Renal excretion of creatinine in the rat

1961 ◽  
Vol 200 (1) ◽  
pp. 167-169 ◽  
Author(s):  
Lewis Glasser

The exogenous creatinine clearance was measured in rats using a technique of constant intravenous infusion, and was compared with simultaneous measurement of the radioinulin clearance. Creatinine/inulin clearance ratios were significantly higher than unity at plasma concentrations of creatinine less than 150 mg%, indicating tubular secretion of creatinine. At higher plasma creatinine concentrations (150–500 mg%) the clearance ratios were depressed and did not differ significantly from one. It is concluded that at higher plasma creatinine concentrations the exogenous creatinine clearance may be used as an estimate of glomerular filtration rate.

Toxins ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 635 ◽  
Author(s):  
Caroline C. Pelletier ◽  
Mikael Croyal ◽  
Lavinia Ene ◽  
Audrey Aguesse ◽  
Stephanie Billon-Crossouard ◽  
...  

Gut microbiota-dependent Trimethylamine-N-oxide (TMAO) has been reported to be strongly linked to renal function and to increased cardiovascular events in the general population and in Chronic Kidney Disease (CKD) patients. Considering the lack of data assessing renal handling of TMAO, we conducted this study to explore renal excretion and mechanisms of accumulation of TMAO during CKD. We prospectively measured glomerular filtration rate (mGFR) with gold standard methods and plasma concentrations of trimethylamine (TMA), TMAO, choline, betaine, and carnitine by LC-MS/MS in 124 controls, CKD, and hemodialysis (HD) patients. Renal clearance of each metabolite was assessed in a sub-group of 32 patients. Plasma TMAO was inversely correlated with mGFR (r2 = 0.388, p < 0.001), confirming elevation of TMAO plasma levels in CKD. TMAO clearances were not significantly different from mGFR, with a mean ± SD TMAO fractional excretion of 105% ± 32%. This suggests a complete renal excretion of TMAO by glomerular filtration with a negligible participation of tubular secretion or reabsorption, during all stages of CKD. Moreover, TMAO was effectively removed within 4 h of hemodiafiltration, showing a higher fractional reduction value than that of urea (84.9% ± 6.5% vs. 79.2% ± 5.7%, p = 0.04). This study reports a strong correlation between plasma TMAO levels and mGFR, in CKD, that can be mainly related to a decrease in TMAO glomerular filtration. Clearance data did not support a significant role for tubular secretion in TMAO renal elimination.


Animals ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 1027
Author(s):  
Lenka Stroobant ◽  
Siska Croubels ◽  
Laura Dhondt ◽  
Joske Millecam ◽  
Siegrid De Baere ◽  
...  

The aim of the current study was to investigate the simultaneous measurement of plasma p-aminohippuric acid (PAH) clearance as a potential marker to assess effective renal plasma flow (eRPF) and tubular secretion (TS), and the plasma clearance of iohexol (IOH) as a marker of the glomerular filtration rate in poultry species. The PAH was administered intravenously (IV) to broiler chickens, layers, turkeys, Muscovy ducks, and pigeons. Each animal received successively a single bolus dose of 10 mg PAH/kg bodyweight (BW) and 100 mg PAH/kg BW to assess the eRPF and TS, respectively. Simultaneously with both PAH administrations, a single IV bolus of 64.7 mg/kg BW of IOH was administered. A high linear correlation (R2 = 0.79) between eRPF, based on the clearance of the low dose of PAH, and BW was observed for the poultry species. The correlation between TS, based on the clearance of the high dose of PAH, and BW was moderate (R2 = 0.50). Finally, a moderate correlation (R2 = 0.68) was demonstrated between GFR and eRPF and between GFR and TS (R2 = 0.56). This presented pharmacokinetic approach of the simultaneous administration of IOH and PAH enabled a simultaneous evaluation of eRPF/TS and GFR, respectively, in different poultry species.


1958 ◽  
Vol 193 (2) ◽  
pp. 371-374 ◽  
Author(s):  
Richard T. Jones ◽  
William D. Blake

The renal excretion of epinephrine was studied in dogs anesthetized with sodium pentobarbital. Epinephrine in plasma and urine was quantitatively estimated by the fluorometric method of Lund. Glomerular filtration rate (creatinine clearance), renal plasma flow (PAH clearance) and PAH transport were employed as parameters of renal function. During periods of intravenous infusion of epinephrine, the percentage of hormone excreted was about 4.6% of that infused. The renal clearance of epinephrine was significantly greater than the glomerular filtration rate though less than renal plasma flow. From this and other information it was concluded that epinephrine is excreted both by tubular transport (tubular secretion) and glomerular filtration. The tubular transport of epinephrine was not inhibited by either 2,4-dinitrophenol or an adrenergic blocking agent.


1999 ◽  
Vol 54 (4) ◽  
pp. 121-126 ◽  
Author(s):  
Mário Cícero Falcão ◽  
Yassuhiko Okay ◽  
José Lauro Araújo Ramos

Fluid management and dosage regimens of drugs in preterm infants should be based on the glomerular filtration rate. The current methods to determine glomerular flitration rate are invasive, time-consuming, and expensive. In contrast, creatinine clearance can be easy obtained and quickly determined. The purpose of this study was to compare plasma creatinine on the third and seventh day of life in preterm newborn infants, to evaluate the influence of maternal creatinine, and to demonstrate creatinine clearance can be used as a reliable indicator of glomerular filtration rate. We developed a prospective study (1994) including 40 preterm newborns (gestational age < 37 weeks), average = 34 weeks; birth weight (average) = 1840 g, in the first week of life. Inclusion criteria consisted of: absence of renal and urinary tract anomalies; O2 saturation 3 92%; adequate urine output (>1ml/kg/hr); normal blood pressure; absence of infections and no sympathomimetic amines in use. A blood sample was collected to determine plasma creatinine (enzymatic method) on the third and seventh day of life and creatinine clearance (CrCl) was obtained using the following equation: <IMG SRC="http:/img/fbpe/rhc/v54n4/1065e1.gif" WIDTH=287 HEIGHT=96>, k = 0.33 in preterm infant All plasma creatinine determinations showed normal values [third day: 0.78 mg/dl ± 0.24 (mean ± SD)and seventh day: 0.67 mg/dl ± 0.31 - (p>0.05)]. Also all creatinine clearance at third and seventh day of life were normal [third day: 19.5 ml/min ± 5.2 (mean ± SD) and seventh day: 23.8 ml/min ± 7.3 - (p>0,05)]. All preterm infants developed adequate renal function for their respective gestational age. In summary, our results indicate that, for clinical practice, the creatinine clearance, using newborn length, can be used to estimate glomerular filtration rate in preterm newborn infants.


1988 ◽  
Vol 255 (6) ◽  
pp. R936-R939
Author(s):  
D. A. Gray ◽  
T. Erasmus

In conscious kelp gulls, intravenous infusion of arginine vasotocin (AVT) at rates of 0.03, 0.1, 0.3, and 1.0 ng.kg-1.min-1 resulted in a linear relationship between the log values of the AVT plasma concentrations (measured by radioimmunoassay) and the infusion rates, which indicated a plasma clearance rate for AVT of 15.4 ml.min-1.kg-1 when endogenous AVT formation is considered. Evaluation of the renal actions of AVT at each dose level showed that antidiuresis was consistently associated with reductions in glomerular filtration rate as well as changes in tubule water permeability. Thus the water-conserving action of plasma AVT on the kelp gull kidney involves contributions from both glomerular and tubular mechanisms over the entire physiological range found in these birds.


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