Chronic glucose infusion causes sustained increases in tubular sodium reabsorption and renal blood flow in dogs

Michael W. Brands, Tracy D. Bell, Nancy A. Rodriquez, Praveen Polavarapu, Dmitriy Panteleyev

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

This study tested the hypothesis that inducing hyperinsulinemia and hyperglycemia in dogs, by infusing glucose chronically intravenously, would increase tubular sodium reabsorption and cause hypertension. Glucose was infused for 6 days (14 mg·kg-1·min-1 iv) in five uninephrectomized (UNX) dogs. Mean arterial pressure (MAP) and renal blood flow (RBF) were measured 18 h/day using DSI pressure units and Transonic flow probes, respectively. Urinary sodium excretion (UNaV) decreased significantly on day 1 and remained decreased over the 6 days, coupled with a significant, sustained increase in RBF, averaging ∼20% above control on day 6. Glomerular filtration rate and plasma renin activity (PRA) also increased. However, although MAP tended to increase, this was not statistically significant. Therefore, the glucose infusion was repeated in six dogs with 70% surgical reduction in kidney mass (RKM) and high salt intake. Blood glucose and plasma insulin increased similar to the UNX dogs, and there was significant sodium retention, but MAP still did not increase. Interestingly, the increases in PRA and RBF were prevented in the RKM dogs. The decrease in UNaV, increased RBF, and slightly elevated MAP show that glucose infusion in dogs caused a sustained increase in tubular sodium reabsorption by a mechanism independent of pressure natriuresis. The accompanying increase in PRA, together with the failure of either RBF or PRA to increase in the RKM dogs, suggests the site of tubular reabsorption was before the macula densa. However, the volume retention and peripheral edema suggest that systemic vasodilation offsets any potential renal actions to increase MAP in this experimental model in dogs.

Original languageEnglish (US)
Pages (from-to)R265-R271
JournalAmerican Journal of Physiology - Regulatory Integrative and Comparative Physiology
Volume296
Issue number2
DOIs
StatePublished - Feb 1 2009

Fingerprint

Renal Circulation
Sodium
Dogs
Glucose
Arterial Pressure
Renin
Kidney
Pressure
Natriuresis
Hyperinsulinism
Glomerular Filtration Rate
Vasodilation
Hyperglycemia
Action Potentials
Blood Glucose
Edema
Theoretical Models
Salts
Insulin
Hypertension

Keywords

  • Blood pressure
  • Metabolic syndrome
  • Sodium excretion

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)

Cite this

Chronic glucose infusion causes sustained increases in tubular sodium reabsorption and renal blood flow in dogs. / Brands, Michael W.; Bell, Tracy D.; Rodriquez, Nancy A.; Polavarapu, Praveen; Panteleyev, Dmitriy.

In: American Journal of Physiology - Regulatory Integrative and Comparative Physiology, Vol. 296, No. 2, 01.02.2009, p. R265-R271.

Research output: Contribution to journalArticle

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