Effects of citrate on urinary calcium excretion

Miner Electrolyte Metab. 1989;15(6):353-8.

Abstract

Thyroparathyroidectomized rats were studied during control, citrate infusion, and recovery periods to analyze the effects of citrate on urinary calcium excretion. The rats were infused with human PTH-(1-34) at a constant rate throughout the experiments that produced physiologic circulating PTH activity. Ultrafiltrable calcium was measured with a micropartition system while maintaining constant the pH and PCO2 of the sample. The plasma acid-base status, filtered load of calcium, and urinary sodium excretion rate did not vary during citrate infusion. The urinary calcium excretion rate increased from 71 +/- 9 nmol/min/g kidney during control period to 122 +/- 22 nmol/min/g kidney (p less than 0.05) during citrate infusion, and then returned below control levels during recovery period. A strong positive linear relationship was observed between the urinary excretion rates of calcium and citrate (r = 0.88; p less than 0.001). We conclude that tubular fluid citrate inhibits renal calcium reabsorption probably by forming calcium-citrate complexes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calcium / administration & dosage
  • Calcium / blood
  • Calcium / urine*
  • Citrates / blood
  • Citrates / pharmacology*
  • Citrates / urine
  • Extracellular Space / drug effects
  • Extracellular Space / metabolism
  • Humans
  • Kidney / drug effects
  • Kidney / metabolism*
  • Male
  • Metabolic Clearance Rate
  • Parathyroid Hormone / pharmacology
  • Rats
  • Rats, Inbred Strains
  • Sodium / pharmacokinetics
  • Sodium / urine

Substances

  • Citrates
  • Parathyroid Hormone
  • Sodium
  • Calcium