The influence of intravenous furosemide on the renal excretion pattern of protein and protein degradation products

Acta Pharmacol Toxicol (Copenh). 1984 May;54(5):389-93. doi: 10.1111/j.1600-0773.1984.tb01947.x.

Abstract

To assist the attending physician who may have difficulties in deciding whether observed deviations from normal renal physiology are disease-induced or diuresis-induced we studied urinary excretion rate of proteins and protein degradation products in eight healthy male volunteers between 60 and 70 years. After a 24 hr control period in the ward the subjects received 80 mg furosemide intravenously. The 24 hr creatinine clearance was reduced from 95 +/- 9 to 83 +/- 6 ml/min. (P less than 0.05). The reduction in the 24 hr carbamide clearance from 35.8 +/- 9.4 to 33.1 +/- 6.2 ml/min. was not significant. The urinary pH was significantly increased during the first hour but after the pH showed a fall which was significant during 2-8 hours after the injection. Initially the urate excretion showed an apparent increase but from 1-8 hours after the injection significantly less urate was excreted. The 24 hr urate clearance was reduced by furosemide from 5.3 +/- 1.6 to 3.4 +/- 1.1 ml/min. (P less than 0.05) and the amount of urate excreted was reduced from 2.6 to 1.6 mmol per 24 hrs (p = 0.05). The excretion rate of beta 2-microglobulin was reduced (P less than 0.01) whereas the excretion rate of albumin was increased (P less than 0.05).

MeSH terms

  • Aged
  • Aging
  • Albuminuria / urine
  • Creatine / metabolism
  • Furosemide / pharmacology*
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Middle Aged
  • Proteinuria / physiopathology
  • Proteinuria / urine*
  • Time Factors
  • Uric Acid / urine
  • beta 2-Microglobulin / metabolism

Substances

  • beta 2-Microglobulin
  • Uric Acid
  • Furosemide
  • Creatine