Effect of amino acid infusion on renal hemodynamics in humans: a dose-response study

Am J Physiol. 1994 Nov;267(5 Pt 2):F703-8. doi: 10.1152/ajprenal.1994.267.5.F703.

Abstract

We evaluated the dose-response relationship between the plasma amino acid (AA) concentration and renal hemodynamics in eight normal subjects. After an overnight fast, a balanced 10% AA solution was infused for 180 min at five separate infusion rates: 0.5 (group I), 1.0 (group II), 2.0 (group III), 4.0 (group IV), and 6.0 (group V) ml.kg-1.min-1 on separate days. Basal plasma AA concentration was 1.87 +/- 0.1 mmol/l and increased to 2.26 +/- 0.1 (group I), 2.66 +/- 0.2 (group II), 3.79 +/- 0.5 (group III), 5.81 +/- 0.4 (group IV), and 7.41 +/- 0.4 mmol/l (group V). Basal glomerular filtration rate (GFR) and renal plasma flow (RPF) averaged 95 +/- 4 and 476 +/- 29 ml.1.73 m-2.min-1, respectively, and rose to 98 +/- 5 and 506 +/- 40 (group I) [P = not significant (NS)], 102 +/- 3 and 533 +/- 30 (group II) (P < 0.05 vs. basal), 110 +/- 4 and 567 +/- 29 (group III), 115 +/- 7 and 610 +/- 55 (group IV), and 117 +/- 7 and 614 +/- 66 ml.1.73 m-2.min-1 (group V) (P = NS vs. group IV). Basal plasma glucagon concentration averaged 68 +/- 10 pg/ml and increased to 74 +/- 10 (group I), 83 +/- 11 (group II) (P < 0.05 vs. basal), 100 +/- 14 (group III), 121 +/- 14 (group IV), and 229 +/- 35 pg/ml (group V) (P < 0.01 vs. basal). Increases in plasma growth hormone (GH) and insulin levels were observed only during groups IV and V.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Amino Acids / administration & dosage
  • Amino Acids / blood
  • Amino Acids / pharmacology*
  • Analysis of Variance
  • Dose-Response Relationship, Drug
  • Female
  • Glomerular Filtration Rate / drug effects*
  • Glucagon / blood
  • Growth Hormone / blood
  • Hemodynamics / drug effects*
  • Humans
  • Infusions, Intravenous
  • Insulin / blood
  • Insulin-Like Growth Factor I / metabolism
  • Kidney / blood supply*
  • Male
  • Reference Values
  • Regional Blood Flow / drug effects
  • Renal Circulation / drug effects*

Substances

  • Amino Acids
  • Insulin
  • Insulin-Like Growth Factor I
  • Growth Hormone
  • Glucagon