scholarly journals Erythropoietin down-regulates proximal renal tubular reabsorption and causes a fall in glomerular filtration rate in humans

2011 ◽  
Vol 589 (6) ◽  
pp. 1273-1281 ◽  
Author(s):  
Niels Vidiendal Olsen ◽  
Niels-Jacob Aachmann-Andersen ◽  
Peter Oturai ◽  
Thor Munch-Andersen ◽  
Andreas Bornø ◽  
...  
1956 ◽  
Vol 185 (3) ◽  
pp. 533-538 ◽  
Author(s):  
Fredrik Berglund ◽  
William D. Lotspeich

The sulfate Tm varies in the dog directly with the glomerular filtration rate. Sulfate Tm is markedly depressed by the intravenous injection of as little as 0.1 gm sodium chloride/kg body weight. Maximum depression is obtained first 50 minutes after the injection. Xylose, urea and mannitol have no effect on sulfate Tm. The effect of sodium chloride is therefore not due to an osmotic action, but seems to depend on an increased level of sodium or chloride ions in the glomerular filtrate.


1963 ◽  
Vol 40 (2) ◽  
pp. 335-341
Author(s):  
W. N. HOLMES ◽  
R. L. McBEAN

1. Variations in the glomerular filtration rate (G.F.R.) and the renal tubular reabsorption of water are probably important factors in the homoiostatic mechanisms associated with the euryhalinity of the rainbow trout (Salmo gairdneri). 2. The observed reduction in urine flow after the adaptation of rainbow trout to sea water can be largely accounted for on the basis of the reduced G.F.R. 3. Intraperitoneal injections of mammalian preparations of vasopressin, oxytocin and vasopressin/oxytocin into freshwater trout significantly increased the G.F.R. 4. The intraperitoneal injection of aldosterone into freshwater fish had no detectable effect on G.F.R. 5. The similar administration of corticosterone significantly reduced the G.F.R. to 73% of the intact freshwater control value.


2019 ◽  
Vol 104 (6) ◽  
pp. e28.1-e28
Author(s):  
L Dhondt ◽  
S Croubels ◽  
P De Paepe ◽  
P De Cock ◽  
M Devreese

BackgroundOver the years pigs were promoted as potential animal model for humans due to their high degree of anatomical and physiological similarities with humans. Gasthuys et al. demonstrated that the maturation of the kidney function in terms of the glomerular filtration rate (GFR) in growing pigs was comparable to humans, but no data are currently available on renal plasma flow, renal tubular secretion and reabsorption.1 The aim of this pilot study was to unravel the contribution of distinct renal elimination processes in juvenile pigs and to compare with reported human values.MethodsEight seven-week-old pigs were intravenously administered a single bolus of a cocktail of following renal markers: iohexol (64.7 mg/kg body weight (BW), GFR), para-aminohippuric acid (PAH, 10 mg/kg BW, effective renal plasma flow (ERPF) and anion secretion), pindolol (0.05 mg/kg BW, cation secretion) and fluconazole (0.5 mg/kg, tubular reabsorption). Plasma and urinary concentrations were determined for PAH, pindolol and fluconazole at several time points. Only plasma concentrations were assessed for iohexol. PK modelling was performed with Phoenix® WinNonlin®.ResultsThe clearance of iohexol was 97.9 ± 16.1 ml/min/m² (mean ± SD). The ERPF, calculated as the renal clearance of PAH, was 9.5 ± 2.1 ml/min/kg. These GFR and ERPF values are approximately a factor 1.3 higher than the values observed in humans, namely 63.5–75.0 mL/min/m² and 6.5 ± 2.0 mL/min/kg.2,3 The net tubular secretion of PAH was 5.4 ± 1.8 mL/min/kg, which was comparable with the values obtained in humans (5.0 ± 1.8 mL/min/kg).3 Results for cation secretion and tubular reabsorption are not yet available (to be presented at the congress).ConclusionThe net tubular secretion of PAH was comparable between the juvenile pigs and humans. The GFR and ERPF were generally a factor 1.3 higher in juvenile pigs compared to humans.ReferencesGasthuys E., et al., Postnatal maturation of the glomerular filtration rate in conventional growing piglets as potential juvenile animal model for preclinical pharmaceutical research. Frontiers in Pharmacology 2017. 8.Schwartz GJ, Furth SL. Glomerular filtration rate measurement and estimation in chronic kidney disease. Pediatric Nephrology 2007;22(11):1839–1848.Gross AS, et al., Simultaneous administration of a cocktail of markers to measure renal drug elimination pathways: absence of a pharmacokinetic interaction between fluconazole and sinistrin, p-aminohippuric acid and pindolol. British Journal of Clinical Pharmacology 2001. 51(6):547–555.Disclosure(s)This study was funded by the Special Research Fund of Ghent University (BOF16/DOC/285).


