrelated to the ACE genotypes. The present data suggested the irrelevance of ACE gene polymorphism in clinical manifestations in patients with ADPKD.

Effect of glucagon infusion on renal hemodynamics in normal subjects and patients with chronic glomerulonephritis.

The effect of glucagon infusion (15-20 ng/kg/min, for one hour) on renal hemodynamics was examined in normal subjects and in patients with chronic glomerulonephritis (CGN). In normal subjects, the glomerular filtration rate (GFR) was significantly increased by glucagon with a concomitant rise in effective renal plasma flow (ERPF) and filtration fraction (FF) (GFR/ERPF). In renal patients with a baseline GFR of above 90 ml/min/l/73 m2, GFR was significantly increased in response to glucagon, without a significant rise in ERPF. The patients whose baseline GFR ranged from 40-90 ml/min had no significant increase in GFR, while ERPF rose significantly. These results suggest that the renal hemodynamic response to glucagon infusion were modified by the level of baseline GFR in patients with chronic glomerulonephritis.

Environmental effects of natural radionuclides from coal-fired power plants.

The assessment of the environmental effects of natural radionuclides contained in fly ash released from a coal-fired power plant was carried out and the following results were obtained. Mean concentrations of U, Th and K in 28 kinds of domestic and foreign coals were 1.0 ppm, 3.3 ppm and 2300 ppm, respectively. A good correlation between U and Th concentrations appears evident. Natural radionuclide concentrations of bottom and fly ashes were approximately equal in both ashes, and the values were the same as those calculated by concentration in coal divided by ash content. Release rates of 40K and radionuclides of each decay chain of U or Th were evaluated in the range of 2 to 40,000 pCi/sec for model coal-fired power plants of 1000 MW and 250 MW. The natural radionuclide concentration in air in a plume at the maximum concentration point was 5 X 10(-9) to 5 X 10(-3) pCi/m3, and these values were below 1/200 of those of natural origin.