Table 4.
Baseline | Infusion | Post-infusion | p Friedman/RM ANOVA (one-way) | |||||
---|---|---|---|---|---|---|---|---|
30 min | 60 min | 90 min | 120 min | 150 min | 180 min | |||
FENa (%) | ||||||||
Placebo | 1.26 [1.05;1.47] | 1.26 [1.09;1.43] | 1.43 [1.25;1.62] | 1.38 [1.24;1.52] | 1.57 [1.36;1.78] | 1.53 [1.34;1.73] | 1.41 [1.26;1.56] | .001 |
Allopurinol | 1.36 [0.96;1.75] | 1.41 [1.05;1.76] | 1.52 [1.20;1.83] | 1.53 [1.22;1.83] | 1.66 [1.32;2.00]* | 1.69 [1.40;1.98]* | 1.59 [1.33;1.85] | .002 |
Enalapril | 1.15 [0.84;1.46] | 1.30 [1.01;1.60] | 1.42 [1.15;1.68]* | 1.45 [1.20;1.71]* | 1.59 [1.34;1.83]* | 1.56 [1.32;1.81]* | 1.52 [1.29;1.74]* | <.001 |
Acetazolamide | 1.08 [0.86;1.29] | 1.25 [1.01;1.49] | 1.35 [1.08;1.63] | 1.29 [1.07;1.51] | 1.42 [1.15;1.69]* | 1.44 [1.17;1.71]* | 1.28 [1.05;1.52] | .001 |
pinteraction (pretreatment x time) | .535 | |||||||
GFR (ml/min/1.73 m2) | ||||||||
Placebo | 98 [90;105] | 104 [96;111] | 98 [91;105] | 105 [97;113]* | 101 [92;110] | 99 [93;106] | 100 [91;109] | .027 |
Allopurinol | 99 [90;108] | 102 [93;112] | 97 [89;105] | 103 [94;112] | 98 [88;108] | 99 [91;107] | 102 [92;111] | .132 |
Enalapril | 101 [92;110] | 104 [94;114] | 101 [94;108] | 104 [96;112] | 100 [91;109] | 102 [94;109] | 102 [94;110] | .568 |
Acetazolamide | 83 [76;89]† | 84 [77;92] | 77 [70;83]* | 83 [75;91] | 83 [76;89] | 83 [76;89] | 85 [78;92] | .012 |
pinteraction (pretreatment x time) | .494 | |||||||
CH20 (ml/min) | ||||||||
Placebo | 4.58 [3.66;5.50] | 2.87 [2.08;3.65] | 1.87 [1.36;2.38]* | 2.27 [1.46;3.08]* | 2.85 [2.11;3.59] | 2.64 [2.00;3.28]* | 2.85 [2.15;3.55]* | <.001 |
Allopurinol | 4.56 [3.64;5.48] | 3.05 [2.02;4.07] | 2.54 [1.82;3.27]* | 2.04 [0.98;3.10]* | 3.00 [2.11;3.90] | 3.06 [2.19;3.93] | 3.26 [2.40;4.12] | .011 |
Enalapril | 4.82 [3.70;5.94] | 3.57 [2.48;4.65] | 2.28 [1.26;3.29]* | 2.28 [1.48;3.08]* | 3.24 [2.59;3.89] | 2.23 [1.26;3.21]* | 2.67 [1.71;3.63] | .001 |
Acetazolamide | 3.91 [2.80;5.01] | 1.99 [1.12;2.87] | 1.69 [0.93;2.46] | 1.63 [0.87;2.39]* | 2.60 [1.78;3.42] | 2.67 [1.78;3.55] | 2.60 [1.80;3.40] | .004 |
pinteraction (pretreatment x time) | .682 | |||||||
P-AVP (pg/ml) | ||||||||
Placebo | 0.32 [0.25;0.38] | 0.25 [0.20;0.30]* | 0.27 [0.21;0.33]* | .012 | ||||
Allopurinol | 0.29 [0.21;0.36] | 0.28 [0.22;0.33] | 0.25 [0.21;0.29] | .414 | ||||
Enalapril | 0.26 [0.20;0.33] | 0.21 [0.17;0.26] | 0.23 [0.18;0.28] | .213 | ||||
