Decreased Diuretic Response to Furosemide in Rats with Acute Hepatic Failure
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概要
- 論文の詳細を見る
Furosemide diuresis is occasionally reduced in cirrhotic patients with ascites. To define this phenomenon, the amounts of water, electrolytes, and furosemide excreted in urine were measured in control and CCl_4-induced acute hepatic failure (AHF) rats. The diuretic action of furosemide (10mg/kg, i.v.) was reduced in AHF rats, accompanied by increased plasma aldosterone concentration and accelerated urinary K^+ excretion rate. Furosemide transiently increased the urinary inulin excretion rate (UV_<IN>) in both control and AHF rats. Then the UV_<IN> quickly returned to the baseline value in control rats, but rapidly dropped below the baseline in AHF rats. To clarify the contribution of aldosterone in these phenomena, AHF rats were adrenalectomized (ADX) and treated with or without exogenous aldosterone. The UV_<IN> in ADX rats given no infusion or a low-dose aldosterone infusion was similar in pattern to that of the control group, but the UV_<IN> in the ADX rats given a high-dose aldosterone infusion showed a pattern similar to that of the AHF rats not adrenalectomized. These findings indicate that an increase in plasma aldosterone concentration is an important factor responsible for the decreased diuretic action of furosemide, along with the reduced glomerular filtration rate.
- 公益社団法人日本薬学会の論文
著者
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Hayashi Yoshie
Department Of Pharmacy Kyoto University Hospital Faculty Of Medicine Kyoto University
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Hayashi Yoshie
京都大学医学部附属病院 薬剤
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Hayashi Yoshie
Department Of Basic Pharmaceutics Faculty Of Pharmaceutical Sciences Kyoto University
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KAMIYA Akira
Department of Pharmacy, Yamaguchi University Hospital
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HORI Ryohei
Department of Pharmacy, Kyoto University Hospital
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INUI Kenichi
Department of Pharmacy Kyoto University Hospital, Faculty of Medicine, Kyoto University
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Kamiya A
Yamaguchi Univ. Hospital Yamaguchi Jpn
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HORI Ryohei
Pharmaceutical Research and Technology Institute
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Hori Ryohei
Department Of Pharmacy Kyoto University Hospital:product Development Laboratory Sankyo Co. Ltd.
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HUANG Ye
Department of Pharmacy, Kyoto University Hospital, Faculty of Medicine, Kyoto University
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Kamiya Akira
Department Of Biomedical Engineering University Of Tokyo
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Huang Ye
Department Of Pharmacy Kyoto University Hospital Faculty Of Medicine Kyoto University
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Hori Ryohei
Department Of Hospital Pharmacy School Of Medicine Kobe University : Department Of Pharmacy Kyoto Un
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Kamiya Akira
Department Of Pharmacy Kyoto University Hospital Faculty Of Medicine Kyoto University:department Of
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Inui Kenichi
Department Of Pharmacy Kyoto University Hospital
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Inui Ken‐ichi
Kyoto Univ. Hospital Kyoto Jpn
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Hori R
Laboratory Of Cell Structure And Function Wood Research Institute Kyoto University
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Hayashi Y
Life Science Laboratories Central Research Laboratories Ajinomoto Co. Inc.:pharmaceuticals Research
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Inui Ken-ichi
Department Of Pharmacy Faculty Of Medicine Kyoto University Hospital Kyoto University
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