The Effects of Oral Chloroquine Administration on Kidney Function
作者:
MusabayaneC. T.,
NdhlovuC. E.,
BalmentR. J.,
期刊:
Renal Failure
(Taylor Available online 1994)
卷期:
Volume 16,
issue 2
页码: 221-228
ISSN:0886-022X
年代: 1994
DOI:10.3109/08860229409044862
出版商: Taylor&Francis
关键词: Aldosterone;Antimalarial drugs;Blood pressure;Chloroquine;Malaria;Renal function;Sodium
数据来源: Taylor
摘要:
The effects of 3 consecutive days of oral chloroquine (1 mg/100 g body weight) on kidney function and blood pressure were studied in male Sprague—Dawley rats that were challenged with hypotonic saline infusion 24 h after the last chloroquine administration. The rats were anesthetized with Inactin [5 ethyl-5-(1′-methylpropyl)-2-thiobarbiturate, Byk Gulden] and continuously infused with 0.077 M NaCl for 8 h; urine flow and electrolyte excretion rates were monitored during the last 5 h. Blood pressure and glomerular filtration rates were also measured. Kidney function was compromised in chloroquine-treated rats, which retained significantly more of the infused Na+and Cl−by comparison to control-vehicle-treated rats. Throughout the experimental period, chloroquine-treated rats exhibited low blood pressure (80 mm Hg vs. 127 mm Hg) which was associated with low glomerular filtration rate. The plasma aldosterone concentrations were significantly (p<0.01) elevated in rats pretreated with chloroquine at the end of the 8-h infusion of hypotonic saline, but corticosterone levels were significantly (p<0.01) lower in the treated rats. It is concluded that chloroquine administration impairs kidney function, resulting in inappropriate Na+and Cl−retention. This effect is likely to be mediated via chloroquine-induced increases in plasma aldoster-one concentration and lowering of GFR.
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