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Comparison of the natriuresis and chlorures is associated with glomerular hyperfiltration induced by atrial natriuretic factor or glucagon
Affiliation:1. Department of Clinical Medicine, Aarhus University, 8000 Aarhus C, Denmark;2. Department of Internal Medicine & Endocrinology, Aarhus University Hospital, 8200 Aarhus N, Denmark;3. Department of Medicine, Regional Hospital Horsens, 8700 Horsens, Denmark;4. The MR Research Center, Aarhus University, 8200 Aarhus N, Denmark;5. Department of Renal Medicine, Aarhus University Hospital, 8200 Aarhus N, Denmark;6. Department of Biomedicine, Aarhus University, 8000 Aarhus C, Denmark;7. Diagnostic Centre, Silkeborg Regional Hospital, 8600 Silkeborg, Denmark;8. Steno Diabetes Center, Aarhus University Hospital, 8200 Aarhus N, Denmark
Abstract:The impact on renal sodium chloride reabsorption of an acute increase in glomerular filtration rate (GFR) induced by atrial natriuretic factor (ANF) or glucagon was examined in the conscious rat. These hormones have no direct effect on proximal solute transport and have opposite effects on distal transport. ANF and glucagon increased GFR to a comparable extent (2.0 ± 0.2 to 3.5 ± 0.4 ml/min, p<0.01, and 1.9 ± 0.1 to 3.3 ± 0.1 ml/min, p<0.001, respectively). While most (95–97%) of the increment in filtered sodium chloride was reabsorbed, a small portion (3–5%) escaped tubular reabsorption. Absolute sodium and chloride urinary excretion rates increased similarly in response to each hormone, by two- to three-fold. Slightly imperfect load-dependent sodium chloride reabsorptive response by the nephron, despite opposite direct effects on distal nephron transport, may account for the observed natriuresis and chloruresis associated with the acute glomerular hyperfiltration induced by ANF or glucagon administration.
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