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The kidneys have numerous salt and water channels and play a major role in the regulation of sodium and water. We do not know how these channels work in certain water and sodium accumulating medical conditions.
The purpose of this study is to identify and measure the activity in the water and sodium channels by measuring urine biomarkers/proteins in young healthy subjects.
25 healthy subjects from age 18-45 are recruited.
Subjects will be examined on three examination days. Four days prior to the examination days the subjects will consume a standard diet based on the amount of sodium and calories.
On the examination day subjects are randomised to an infusion with either isotonic saline 23 ml/kg, hypertonic saline 7 ml/kg or glucose 23 ml/kg for a period of 50 minutes.
Renal function is measured by renal clearance of 51Cr-EDTA, urinary sodium, potassium and creatinine.
Urinary NCC, NKCC and ENAC will be measured to evaluate the activity of sodium channels in the nephron.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| glucose | Placebo Comparator | glucose 5 % |
|
| isotonic saline | Active Comparator | isotonic saline 0.9 mg/ml |
|
| hypertonic saline | Active Comparator | hypertonic saline 2.9 mg/ml |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| isotonic saline 0,9 mg/ml | Other | infusion, 23 ml/kg, during 50 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Renal biomarkers | Urinary epithelial sodium channels (ENaC), Sodium-Chloride transporters (NCC), Sodium-potassium-2chloride transporters (NKCC) and aquaporin2 channels (AQP2) before, during and after fluid infusion | day one |
| Measure | Description | Time Frame |
|---|---|---|
| blood hormones regulating salt, water and blood pressure | plasma concentrations of: renin, Angiotensin II, Vasopressin, atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) | day one |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Erling B Pedersen, Professor | Medicinsk Forskning, Regionshospitalet i Holstebro | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medicinsk Forskning, Regionshospitalet i Holstebro | Holstebro | 7500 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24067081 | Derived | Jensen JM, Mose FH, Bech JN, Nielsen S, Pedersen EB. Effect of volume expansion with hypertonic- and isotonic saline and isotonic glucose on sodium and water transport in the principal cells in the kidney. BMC Nephrol. 2013 Sep 26;14:202. doi: 10.1186/1471-2369-14-202. |
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| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| D012462 | Saline Solution, Hypertonic |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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| hypertonic saline 2,9 mg/ml | Other | infusion, 7 ml/kg, during 50 minutes |
|
|
| glucose 5% | Other | infusion, 23 ml/kg, during 50 minutes |
|
|
| D052801 | Male Urogenital Diseases |
| D017670 |
| Sodium Compounds |
| D006982 | Hypertonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |