Effects of indomethacin on kidney function in Type 1 (insulin-dependent) diabetic patients with nephropathy
| Autor: | H. H. Parving, B Edsberg, S. Arnold-Larsen, U. B. Olsen, Elisabeth R. Mathiesen, Eva Hommel |
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| Rok vydání: | 1987 |
| Předmět: |
Adult
medicine.medical_specialty Endocrinology Diabetes and Metabolism Urinary system Indomethacin Kidney Glomerulus Renal function Dinoprostone Nephropathy Diabetic nephropathy Excretion Random Allocation Double-Blind Method Internal medicine Internal Medicine medicine Albuminuria Humans Diabetic Nephropathies Prostaglandin E2 Type 1 diabetes business.industry Prostaglandins E Middle Aged medicine.disease Diabetes Mellitus Type 1 Endocrinology Female medicine.symptom business Glomerular Filtration Rate medicine.drug |
| Zdroj: | Diabetologia. 30:78-81 |
| ISSN: | 1432-0428 0012-186X |
| DOI: | 10.1007/bf00274575 |
| Popis: | We investigated whether the glomerular synthesis of prostaglandins modulates the glomerular filtration rate and albuminuria in diabetic nephropathy. The urinary excretion of immunoreactive prostaglandin E2 (253 pg/min) was significantly elevated in eight Type 1 (insulin-dependent) diabetic women with nephropathy as compared with nine normoalbuminuric Type 1 diabetic women (95 pg/min) and 11 non-diabetic women (132 pg/min), respectively (p less than 0.01). Glomerular filtration rate (single bolus 51Cr-EDTA technique) and albuminuria (radioimmunoassay) were measured twice within two weeks in the eight Type 1 diabetic women with nephropathy. All eight patients were on a diabetic diet without sodium restriction. The study was performed as a randomized double-blind trial, with the patients receiving either indomethacin (150 mg/day) or placebo for three days prior to the kidney function studies. Indomethacin treatment induced a significant reduction in urinary prostaglandin E2 excretion (73%, p less than 0.01), glomerular filtration rate diminished from 120 +/- 18 to 106 +/- 17 ml/min/1.73 m2 (p less than 0.05), albuminuria declined from 148 to 69 micrograms/min (median and range) (p less than 0.05) and fractional clearance of albumin diminished 42% (p less than 0.05). Blood glucose concentrations were comparable during the placebo and indomethacin treatment, 13.4 +/- 4 versus 14.2 +/- 3 mmol/l, respectively. Our results suggest that glomerular filtration rate in early diabetic nephropathy is dependent on the enhanced glomerular synthesis of vasodilating prostaglandins. |
| Databáze: | OpenAIRE |
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