1965 ◽  
Vol 50 (1) ◽  
pp. 79-94 ◽  
Author(s):  
A. Vitelli ◽  
C. Cattaneo ◽  
P. F. Martini

ABSTRACT The glomerular filtration rate (GFR) and maximum tubular reabsorption of glucose (TmG) were measured in 24 cases of diabetes mellitus. The patients, who were of different ages, varied with regard to the severity and duration of the disease and 11 patients showed clinical and functional evidence of vascular disease. The GFR and TmG were diminished in almost 50 per cent of cases, and the diminution of the two factors was closely correlated. The incidence of these renal functional changes was almost the same in the group of diabetics with vascular disease as in the group without complications. The GFR and TmG were not correlated with the age of the patients or with the severity of diabetes, though these factors were to some extent correlated with the duration of the disease. No relationship was observed between the incidence of impairment of the renal function and sex. The examinations carried out in this series of cases as well as in a number of normal subjects suggest various considerations with regard to the value of the various techniques which have been proposed for the measurement of the TmG.


1993 ◽  
Vol 85 (6) ◽  
pp. 733-736 ◽  
Author(s):  
R. Rustom ◽  
J. S. Grime ◽  
P. Maltby ◽  
H. R. Stockdale ◽  
M. J. Jackson ◽  
...  

1. The new method developed to measure renal tubular degradation of small filtered proteins in patients with normal renal function, using radio-labelled aprotinin (Trasylol) (R. Rustom, J. S. Grime, P. Maltby, H. R. Stockdale, M. Critchley, J. M. Bone. Clin Sci 1992; 83, 289–94), was evaluated in patients with chronic renal failure. 2. Aprotinin was labelled with either 99mTc (40 MBq) or 131I (0.1 MBq), and injected intravenously in nine patients, with different renal pathologies. 51Cr-EDTA clearance (corrected for height and weight) was 40 + 5.4 (range 11.2-81) ml min−1 1.73 m−2. Activity in plasma and urine was measured over 24–48 h, and chromatography on Sephadex-G-25-M was used to separate labelled aprotinin from free 99mTcO4− or 131I−. Renal uptake was measured for 99mTc-labelled aprotinin only. 3. The volume of distribution was 20.2 + 2.3 litres. Chromatography showed all plasma activity as undegraded aprotinin, and urine activity only as the free labels (99mTcO4− or 131I−). 4. As in patients with normal renal function, activity in the kidney appeared promptly, with 5.7 + 2.5% of the dose detected even at 5 min. Activity rose rapidly to 9.4 + 1.6% of dose after 1.5 h, then more slowly to 15.0 + 0.5% of dose at 4.5 h, and even more slowly thereafter, reaching 24.1 + 2.8% of dose at 24 h. Extra-renal uptake was again insignificant, and both 99mTcO4− and 131I− appeared promptly in the urine, with similar and uniform rates of excretion over 24 h. 5. Both tubular uptake at 24 h and the rate of tubular metabolism over 24 h were lower than in the patients with normal renal function studied previously, but only the rate of tubular metabolism was directly related to the glomerular filtration rate (r = 0.75, P <0.02). 6. Correction for the reduced glomerular filtration rate yielded values for both tubular uptake (0.67 + 0.14 versus 0.32 + 0.03% of dose/ml of glomerular filtration rate, P <0.005), and tubular metabolism (0.033 + 0.07 versus 0.015 + 0.001% of dose h−1 ml−1 of glomerular filtration rate, P <0.005) that were higher by comparison with those for patients with normal renal function studied previously. 7. Fractional renal degradation of 99mTc-aprotinin (in h−1), derived from the mean rate of urinary excretion of the free isotope over a given interval, divided by the mean cumulative kidney uptake over the same interval, also fell steeply early, and then more slowly to 0.07 + 0.01 h−1 at 14.25 h (between 4.5 and 24 h). 8. It is concluded that the method described previously is also suitable in patients with chronic renal failure, allowing further research into renal disease progression.


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