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• W3012586521 abstract "Abstract Salt (NaCl) is a prerequisite for life. Excessive intake of salt, however, is said to increase disease risk, including hypertension, arteriosclerosis, heart failure, renal disease, stroke, and cancer. Therefore, considerable research has been expended on the mechanism of sodium handling based on the current concepts of sodium balance. The studies have necessarily relied on relatively short-term experiments and focused on extremes of salt intake in humans. Ultra-long-term salt balance has received far less attention. We performed long-term salt balance studies at intakes of 6, 9, and 12 g/day and found that although the kidney remains the long-term excretory gate, tissue and plasma sodium concentrations are not necessarily the same and that urinary salt excretion does not necessarily reflect total-body salt content. We found that to excrete salt, the body makes a great effort to conserve water, resulting in a natriuretic-ureotelic principle of salt excretion. Of note, renal sodium handling is characterized by osmolyte excretion with anti-parallel water reabsorption, a state-of-affairs that is achieved through the interaction of multiple organs. In this review, we discuss novel sodium and water balance concepts in reference to our ultra-long-term study. An important key to understanding body sodium metabolism is to focus on water conservation, a biological principle to protect from dehydration, since excess dietary salt excretion into the urine predisposes to renal water loss because of natriuresis. We believe that our research direction is relevant not only to salt balance but also to cardiovascular regulatory mechanisms." @default.
• W3012586521 created "2020-03-27" @default.
• W3012586521 creator A5037795671 @default.
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• W3012586521 date "2020-03-21" @default.
• W3012586521 modified "2023-10-17" @default.
• W3012586521 title "Sodium Handling and Interaction in Numerous Organs" @default.
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• W3012586521 doi "https://doi.org/10.1093/ajh/hpaa049" @default.
• W3012586521 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7402226" @default.
• W3012586521 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32198504" @default.
• W3012586521 hasPublicationYear "2020" @default.
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