PVP‐Sieving Curves as an Estimate of Glomerular Hemodynamics in HgCl2Acute Renal Failure in the Dog
作者:
R. Vanholder,
P. Lambert,
N. Lameire,
期刊:
Circulation Research
(OVID Available online 1987)
卷期:
Volume 61,
issue 3
页码: 311-317
ISSN:0009-7330
年代: 1987
出版商: OVID
关键词: acute renal failure;glomerular filtration pressure;glomerular hemodynamics;glomerular ultrafiltration coefficient;macromolecular sieving curves;mercuric chloride
数据来源: OVID
摘要:
In the present study, the pathophysiologic role of glomerular hemodynamic factors in the early phase of HgCl2-induced acute renal failure is evaluated in the dog. This model of moderate ARF is characterized by a parallel fall in glomerular filtration rate (ΔGFR, -43%) and renal blood flow (ΔRBF, -38%) within the first three hours after HgCl2administration. Glomerular hemodynamics were studied by analysis of PVP-sieving curves. There was a significant shift of these curves upward and to the right during the 3 hours that followed the injection of HgCl2. From this analysis, no arguments for tubular back-leak could be found. Mathematical analysis of the curves revealed a fall in effective filtration pressure (EFP) in presence of an unchanged glomerular ultrafiltration coefficient (Kf) (ΔEFP, -40±4%; p<0.01; AKf, +5± 1%; p>0.05 vs. control). No major changes occurred in glomerular colloid osmotic pressure. Subsequently, the early fall of GFR in this toxic model of acute renal failure was essentially attributed to a decrease of effective filtration pressure due to either tubular obstruction and/or mainly to renal hemodynamic changes.
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