Renal response to an oral protein load in patients with central diabetes insipidus before and after treatment with vasopressin.


Journal

Journal of nephrology
ISSN: 1724-6059
Titre abrégé: J Nephrol
Pays: Italy
ID NLM: 9012268

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 05 10 2018
accepted: 18 12 2018
pubmed: 20 2 2019
medline: 15 8 2020
entrez: 20 2 2019
Statut: ppublish

Résumé

Different factors have been hypothesized to play a role in the cascade of events associated with the protein-induced glomerular response. However, scant data are available on the possible functional effect of vasopressin (VP) on the glomerular filtration rate (GFR) in humans with central diabetes insipidus (CDI), which was the aim of the present study. Renal function was studied under fasting conditions (baseline) and after a meat meal in 16 patients with CDI before and after treatment with desmopressin (DDAVP) and in 16 control subjects. GFR was measured by the inulin method. At baseline, the GFR was lower in patients with CDI. Treatment with DDAVP resulted in an insignificant increase in GFR, which was not statistically different from untreated patients. After an acute oral protein load, the GFR increased, peaking at 45 min post meal in controls, and at 135 min post meal in treated and untreated CDI patients. After a meat meal, the peak GFR response is delayed in CDI patients suggesting that VP might indirectly affect tubule-glomerular feedback.

Identifiants

pubmed: 30778919
doi: 10.1007/s40620-018-00575-x
pii: 10.1007/s40620-018-00575-x
doi:

Substances chimiques

Antidiuretic Agents 0
Dietary Proteins 0
Sodium 9NEZ333N27
Deamino Arginine Vasopressin ENR1LLB0FP

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

411-415

Références

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Auteurs

Davide Viggiano (D)

Division of Nephrology, Department of Scienze mediche traslazionali, Università della Campania "L. Vanvitelli", Padiglione 17, via Pansini 5, 80131, Naples, Italy. davide.viggiano@unimol.it.

Natale G De Santo (NG)

Università della Campania "L. Vanvitelli", Naples, Italy.

Nagoth Joseph Amruthraj (NJ)

Division of Nephrology, Department of Scienze mediche traslazionali, Università della Campania "L. Vanvitelli", Padiglione 17, via Pansini 5, 80131, Naples, Italy.

Giovanna Capolongo (G)

Division of Nephrology, Department of Scienze mediche traslazionali, Università della Campania "L. Vanvitelli", Padiglione 17, via Pansini 5, 80131, Naples, Italy.

Giovambattista Capasso (G)

Division of Nephrology, Department of Scienze mediche traslazionali, Università della Campania "L. Vanvitelli", Padiglione 17, via Pansini 5, 80131, Naples, Italy.
Biogem Scarl, Istituto di Ricerche Gaetano Salvatore, Ariano Irpino, Italy.

Pietro Anastasio (P)

Division of Nephrology, Department of Scienze mediche traslazionali, Università della Campania "L. Vanvitelli", Padiglione 17, via Pansini 5, 80131, Naples, Italy.

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