The renal hemodynamic response to diatrizoate in normal and diabetic rats

Invest Radiol. 1983 Nov-Dec;18(6):536-40. doi: 10.1097/00004424-198311000-00011.

Abstract

To study the renal hemodynamic response to a large intravenous bolus of a radiocontrast agent, 8 ml/kg body weight of 60% diatrizoate meglumine (D-60) was infused over 30 seconds in both normal rats and rats with streptozotocin-induced diabetes. The effect of equiosmolar mannitol (1350 mOsm/kg) was compared with the D-60 response in normal rats to examine the potential role of hypertonicity in mediating a response. A similar two-phase response was seen in all three groups. The effect of D-60 in normal rats was similar to that of mannitol, but all responses were reduced in diabetic rats. During Phase I in normal rats in response to D-60 there was a transient three-minute reduction in blood pressure (BP), and renal blood flow (RBF) fell by 62 +/- 7%. During Phase II blood pressure did not change from normal baseline values, but RBF fell by 29 +/- 5%; GFR fell by 42 +/- 3%, and filtration fraction (FF) diminished. In diabetic rats baseline FF was lower than normal and was not further reduced after infusion of D-60. It is suggested that D-60 reduces RBF and GFR by a nonspecific osmotic effect, perhaps related to tubuloglomerular feedback or to an acute increase in intratubular pressure. Responses to these mechanisms may be reduced in diabetic rats with a chronic glycosuric osmotic diuresis.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Blood Flow Velocity
  • Blood Pressure / drug effects
  • Diabetes Mellitus, Experimental / physiopathology*
  • Diatrizoate / analogs & derivatives*
  • Diatrizoate Meglumine / administration & dosage*
  • Diatrizoate Meglumine / pharmacology
  • Dose-Response Relationship, Drug
  • Glomerular Filtration Rate / drug effects
  • Hemodynamics / drug effects*
  • Infusions, Parenteral
  • Male
  • Mannitol / pharmacology
  • Osmolar Concentration
  • Rats
  • Rats, Inbred Strains
  • Renal Circulation / drug effects*

Substances

  • Diatrizoate
  • Mannitol
  • Diatrizoate Meglumine