Sa. Brown et al., USE OF PLASMA-CLEARANCE OF INULIN FOR ESTIMATING GLOMERULAR-FILTRATION RATE IN CATS, American journal of veterinary research, 57(12), 1996, pp. 1702-1705
Objective-To evaluate utility of a method for estimating glomerular fi
ltration rate after a single IV injection of inulin. Animals-Cats that
were renal intact (n = 3) or had renal mass reduced by partial nephre
ctomy (n = 6). Procedure-Plasma clearance of inulin (PCln) was taken a
s the quotient of the administered dose of inulin (150 mg) divided by
the area under the plasma inulin concentration versus time curve deter
mined by 3 methods (PCln(1)-PCln(3)). Results for PCln were compared w
ith simultaneously obtained values for urinary clearance of exogenous
creatinine (CCr), an accepted method for the estimation of glomerular
filtration rate (GFR) in cats. Results-Values for PCln were closely re
lated (R(2) ranged from 0.951 to 0.972, P < 0.0001 in all instances) t
o CCr. However, PCln(3) provided an estimate of GFR that consistently
overestimated CCr. Conclusion-Determination of PCln by use of PCln(1)
and PCln(2) provided a reliable estimate of GFR in cats of this study.
Clinical Relevance-Determination of PCln appears to provide a reliabl
e estimate of GFR in cats with early-stage renal disease and no eviden
ce of derangement of body fluid status. In particular, PCln(2), which
requires only 3 determinations of plasma inulin concentration, should
be considered when an estimate of GFR is sought in a cat with suspecte
d early-stage renal disease.