Type of research: basic Duration from: 01/01/91. to 12/31/93. Papers on project (total): 62
Papers on project quoted in Current Contents: 5
Institution name: Farmaceutsko-biokemijski fakultet, Zagreb (6) Department/Institute: Department of Parmacology Faculty of Pharmacy and Biochemistry University of Zagreb Address: Domagojeva 2 City: 10000 - Zagreb, Croatia
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Summary: Inside the kidney, there are performed numerous and very
complex selective reabsorption processes or elimination of electrolytes,
substrates, drugs, their metabolites and other harmful by-products. On
that way homeostatic regulation of body fluids is achived and creation of
end-urine. The substances transit processes are performed paracellular or
transcellular with help of transporters which are located in luminal and /
or basolateral membranes in particular nephron segments. Those
investigations made efforts to explain regulatory mechanisms and
functional dynamism of particular membrain protein - transporters (ionic
pump, co-transporters, antiporters, ionic channels). About twenty of renal
and extrarenal hormones and mediators are involved in regulation of ion
transport mechanisms such as: angiotensin II, aldosterone, vasopressin,
Na-uretic hormone, dopamine, prostaglandins etc.. It is established that
angiotensin II, beside already known vasoactive effect, stimulation of
aldosterone secretion and blood pressure increase, also act directly on
kidney tubules through specific receptors. At least two of its
isoreceptors, with low and high affinity exist in basolateral membrane of
proximal tubules. Milimolar concentrations of angiotensin II, added from
the peritubular side of tubule, have shown mild depolarization of cell
potential, which is formed as signal transduction reflection of
low-affinity isoreceptor on diminishing c-AMP and increasing
Na/H-antiporter activity located in luminal membrane. On that way
stimulation of Na-ions reabsorption was achived. In patients with clinical
manifested essential hypertension it is also increased Na/H-exchanger
activity which is identical with in vivo experimental information.
Investigation on cellular level also showed that pharmacological diuretic,
amiloride, interacts inside the kidney with several transport processes.
As long as micromolar concentrations inhibit Na-channels in distal tubules
and colecting ducts, milimolar concentrations inhibit Na/H antiporter and
potassium conductance in basolateral membrane of proximal tubules. This
means that, depend on amiloride concentration, its cathions
non-selectivity is proved. Interferences between antirheumatics and
tubular transport processes are still not completely cleared. It has
shown that diclofenac beside the inhibiton of prostaglandins and
stimulation of vasopressin interfere with renal blood flow as well as with
tubular ion transport by which increase of dissolved substances and
consequently diminished diuresis are achived. With additional furosemide
application it is possible to prevent diminished diuresis caused by
diclofenac. Optimal doses are stated with kinetics of each medicine
folowing it separately and together. Some diuretics of plant origin has
also been defined more accurate with biological experiments on intacted
rats. Clinical investigations in adult patients or children with
different acute or chronical kind of kidney's diseases or intoxication
include pharmacologic treatment or the choose of most fauvorable
treatments such as hemodialysis, peritoneal dialysis plasmapheresis,
biofiltration and possibility of success donor or cadavere kidney
transplantation with postoperative immunosuppression.
Keywords: electrophysiological methods,intracellular microelectrodes, hormonal regulation, drugs and inhibitors, hypertension, dialysis and transplantation
Research goals: The main topics of this research in experimental
nephrologyinclude explanations of mechanisms of transport processes in
themamal kidney tubules as well as hormonal regulation and influenceof
numerous different factors on salt and water excess excretionfrom the
body. Further topics were explanations of therapeuticaleffects and
molecular mechanisms activity of some diuretics(amiloride, furosemide,
plant diuretics) and antirheumatics (diclofenac). Beside topics above,
evidence of possible interactions of mentioned drugs inside the kidney are
also included. Elevated salt (sodium chloride) content and damage of kidney
in the body leads to hypertension. The kidney which may prevent this by
increasing salt excretion, regulate renal salt excretion by a cascade of
blood circulating hormones: renin, angiotensin II and aldosterone.
Opposite to that, when the salt deficite is present, aldosterone
concentration increases. That stimulates NaCl absorption in some segments
of renal tubules and thereby diminishes salt excretion in urine. Recent
studies reported that angiotensin II also stimulates NaCl absorption
directly inside the kidney. Therefore, it was investigated, in which
tubular segments aldosterone and angiotensin II act and how they act
there. Also many drugs not only act inside the kidney, but are excreted
through the kidney and therefore can interfere with processes which take
place there. The effects of antirheumatic drugs such as diclofenac inside
the kidney are still not completely clarified. Therefore, the effects of
diclofenac (diminished diuresis response) were studied on the rats and
continuosly electrolyte analysis were performed. Different concentrations
of furosemide were investigated in the presence or absence of diclofenac
and their interferences. These preclinical informations are important and
useful for a basis for further clinical investigations and possibility of
better and more succesful dialysis treatment or after transplantation
with less side-effects.
COOPERATION - PROJECTS
Name of project
: Med 1, KIDTRAN Regulation of salt excretion by
the kidney Name of institution: Zentrum der Physiologie, J.W. Goethe
Universitat City: 6000 - Frankfurt, Germany
COOPERATION - INSTITUTIONS
Name of institution
: Centar za dijalizu,Klinike za
urologiju,KBC,Rebro Type of institution: International organization City: 10000 - Zagreb, Croatia Other information about the project.