Assessment of renal function by inulin clearance: comparison with creatinine clearance as determined by enzymatic methods.

1989 ◽  
Vol 35 (2) ◽  
pp. 312-314 ◽  
Author(s):  
F S Apple ◽  
P Benson ◽  
P A Abraham ◽  
T G Rosano ◽  
C E Halstenson
Keyword(s):  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Creatinine Clearance ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
The Other ◽  
Inulin Clearance ◽  
Urinary Creatinine ◽  
Single Slide ◽  
Enzymatic Methods

Abstract We compared creatinine clearances determined by enzymatic (Kodak Ektachem 700 single-slide, Boehringer Mannheim creatinine PAP) and nonenzymatic (Jaffé, HPLC) methods with glomerular filtration rate measured by inulin clearance in patients with varying degrees of renal function. The Kodak enzymatic assay gave values for creatinine 2 to 3 mg/L higher than the other methods. This resulted in significantly lower creatinine clearances than inulin clearances and creatinine clearances determined by the other methods. However, correlations between all methods for serum and urinary creatinine values and clearances were good. To avoid between assay (enzymatic vs nonenzymatic) discrepancies, manufacturers should agree to an acceptable standard of calibration under the usual conditions used with patients.

Effects of growth hormone and IGF-I on renal function in rats with normal and reduced renal mass

1990 ◽  
Vol 259 (5) ◽  
pp. F747-F751 ◽  
Author(s):  
S. B. Miller ◽  
V. A. Hansen ◽  
M. R. Hammerman
Keyword(s):  
Growth Hormone ◽  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Renal Mass ◽  
Filtration Rate ◽  
Inulin Clearance ◽  
Mass Reduction ◽  
Contralateral Kidney ◽  
Igf I

To characterize actions of growth hormone (GH) and insulin-like growth factor ( (IGF-I) on renal function in rats with normal and reduced renal mass, we administered recombinant bovine growth hormone (bGH) or human IGF-I (hIGF-I) to normal rats or to rats that had undergone unilateral nephrectomy and two-thirds infarction of the contralateral kidney, and measured inulin and p-aminohippurate clearances over 10-17 days. Administration of either bGH (100-200 micrograms/day) or hIGF-I (200 micrograms/day) to rats with normal renal mass increased inulin and p-aminohippurate clearances compared with those measured in animals that received vehicle. Filtration fractions were not affected by either bGH or hIGF-I. Inulin clearance was decreased to approximately 17% of normal 1 day after reduction of renal mass in rats. Over the next 3 days insulin clearance increased significantly in rats with reduced renal mass that were administered vehicle. No further enhancement occurred during the next 7 days. Neither bGH nor hIGF-I affected inulin clearance in rats with reduced renal mass. We conclude that both GH and IGF-I enhance glomerular filtration rate when administered to rats with normal renal mass, but not when administered in the same quantities to rats in which renal functional mass is reduced. Glomerular filtration rate increases within 4 days of renal mass reduction independent of exogenous GH or IGF-I.

Renal function in heifers

1967 ◽  
Vol 18 (5) ◽  
pp. 841 ◽  
Author(s):  
EA Campbell ◽  
A White
Keyword(s):  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Reference Point ◽  
Filtration Rate ◽  
Test Period ◽  
Inulin Clearance ◽  
Common Reference ◽  
Standard Weight

Glomerular filtration rate (GFR) (inulin clearance) has been studied in heifers which showed marked changes in weight over the test period. It is concluded that changes in GFR are not related to the weight of the animal, but are a characteristic of the animal. It is erroneous to use a standard weight as a common reference point for cattle. Creatinine/inulin clearance ratios were all found to be greater than unity.

125I-Sodium Iothalamate in the Determination of the Glomerular Filtration Rate

1967 ◽  
Vol 06 (03) ◽  
pp. 204-310
Author(s):  
B. Malamos ◽  
A. S. Dontas ◽  
D. A. Koutras ◽  
S. Marketos ◽  
J. Sfontouris ◽  
...  
Keyword(s):  
Glomerular Filtration Rate ◽  
Clinical Practice ◽  
Creatinine Clearance ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Close Correlation ◽  
Inulin Clearance ◽  
Endogenous Creatinine Clearance ◽  
The Mean

SummaryOne hundred 125I-sodium iothalamate and endogenous creatinine clearances in 36 subjects were compared with standard inulin clearance measurements. There was a very close correlation of the urine/plasma ratios between any two of the three clearances studied, hence both labelled iothalamate and creatinine can be relied upon for the estimation of the glomerular filtration rate in clinical practice. The mean ratio of 125I-sodium iothalamate to inulin clearance was 1.01 and that of creatinine to inulin 1.03. It is concluded that the clearance of 125I-sodium iothalamate can be substituted for the clearance of inulin in clinical determinations of the glomerular filtration rate but that in centres without radioisotope facilities the endogenous creatinine clearance can be used instead.

Assessment of renal function by serum creatinine and creatinine clearance: glomerular filtration rate estimated by four procedures.

1989 ◽  
Vol 35 (12) ◽  
pp. 2326-2330 ◽  
Author(s):  
F Van Lente ◽  
P Suit
Keyword(s):  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Serum Creatinine ◽  
Creatinine Clearance ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Wide Range ◽  
Clear Method ◽  
Serum And Urine

Abstract We compared creatinine concentrations in serum and urine and creatinine clearances determined by two Jaffé (Beckman's "Astra," Boehringer Mannheim Diagnostics) and two enzymatic (Kodak, Boehringer Mannheim Diagnostics) methods. Serum creatinine and creatinine clearances determined by each method were also compared with the glomerular filtration rate as measured with use of sodium [125I]iothalamate in patients with a wide range of renal function. Results between methods correlated excellently, but we saw clear method-dependent biases of up to 2.9 mg/L for serum. The highest serum creatinine values and the lowest creatinine clearances were obtained with Boehringer Mannheim Diagnostics' Jaffé method. The reciprocal of the serum creatinine and the creatinine clearance also correlated well with the glomerular filtration rate, but all methods over-estimated the glomerular filtration rates to varying degrees. Appropriate standardization of methods appears to be as important as method principle for establishing an accurate relationship between creatinine determinations and glomerular filtration rate.

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