Acetazolamide | 0.29 [0.22;0.36] | 0.27 [0.19;0.35] | 0.28 [0.22;0.34] | .770 | ||||
pinteraction (pretreatment x time) | .630 | |||||||
U-AQP2 (ng/min) | ||||||||
Placebo | 1.26 [1.12;1.41] | 1.25 [1.06;1.45] | 1.23 [1.10;1.35] | 1.18 [1.04;1.33] | 1.23 [1.08;1.39] | 1.19 [1.06;1.33] | 1.13 [1.02;1.23] | .167 |
Allopurinol | 1.45 [1.27;1.63]† | 1.37 [1.26;1.48] | 1.31 [1.20;1.42] | 1.34 [1.21;1.47] | 1.33 [1.13;1.54] | 1.31 [1.20;1.42] | 1.28 [1.17;1.39] | .080 |
Enalapril | 1.29 [1.13;1.44] | 1.23 [1.09;1.37] | 1.28 [1.14;1.42] | 1.26 [1.13;1.40] | 1.28 [1.09;1.46] | 1.33 [1.18;1.48] | 1.18 [1.06;1.31] | .131 |
Acetazolamide | 1.30 [1.15;1.45] | 1.26 [1.08;1.44] | 1.21 [1.07;1.36] | 1.19 [1.04;1.35] | 1.25 [1.09;1.41] | 1.26 [1.08;1.43] | 1.21 [1.06;1.37] | .363 |
pinteraction (pretreatment x time) | .590 | |||||||
U-ENaCγ (ng/min) | ||||||||
Placebo | 0.44 (0.38;0.51) | 0.44 (0.33;0.51) | 0.47 (0.35;0.54) | 0.45 (0.36;0.59) | 0.40 (0.36;0.57) | 0.43 (0.36;0.56) | 0.43 (0.32;0.46) | .331 |
Allopurinol | 0.43 (0.40;0.65) | 0.42 (0.38;0.54) | 0.39 (0.34;0.54) | 0.47 (0.42;0.61) | 0.43 (0.30;0.54)* | 0.42 (0.35;0.51) | 0.39 (0.34;0.50) | .020 |
Enalapril | 0.44 (0.40;0.64) | 0.40 (0.35;0.49) | 0.39 (0.34;0.60) | 0.45 (0.31;0.53) | 0.39 (0.36;0.55) | 0.41 (0.33;0.57) | 0.45 (0.40;0.53) | .215 |
Acetazolamide | 0.68 (0.48;0.95)† | 0.57 (0.42;1.01) | 0.59 (0.45;0.94) | 0.53 (0.48;0.88) | 0.55 (0.45;0.93) | 0.71 (0.53;0.94) | 0.64 (0.49;0.89) | .561 |
Effect of intravenous NaNO2 on fractional excretion of sodium (FENa), GFR, free water clearance (CH2O), urinary excretion rates of aquaporin-2 (AQP2) and γ-subunit of the epithelial sodium channel (ENaCγ) in 14 healthy subjects and arginine vasopressine (AVP) in 16 healthy subjects after 4 days pretreatment with allopurinol, enalapril, acetazolamide, or placebo. Normal distributed data are presented as means with 95% confidence interval in brackets and non-parametric data as medians with 25th and 75th percentiles in parentheses. Statistics were performed using one-way repeated measures (RM) ANOVA for comparing over time and two-way RM ANOVA with time and pretreatment as within factors to test for interaction. Pairwise comparison where performed using Student’s t-test. U-ENaCγ were tested using Friedman test for comparing over time and Wilcoxon’s signed rank test for pairwise comparison with placebo or baseline
* p < .05 within group vs. baseline (Bonferroni), † p < .05 vs. placebo at baseline