Glomerular filtration rate in dogs as estimated via plasma clearance of inulin and iohexol and use of limited-sample methods

Am J Vet Res. 2010 Sep;71(9):1100-7. doi: 10.2460/ajvr.71.9.1100.

Abstract

Objective: To compare plasma clearance of inulin and iohexol determined by use of 9 plasma samples for evaluation of glomerular filtration rate in dogs and to evaluate limited-sample approaches for evaluation of plasma clearance of these markers.

Animals: 43 dogs of various breeds that weighed between 5.5 and 63 kg and that had various degrees of renal function.

Procedures: 9 plasma samples were obtained from each dog at 5 minutes to 6 hours after IV bolus injection of iohexol and inulin. Clearance was calculated by use of results for all 9 samples (ie, reference method). Results for 3 limited-sample strategies for determination of plasma clearance of iohexol and inulin were compared with results for the reference method.

Results: Mean clearance of inulin and iohexol for the reference method was 2.72 and 2.48 mL/min/kg, respectively. The mean difference between clearance of these 2 markers for the reference method was 0.24 mL/min/kg. In general, use of the limited-sample strategies yielded clearance values similar to those for the reference method. More accurate estimates of clearance were obtained for iohexol than for inulin by use of the limited-sample methods.

Conclusions and clinical relevance: Use of iohexol and inulin yielded similar but not identical results for plasma clearance. Accuracy for limited-sample methods would be acceptable for many clinical and research situations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomarkers / blood
  • Body Weight
  • Contrast Media
  • Dogs / physiology*
  • Glomerular Filtration Rate / physiology*
  • Insulin / blood*
  • Iohexol / metabolism*
  • Kidney / physiology
  • Metabolic Clearance Rate

Substances

  • Biomarkers
  • Contrast Media
  • Insulin
  • Iohexol