INVITRO EFFECTS OF CYCLOSPORINE ON GLOMERULAR FUNCTION

被引:13
作者
WIEGMANN, TB [1 ]
SHARMA, R [1 ]
DIEDERICH, DA [1 ]
SAVIN, VJ [1 ]
机构
[1] UNIV KANSAS,MED CTR,KIDNEY & UROL RES CTR,KANSAS CITY,KS 66103
关键词
cyclosporine; glomerular filtration rate; glomerular function; kidney; glomerulus;
D O I
10.1097/00000441-199003000-00001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cyclosporine A (CsA) causes vasoconstriction and decrease in glomerular filtration rate. Experiments were conducted in isolated glomeruli to study effects of CsA of glomerular perfusion and independent of systemic or renal factors. CsA caused a dose dependent decrease in glomerular volume consistent with mesangial contraction. The ultrafiltration coefficient Kf was significantly lower after incubation in 4 x 10-4 M CsA when compared to control (2.81 ± 0.2 vs 5.19 ± 0.5 nl/min x Hg; p < 0.001). Hydraulic conductivity L(p) was diminished by CsA from 2.69 ± 0.11 to 1.41 ± 0.05 μl/min x mm Hg x cm2 (p < 0.001). These findings demonstrate a direct effect of CsA on the glomerulus which must be considered in addition to drug-induced changes in perfusion and tubular function.
引用
收藏
页码:149 / 152
页数:4
相关论文
共 19 条
[1]   GLOMERULAR HEMODYNAMICS AND HORMONAL PARTICIPATION ON CYCLOSPORINE NEPHROTOXICITY [J].
BARROS, EJG ;
BOIM, MA ;
AJZEN, H ;
RAMOS, OL ;
SCHOR, N .
KIDNEY INTERNATIONAL, 1987, 32 (01) :19-25
[2]  
BENNETT WM, 1986, CLIN NEPHROL, V25, pS126
[3]   USE OF THE ISOLATED PERFUSED KIDNEY MODEL TO ASSESS THE ACUTE PHARMACOLOGICAL EFFECTS OF CYCLOSPORINE AND ITS VEHICLE, CREMOPHOR EL [J].
BESARAB, A ;
JARRELL, BE ;
HIRSCH, S ;
CARABASI, RA ;
CRESSMAN, MD ;
GREEN, P .
TRANSPLANTATION, 1987, 44 (02) :195-201
[4]   EVIDENCE THAT RENAL PROSTAGLANDIN AND THROMBOXANE PRODUCTION IS STIMULATED IN CHRONIC CYCLOSPORINE NEPHROTOXICITY [J].
COFFMAN, TM ;
CARR, DR ;
YARGER, WE ;
KLOTMAN, PE .
TRANSPLANTATION, 1987, 43 (02) :282-285
[5]   CYCLOSPORINE IN THERAPEUTIC DOSES INCREASES RENAL-ALLOGRAFT VASCULAR-RESISTANCE [J].
CURTIS, JJ ;
DUBOVSKY, E ;
WHELCHEL, JD ;
LUKE, RG ;
DIETHELM, AG ;
JONES, P .
LANCET, 1986, 2 (8505) :477-479
[6]   MODIFICATION OF EXPERIMENTAL NEPHROTOXICITY WITH FISH OIL AS THE VEHICLE FOR CYCLOSPORINE [J].
ELZINGA, L ;
KELLEY, VE ;
HOUGHTON, DC ;
BENNETT, WM .
TRANSPLANTATION, 1987, 43 (02) :271-274
[7]  
JACKSON NM, 1987, J PHARMACOL EXP THER, V242, P749
[8]  
JAMESON MD, 1989, CLIN RES, V37, pA951
[9]   CYCLOSPORINE NEPHROTOXICITY - SODIUM-EXCRETION, AUTOREGULATION, AND ANGIOTENSIN-II [J].
KASKEL, FJ ;
DEVARAJAN, P ;
ARBEIT, LA ;
PARTIN, JS ;
MOORE, LC .
AMERICAN JOURNAL OF PHYSIOLOGY, 1987, 252 (04) :F733-F742
[10]  
KLINTMALM G, 1987, NEPHROLOGIE, V8, P131