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Lithium in breast milk transiently affects the renal electrolytic balance of infants

I. Ahmed, MS. Khan, V. Ma, H. Magsi, R. Gunawan, AO. Ilyas, NUR. Lashari, N. Wassan, S. Paidi, Z. Ali, AWL. Law, Y. Zhang, WC. Cho, M. Alda, V. Bergink, I. Barman, C. Lau

. 2023 ; 25 (1) : 56-65. [pub] 20221128

Jazyk angličtina Země Dánsko

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc23004390

BACKGROUND: The use of lithium during breast-feeding has not been comprehensively investigated in humans due to concerns about lithium toxicity. PROCEDURE: We analyzed lithium in the kidneys of nursed pups of lithium medicated mothers, using analytical spectroscopy in a novel rat model. The mothers were healthy rats administered lithium via gavage (1000 mg/day Li2 CO3 per 50 kg body weight). RESULTS: Lithium was detected in the breast milk, and in the blood of pups (0.08 mM), of lithium-exposed dams at post-natal day 18 (P18), during breast-feeding. No lithium was detected after breast-feeding, at P25 (4 days after cessation of nursing). The lithium pups blood had elevated urea nitrogen at P18 and reduced total T4 at P18 and P25, indicating a longer-term effect on the kidneys and the thyroid gland. Multivariate machine-learning analysis of spectroscopy data collected from the excised kidneys of pups showed elevated potassium in lithium-exposed animals both during- and after breast-feeding. The elevated renal potassium was associated with low nephrin expression in the kidneys measured immunohistochemically during breast-feeding. After lithium exposure is stopped, the filtration of lithium from the kidneys reverses these effects. Our study showed that breastfeeding during lithium use has an effect on the kidneys of the offspring in rats.

Department of Biomedical Sciences and Tung Biomedical Sciences Centre City University of Hong Kong Hong Kong SAR China

Department of Business Administration Sukkur IBA University Sukkur Pakistan

Department of Chemistry Physics and Atmospheric Sciences Jackson State University Jackson Mississippi USA

Department of Clinical Oncology Queen Elizabeth Hospital Hong Kong SAR China

Department of Electrical Engineering Sukkur IBA University Sukkur Pakistan

Department of Mechanical Engineering The University of Hong Kong Hong Kong SAR China

Department of Oncology Johns Hopkins University School of Medicine Baltimore Massachusetts USA

Department of Physics City University of Hong Kong Hong Kong SAR China

Department of Physics Federal University Oye Ekiti Ekiti State Nigeria

Department of Psychiatry Dalhousie University Halifax Canada

Department of Psychiatry Erasmus Medical Center Rotterdam The Netherlands

Department of Psychiatry Icahn School of Medicine at Mount Sinai New York City New York USA

Department of Radiology and Radiological Science Johns Hopkins University School of Medicine Baltimore Massachusetts USA

Hong Kong Centre for Cerebro Cardiovascular Health Engineering Hong Kong SAR China

Institute for Advanced Study Shenzhen University Shenzhen China

Johns Hopkins University Department of Mechanical Engineering Baltimore Massachusetts USA

Key Laboratory for Physical Electronics and Devices of the Ministry of Education and Shaanxi Key Lab of Information Photonic Technique Xi'an Jiaotong University Xi'an China

National Institute of Mental Health Klecany Czech Republic

School of Optometry University of California Berkeley California USA

Citace poskytuje Crossref.org

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