Abstract
1. Two preparations of radioactive vitamin B12 labelled respectively with 57Co and 58Co have been employed in the estimation of the glomerular filtration rate (G.F.R.) in dogs. The intravenous injection of these preparations at an interval of 20 min resulted in a changing ratio of their activities in plasma and urine and so permitted a relation in time to be established between the urine and the plasma from which it was filtered.
2. When urine and plasma were sampled at short intervals an effective renal delay or transit time could be derived from their isotope ratio curves and used as a correction in the clearance equation. This allowed serial clearances of either isotope to be calculated despite a falling plasma concentration.
3. This method was applied to the study of the G.F.R. in fourteen dogs using short urine collections of 2 or 4 min for periods up to 80 min. The results under stable conditions and with deliberately induced changes in the G.F.R. are illustrated and discussed.
4. Application of the technique in four patients undergoing differential renal function studies gave results comparable with those in the experimental work.
5. The plasma binding of administered vitamin B12 in serial blood samples in dogs and man was investigated.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- BRECKENRIDGE A., METCALFE-GIBSON A. METHODS OF MEASURING GLOMERULAR-FILTRATION RATE: A COMPARISON OF INULIN, VITAMIN-B 12 AND CREATININE CLEARANCES. Lancet. 1965 Aug 7;2(7406):265–267. doi: 10.1016/s0140-6736(65)92387-1. [DOI] [PubMed] [Google Scholar]
- Brun C., Hilden T., Raaschou F. THE SIGNIFICANCE OF THE DIFFERENCE IN SYSTEMIC ARTERIAL AND VENOUS PLASMA CONCENTRATIONS IN RENAL CLEARANCE METHODS. J Clin Invest. 1949 Jan;28(1):144–152. doi: 10.1172/JCI102043. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CUTLER R. E., GLATTE H. SIMULTANEOUS MEASUREMENT OF GLOMERULAR FILTRATION RATE AND EFFECTIVE RENAL PLASMA FLOW WITH 57CO-CYANOCOBALAMIN AND 125-I-HIPPURAN. J Lab Clin Med. 1965 Jun;65:1041–1046. [PubMed] [Google Scholar]
- MICHIE A. J., MICHIE C. R. Attainment of equilibrium between plasma and urine, with reference to measurement of renal clearances. J Urol. 1951 Oct;66(4):518–526. doi: 10.1016/S0022-5347(17)74371-6. [DOI] [PubMed] [Google Scholar]
- MORALES P. A., CROWDER C. H., FISHMAN A. P., MAXWELL M. H., GOMEZ D. M. Measurement and significance of urinary appearance time in the dog. Am J Physiol. 1950 Nov;163(2):454–460. doi: 10.1152/ajplegacy.1950.163.2.454. [DOI] [PubMed] [Google Scholar]
- NELP W. B., WAGNER H. N., Jr, REBA R. C. RENAL EXCRETION OF VIAMIN B12 AND ITS USE IN MEASUREMENT OF GLOMERULAR FILTRATION RATE IN MAN. J Lab Clin Med. 1964 Mar;63:480–491. [PubMed] [Google Scholar]
- SLAPAK M., HUME D. M. A NEW METHOD OF ESTIMATING GLOMERULAR-FILTRATION RATE: USE OF DIMINISHING BLOOD CONCENTRATION OF LABELLED VITAMIN B12. Lancet. 1965 May 22;1(7395):1095–1097. doi: 10.1016/s0140-6736(65)92677-2. [DOI] [PubMed] [Google Scholar]
- Smith H. W., Goldring W., Chasis H. THE MEASUREMENT OF THE TUBULAR EXCRETORY MASS, EFFECTIVE BLOOD FLOW AND FILTRATION RATE IN THE NORMAL HUMAN KIDNEY. J Clin Invest. 1938 May;17(3):263–278. doi: 10.1172/JCI100950. [DOI] [PMC free article] [PubMed] [Google Scholar]