Renal tubular reabsorption of sodium and water during infusion of low-dose dopamine in normal man

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1. Using the renal clearance of lithium (CLi) as an index of proximal tubular outflow of sodium and water, together with simultaneous measurements of effective renal plasma flow, glomerular filtration rate (GFR) and sodium clearance (CNa), renal function and the tubular segmental reabsorption rates of sodium and water during dopamine infusion (3 micrograms min-1 kg-1) were estimated in 12 normal volunteers. 2. CNa increased by 128% (P less than 0.001). Effective renal plasma flow and GFR increased by 43% (P less than 0.001) and 9% (P less than 0.01), respectively. CLi increased in all subjects by, on average, 44% (P less than 0.001). Fractional proximal reabsorption [1-(CLi/GFR)] decreased by 13% after dopamine infusion (P less than 0.001), and estimated absolute proximal reabsorption rate (GFR-CLi) decreased by 8% (P less than 0.01). Absolute distal sodium reabsorption rate [(CLi-CNa) x PNa, where PNa is plasma sodium concentration] increased (P less than 0.001), and fractional distal sodium reabsorption [(CLi-CNa)/CLi] decreased (P less than 0.001). 3. It is concluded that natriuresis during low-dose dopamine infusion is caused by an increased outflow of sodium from the proximal tubules that is not fully compensated for in the distal tubules.
Original languageEnglish
JournalClinical Science
Volume78
Issue number5
Pages (from-to)503-7
Number of pages5
ISSN0143-5221
Publication statusPublished - May 1990

    Research areas

  • Absorption, Adolescent, Adult, Dopamine, Female, Glomerular Filtration Rate, Humans, Kidney, Kidney Tubules, Kidney Tubules, Distal, Kidney Tubules, Proximal, Lithium, Male, Middle Aged, Renal Circulation, Sodium, Water

ID: 47241017