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Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Chem 2017 ; 63 (4): 915-23 Nephropedia Template TP
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Diurnal and Long-Term Variation in Plasma Concentrations and Renal Clearances of Circulating Markers of Kidney Proximal Tubular Secretion #MMPMID28188231
Clin Chem 2017[Apr]; 63 (4): 915-23 PMID28188231show ga
Background: The renal proximal tubule is essential for removing organic solutes and exogenous medications from the circulation. We evaluated diurnal, prandial, and long-term biological variation of four candidate endogenous markers of proximal tubular secretion. Methods: We used liquid chromatography-mass spectrometry to measure plasma and urine concentrations of hippurate (HA), cinnamoylglycine (CMG), indoxyl sulfate (IS), and p-cresol sulfate (PCS) in 25 healthy adults. We measured plasma concentrations of secreted solutes at 13 time points over a 24-hour period, and again after 2 weeks and 14 weeks of follow-up. We further measured 24-hour renal clearances of secreted solutes at baseline, 2 weeks, and 14 weeks. Results: Plasma concentrations of secreted solutes varied over the 24-hour baseline period. Diurnal variation was greatest for HA, followed by CMG, IS, and PCS. Plasma concentrations of HA (P=0.002) and IS (P=0.02), but not CMG and PCS, increased significantly following meals. Long-term intra-individual variation (CVI) in plasma concentrations of secreted solutes over 14 weeks varied from 21.8% for IS to 67.3% for PCS, and exceeded that for plasma creatinine (CVI 7.1%). Variation in 24-hour renal clearances was similar among the secreted solutes (CVA+I 33.6% ? 47.3%) and was lower using pooled plasma samples from each study visit. Conclusions: Plasma concentrations of HA, CMG, IS, and PCS fluctuate within individuals throughout the day and over weeks. Renal clearances of these secreted solutes, which serve as estimates of renal proximal tubule secretion, are also subject to intra-individual biological variation that can be improved by additional plasma measurements.