HDCN Abstract:  ASN Annual Meeting -- San Francisco  

Dreisbach AW, Rice JC, Japa S, et al.

Salt Loading Increases Urinary Excretion of Linoleic Acid Diols and Triols.

ASN Annual Meeting -- San Francisco
J Am Soc Nephrol (Nov) 18:629A 2007

INTRODUCTION: Increased dietary intake of linoleic acid (LA) has been shown in clinical studies to reduce systolic blood pressure and increase sodium excretion. We studied the effect of salt loading on the excretion of LA diols and triols to investigate whether LA is associated with salt handling by the kidney in human subjects.

METHODS: 12 healthy subjects from the New Orleans population (pre-Katrina) were admitted to the Tulane-LSU GCRC after a 5-day outpatient lead in phase: 160 mmole sodium Na diet. On inpatient Day 1 (D1) the subjects were maintained on 160 mmole Na diet and a 24 hr urine was collected for the LA diols and triols: 9,10- DiHOME, 12,13-DiHOME, 9,10,13-TriHOME, and 9,12,13-TriHOME. On D2 the theyreceived 2 L of NS IV /4hr and (total 460 mmole Na)(Two 12 hr urine collections). On D3 three 40 mg oral doses of furosemide (10 mmole Na diet). Two 12 hr urine collection to D4 (10 mmole Na diet). The urinary LA metabolites were measured by HPLC-tandem qaudrapule mass spectroscopy.

RESULTS: The urinary excretion LA diols and triols increased significantly during day of the intravenous salt loading when the compared to the salt-depleted periods and Day 1 (Table).

CONCLUSIONS: Salt loading increase the urinary excretion of LA diols and triols which may inhibit tubular sodium reabsorption thereby assisting the excretion of the sodium load.

Urinary Exretion of LA Metabolites nmole/gC/hr
TimeDay 1 High SaltDay 2-2.5 IV NSDay 2.5-3 High NaDay 3.5-4 Low NaDay 4-4.5 Low Na
9,10-DIHOME5.18 +/- 3.4117.6 +/- 10.814.6+/-9.175.94 +/- 4.328.30 +/- 7.01
12,13-DIHOME0.38 +/- 0.291.36 +/- 1.050.94 +/- 0.590.18 +/- 0.180.26 +/- 0.21
9,10,13-TRIHOME0.21 +/- 0.160.67 +/- 0.350.63+/- 0.290.23 +/- 0.200.19 +/- 0.20
9,12,13-TRIHOME2.78 +/- 2.817.95 +/- 9.454.99 +/- 5.201.08 +/- 2.220.51 +/- 0.44
Repeated Measures ANOVA- see text

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