Document Detail


Renal haemodynamic and hormonal responses to a mixed high-protein meal in normal men.
MedLine Citation:
PMID:  2510075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Studies in normal man have demonstrated an acute increase in glomerular filtration rate (GFR) and renal blood flow (RBF) after a mixed protein meal, but the hormonal mechanisms underlying this response are not well defined. Thirteen adult men were starved for 24 h, then fed a test meal containing 1.5 g/kg bodyweight of animal protein. Renal haemodynamics and plasma and urinary hormones were measured before and at 2 h and 4 h after the meal. GFR and RBF increased by 27% and 23% respectively at 2 h. Electrolyte excretion did not parallel and was independent of the haemodynamic changes. Plasma noradrenaline (median 350 versus 573 pg/ml), renin (0.64 versus 1.09 nmol AngI/l per h), and urinary prostaglandin E (PGE) (66.4 versus 238 pmol/min) were all significantly elevated at 2 h. In further experiments, nine of the subjects were given indomethacin 50 mg before and after the meal using the same protocol as before. In comparison with control data, GFR and RBF after indomethacin did not increase after the meal and plasma noradrenaline and renin and urinary PGE remained at baseline values. Electrolyte excretion was not affected. These results suggest that the renal response to protein feeding is partly mediated by intrarenal prostaglandins but is also part of a more complex interaction with the sympathetic nervous system.
Authors:
C P Swainson; R J Walker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association     Volume:  4     ISSN:  0931-0509     ISO Abbreviation:  Nephrol. Dial. Transplant.     Publication Date:  1989  
Date Detail:
Created Date:  1989-12-19     Completed Date:  1989-12-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706402     Medline TA:  Nephrol Dial Transplant     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  683-90     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Christchurch Hospital, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aldosterone / blood*
Catecholamines / blood*
Dietary Proteins / administration & dosage*,  pharmacology
Electrolytes / metabolism
Glomerular Filtration Rate / drug effects*,  physiology
Humans
Indomethacin / pharmacology
Male
Prostaglandins / urine*
Renal Circulation / drug effects*,  physiology
Renin-Angiotensin System / drug effects
Time Factors
Vasodilation / drug effects
Chemical
Reg. No./Substance:
0/Catecholamines; 0/Dietary Proteins; 0/Electrolytes; 0/Prostaglandins; 52-39-1/Aldosterone; 53-86-1/Indomethacin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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