Effects of a protein load in patients with early chronic renal failure before and after angiotensin II blockade.

Abstract:

:We studied the effects of mid-term enalapril administration on protein-load-induced renal responses in 10 patients with early chronic renal failure (serum creatinine 2.70 +/- 1.0 mg/dl). The oral protein load was performed twice, before and after a 10-day therapy with enalapril. Glomerular filtration rate (125I-iothalamate clearance) rose from 22.5 +/- 10.6 to 60.1 +/- 32.8 ml/min after the protein load before enalapril; it did not change after the protein load during enalapril therapy. Percent fractional excretion of sodium, urinary osmolality and free water clearance were significantly affected only by the protein load before enalapril. Enalapril blunts the protein-load-induced changes in glomerular filtration rate and in tubular function; these effects might be mediated by angiotensin II blockade.

journal_name

Nephron

journal_title

Nephron

authors

Oldrizzi L,Rugiu C,Maschio G

doi

10.1159/000185624

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

174-7

issue

2

eissn

1660-8151

issn

2235-3186

journal_volume

52

pub_type

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