The sodium retaining effects of cyclosporine

D. L. Ciresi, M. A. Lloyd, S. M. Sandberg, D. M. Heublein, Brooks Sayre Edwards

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67 Scopus citations


The effect of chronic cyclosporine administration on volume regulation was studied in mongrel dogs. Dogs received either cyclosporine (20 mg/kg/day p.o.; N = 7) or vehicle (N = 6) while being maintained on a constant sodium diet. Dogs had measurement of baseline vasoactive hormones. Daily sodium excretion was determined. Following eight days of drug administration, dogs were anesthetized. pre-volume expansion data was collected, and dogs underwent a one hour, 10% body weight 0.0% saline volume expansion. Daily sodium balance was +8.6 ± 2.2 mEq in the cyclosporine group versus 0.4 ± 1.8 mEq (P < 0.05) in the control group after 8 days. Prior to acute volume expansion, aldosterone was 22.5 ± 7.1 ng% in the cyclosporine group versus 4.7 ± 0.7 ng% in controls (P < 0.05). ANF was suppressed in the animals receiving cyclosporine. In response to volume expansion, the cyclosporine goup demonstrated an attenuation of maximum urine flow by 56% fractional excretion of sodium by 52%. and electrolyte free water clearance bv 75% when compared to controls (P < 0.05). We demonstrate that chronic cyclosporine administration activates the renin-angiotensin-aldosterone system, suppresses circulating ANF, and results in chronic sodium retention. Additionally, cyclosporine attenuates the natriuretic and diuretic response to acute volume expansion.

Original languageEnglish (US)
Pages (from-to)1599-1605
Number of pages7
JournalKidney International
Issue number6
StatePublished - 1992

ASJC Scopus subject areas

  • Nephrology

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    Ciresi, D. L., Lloyd, M. A., Sandberg, S. M., Heublein, D. M., & Edwards, B. S. (1992). The sodium retaining effects of cyclosporine. Kidney International, 41(6), 1599-1605.