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Renal effects of glibenclamide: a micropuncture study.

TitleRenal effects of glibenclamide: a micropuncture study.
Publication TypeJournal Article
Year of Publication1998
AuthorsBailey MA, Walter SJ
JournalThe Journal of pharmacology and experimental therapeutics
Volume285
Issue2
Pagination464-7
Date Published1998 May
ISSN0022-3565
KeywordsAnimals, Glyburide, Hypoglycemic Agents, Kidney, Male, Potassium, Punctures, Rats, Rats, Sprague-Dawley, Sodium
AbstractThe renal effects of glibenclamide were investigated using free flow micropuncture techniques in anesthetized Sprague-Dawley rats. Intravenous infusion of the drug (3 mg/hr) evoked a natriuresis and diuresis; potassium excretion remained unchanged. Fractional reabsorption in the proximal convoluted tubule in glibenclamide-infused rats did not differ significantly from that in control animals, although the late proximal tubular fluid to plasma concentration ratio for potassium was reduced. Fractional sodium delivery to the early distal tubule was elevated, while the fractional deliveries of water and potassium to this nephron site were unaffected. We conclude that glibenclamide impairs sodium reabsorption in one or more of the nephron segments that comprise the loop of Henle. These results are consistent with the hypothesis that the natriuresis resulting from glibenclamide administration is a consequence of blockade of potassium channels in the apical membrane of the thick ascending limb of Henle's loop. The data suggest that glibenclamide may additionally inhibit a small secretory potassium flux in the proximal tubule.
Alternate JournalJ. Pharmacol. Exp. Ther.