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Title: Urinary and renal papillary solutes during cyclooxygenase inhibition with ibuprofen

Journal Article · · J. Lab. Clin. Med.; (United States)
OSTI ID:5653802

We investigated the mechanisms by which prostaglandin synthetase (cyclooxygenase) inhibitors cause antidiuresis and antinatriuresis in anesthetized dogs. Cyclooxygenase inhibition with ibuprofen caused an increased total solute (Na+, K+, and urea) concentration in the renal papilla. Xenon 133 washout studies revealed no change in medullary blood flow. Ibuprofen induced a 147% increase in papillary Na+ concentration, while increasing urea and K+ only 98% and 35%, respectively, suggesting that a Na+ reabsorption mechanism rather than decreased papillary blood flow was responsible for a majority of the increased papillary solute concentration. A decrease in the excretion of Na+, but not of K+ or urea, in treated dogs further implies increased Na+ reabsorption. Thus, it appears that cyclooxygenase inhibition increases papillary solute concentration primarily by increasing Na+ transport into the papilla.

Research Organization:
Univ. of Louisville, KY
OSTI ID:
5653802
Journal Information:
J. Lab. Clin. Med.; (United States), Vol. 110:6
Country of Publication:
United States
Language:
English