Dietary protein causes a decline in the glomerular filtration rate of the remnant kidney mediated by metabolic acidosis and endothelin receptors
Dietary casein promotes a progressive decline in the glomerular filtration rate (GFR) of remnant kidneys associated with metabolic acidosis and an endothelin-mediated increase in renal acidification. We tested whether diets that affect the acid–base status contributes to the decline of GFR through e...
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Veröffentlicht in: | Kidney international 2008-01, Vol.73 (2), p.192-199 |
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description | Dietary casein promotes a progressive decline in the glomerular filtration rate (GFR) of remnant kidneys associated with metabolic acidosis and an endothelin-mediated increase in renal acidification. We tested whether diets that affect the acid–base status contributes to the decline of GFR through endothelin receptors in rats with a remnant kidney. Rats on a casein diet had metabolic acidosis at baseline and developed a progressive decline in GFR after renal mass reduction. Dietary sodium bicarbonate but not sodium chloride ameliorated metabolic acidosis and prevented the decrease in GFR but only after the sodium bicarbonate-induced increase in blood pressure was treated. Dietary soy protein did not induce baseline metabolic acidosis and rats with remnant kidney on a soy diet had no decrease in their GFR. By contrast, rats with a remnant kidney on soy protein given dietary acid developed metabolic acidosis and a decreased GFR. This decline in GFR was prevented in either case by endothelin A but not endothelin A/B receptor antagonism. Our study suggests that the casein-induced decline in GFR of the remnant kidney is mediated by metabolic acidosis through endothelin A receptors. |
doi_str_mv | 10.1038/sj.ki.5002647 |
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We tested whether diets that affect the acid–base status contributes to the decline of GFR through endothelin receptors in rats with a remnant kidney. Rats on a casein diet had metabolic acidosis at baseline and developed a progressive decline in GFR after renal mass reduction. Dietary sodium bicarbonate but not sodium chloride ameliorated metabolic acidosis and prevented the decrease in GFR but only after the sodium bicarbonate-induced increase in blood pressure was treated. Dietary soy protein did not induce baseline metabolic acidosis and rats with remnant kidney on a soy diet had no decrease in their GFR. By contrast, rats with a remnant kidney on soy protein given dietary acid developed metabolic acidosis and a decreased GFR. This decline in GFR was prevented in either case by endothelin A but not endothelin A/B receptor antagonism. Our study suggests that the casein-induced decline in GFR of the remnant kidney is mediated by metabolic acidosis through endothelin A receptors.</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1038/sj.ki.5002647</identifier><identifier>PMID: 17978813</identifier><identifier>CODEN: KDYIA5</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>acid ; Acidosis - physiopathology ; albuminuria ; alkali ; Animals ; Bicarbonates - pharmacology ; Biological and medical sciences ; Blood Pressure ; bosentan ; Carbon Dioxide - blood ; Caseins - adverse effects ; darusentan ; Dietary Proteins - adverse effects ; Endothelin-1 - urine ; Glomerular Filtration Rate ; Kidneys ; Male ; Malformations of the urinary system ; Medical sciences ; Nephrectomy ; Nephrology. 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We tested whether diets that affect the acid–base status contributes to the decline of GFR through endothelin receptors in rats with a remnant kidney. Rats on a casein diet had metabolic acidosis at baseline and developed a progressive decline in GFR after renal mass reduction. Dietary sodium bicarbonate but not sodium chloride ameliorated metabolic acidosis and prevented the decrease in GFR but only after the sodium bicarbonate-induced increase in blood pressure was treated. Dietary soy protein did not induce baseline metabolic acidosis and rats with remnant kidney on a soy diet had no decrease in their GFR. By contrast, rats with a remnant kidney on soy protein given dietary acid developed metabolic acidosis and a decreased GFR. This decline in GFR was prevented in either case by endothelin A but not endothelin A/B receptor antagonism. Our study suggests that the casein-induced decline in GFR of the remnant kidney is mediated by metabolic acidosis through endothelin A receptors.</description><subject>acid</subject><subject>Acidosis - physiopathology</subject><subject>albuminuria</subject><subject>alkali</subject><subject>Animals</subject><subject>Bicarbonates - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>bosentan</subject><subject>Carbon Dioxide - blood</subject><subject>Caseins - adverse effects</subject><subject>darusentan</subject><subject>Dietary Proteins - adverse effects</subject><subject>Endothelin-1 - urine</subject><subject>Glomerular Filtration Rate</subject><subject>Kidneys</subject><subject>Male</subject><subject>Malformations of the urinary system</subject><subject>Medical sciences</subject><subject>Nephrectomy</subject><subject>Nephrology. 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We tested whether diets that affect the acid–base status contributes to the decline of GFR through endothelin receptors in rats with a remnant kidney. Rats on a casein diet had metabolic acidosis at baseline and developed a progressive decline in GFR after renal mass reduction. Dietary sodium bicarbonate but not sodium chloride ameliorated metabolic acidosis and prevented the decrease in GFR but only after the sodium bicarbonate-induced increase in blood pressure was treated. Dietary soy protein did not induce baseline metabolic acidosis and rats with remnant kidney on a soy diet had no decrease in their GFR. By contrast, rats with a remnant kidney on soy protein given dietary acid developed metabolic acidosis and a decreased GFR. This decline in GFR was prevented in either case by endothelin A but not endothelin A/B receptor antagonism. Our study suggests that the casein-induced decline in GFR of the remnant kidney is mediated by metabolic acidosis through endothelin A receptors.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17978813</pmid><doi>10.1038/sj.ki.5002647</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | acid Acidosis - physiopathology albuminuria alkali Animals Bicarbonates - pharmacology Biological and medical sciences Blood Pressure bosentan Carbon Dioxide - blood Caseins - adverse effects darusentan Dietary Proteins - adverse effects Endothelin-1 - urine Glomerular Filtration Rate Kidneys Male Malformations of the urinary system Medical sciences Nephrectomy Nephrology. Urinary tract diseases Rats Receptors, Endothelin - physiology Sodium Chloride - pharmacology |
title | Dietary protein causes a decline in the glomerular filtration rate of the remnant kidney mediated by metabolic acidosis and endothelin receptors |
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