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      Comparative physiology of glomerular filtration rate by plasma clearance of exogenous creatinine and exo-iohexol in six different avian species

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          Abstract

          Early diagnosis of kidney diseases in avian species is limited. Endogenous markers currently used in avian practice are not sensitive enough to identify early kidney failure. Consequently, alternative markers should be evaluated. To be able to evaluate these alternative markers, an accurate marker to estimate the GFR should be validated. This study determined the GFR, measured as clearance of exogenous creatinine and exo-iohexol, in six different bird species, i.e. broiler chickens, laying chickens, turkeys, Muscovy ducks, pigeons and African grey parrots (4♀/4♂). To be able to compare the six bird species, normalization to bodyweight (BW) of the GFR was performed, after a good correlation between BW and kidney weight was demonstrated (R² = 0.9836). Clearance of exo-iohexol normalized to BW (mL/min/kg) was determined in all bird species, i.e. 3.09 in broiler chickens; 2.57 in laying chickens; 1.94 in turkeys; 1.29 in pigeons; 2.60 in ducks and 1.11 in parrots. However, these results differed significantly with the clearance of exogenous creatinine: 8.41 in broiler chickens; 9.33 in laying chickens; 5.62 in turkeys; 14.97 in pigeons; 17.59 in ducks and 25.56 in parrots 25.56. Iohexol is preferred to measure the GFR, since it is not prone to tubular reabsorption nor secretion.

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          Most cited references24

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          A simple method for the determination of glomerular filtration rate.

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            Glomerular filtration rate via plasma iohexol disappearance: pilot study for chronic kidney disease in children.

            To guide the design of a nation-wide cohort study of chronic kidney disease in children, we determined how iohexol plasma disappearance curves could be used in children to measure glomerular filtration rate (GFR). Iohexol (5 ml) was administered intravenously and blood samples were obtained at 10, 20, 30, 60, 120, 240, 300, and 360 min after injection (N=29) and assayed by high performance liquid chromatography. Four urines were also collected following the injection. Intra-assay coefficient of variation (CV) in serum was 1.3% at 100 mg/l, 2.6% at 15 mg/l, and 3.4% for duplicate unknowns. GFR(9) was computed from iohexol dose and area under the nine-point blood disappearance curve, using double exponential modeling. Only 2.8% of 254 data points deviated by >3 CV from the curves. GFR(4) calculated from 10, 30, 120, and 300 min points correlated well with GFR(9) (r=0.999) and showed no bias (means+/-s.d. of GFR(9) and GFR(4)=59.3+/-36.3 and 59.4+/-36.0 ml/min per 1.73 m(2)). Relationship of GFR(9) and one-compartment GFR followed quadratic equation as previously reported by Brochner-Mortensen, allowing GFR to be calculated from 120 and 300 min points. This GFR(2) correlated well with GFR(9) (r=0.986). Estimated GFR from Schwartz height/creatinine formula correlated with GFR(9)(r=0.934) but overestimated GFR by 12.2 ml/min per 1.73 m(2). Urine iohexol clearance was poorly correlated (r=0.770) with GFR(9) owing to variability in urine collections (median CV=24%). GFR can be measured accurately using four-point iohexol plasma disappearance (in most cases, two points suffice); estimated GFR and urinary clearances are less useful.
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              Renal function testing.

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                Author and article information

                Contributors
                gunther.antonissen@ugent.be
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                23 December 2019
                23 December 2019
                2019
                : 9
                : 19699
                Affiliations
                [1 ]ISNI 0000 0001 2069 7798, GRID grid.5342.0, Department of Pharmacology, Toxicology and Biochemistry, , Faculty of Veterinary Medicine, Ghent University, ; Salisburylaan 133, 9820 Merelbeke, Belgium
                [2 ]Centro Veterinario los Sauces, Calle Santa Engracia 63, 28010 Madrid, Spain
                [3 ]ISNI 0000 0001 2069 7798, GRID grid.5342.0, Department of Pathology, Bacteriology and Avian Diseases, , Faculty of Veterinary Medicine, Ghent University, ; Salisburylaan 133, 9820 Merelbeke, Belgium
                [4 ]ISNI 0000 0001 2069 7798, GRID grid.5342.0, Small Animal Department, , Faculty of Veterinary Medicine, Ghent University, ; Salisburylaan 133, 9820 Merelbeke, Belgium
                Author information
                http://orcid.org/0000-0003-2512-4176
                http://orcid.org/0000-0001-6357-3517
                http://orcid.org/0000-0001-8832-1498
                Article
                56096
                10.1038/s41598-019-56096-5
                6928228
                31873143
                157a3f23-1b34-400e-8055-1f9b856104a4
                © The Author(s) 2019

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 24 June 2019
                : 6 December 2019
                Funding
                Funded by: FundRef https://doi.org/10.13039/501100003132, Agentschap voor Innovatie door Wetenschap en Technologie (Agency for Innovation by Science and Technology, Flanders);
                Award ID: 130033
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/501100003130, Fonds Wetenschappelijk Onderzoek (Research Foundation Flanders);
                Award ID: 12V6418N
                Award Recipient :
                Categories
                Article
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                © The Author(s) 2019

                Uncategorized
                glomerulus,zoology
                Uncategorized
                glomerulus, zoology

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