The fate of varying input concentrations (0.002-372 mu M) of benzoic a
cid was examined in the single-pass isolated perfused rat kidney prepa
ration under constant flow rate (8 ml min(-1).organ(-1)). With an incr
easing concentration of benzoate, the steady-state renal extraction ra
tio decreased from 0.24 to 0.1. Little unchanged drug was found in the
urine; the urinary clearance of benzoate was low (0.018 ml(-1) min(-1
).g(-1)) and concentration-independent, yielding a rather constant fra
ctional excretion of similar to 0.2. Metabolic clearance, due primaril
y to conjugation with glycine to form hippuric acid, constituted the m
ajority of total renal clearance, and this decreased with concentratio
n. These divergent trends for the metabolic and urinary clearances wit
h concentration suggest that benzoate net influx across the basolatera
l membrane has not been saturated. Upon fitting of the hippurate forma
tion rates vs. the plasma unbound logarithmic average concentrations o
f benzoate, overall kinetic constants (K-M = 5.3 mu M and V-max = 195
nmol min(-1).g(-1)) that likely reflect glycine conjugation were obtai
ned. The formed hippurate either returned to the venous circulation or
was excreted into urine without further biotransformation; the appare
nt renal extraction ratio (excretion rate/formation rate of hippurate)
was quite high (similar to 0.48). Avid glycine conjugation and hippur
ate excretion thus occurred with administration of benzoic acid to the
isolated perfused rat kidney.