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| Time | Day 1 High
Salt | Day 2-2.5 IV NS | Day 2.5-3 High Na | Day 3.5-4 Low
Na | Day 4-4.5 Low Na |
| 9,10-DIHOME | 5.18 +/-
3.41 | 17.6 +/- 10.8 | 14.6+/-9.17 | 5.94 +/-
4.32 | 8.30 +/- 7.01 |
| 12,13-DIHOME | 0.38 +/-
0.29 | 1.36 +/- 1.05 | 0.94 +/- 0.59 | 0.18 +/-
0.18 | 0.26 +/- 0.21 |
| 9,10,13-TRIHOME | 0.21 +/-
0.16 | 0.67 +/- 0.35 | 0.63+/- 0.29 | 0.23 +/-
0.20 | 0.19 +/- 0.20 |
| 9,12,13-TRIHOME | 2.78 +/-
2.81 | 7.95 +/- 9.45 | 4.99 +/- 5.20 | 1.08 +/-
2.22 | 0.51 +/- 0.44 |
Repeated Measures ANOVA-
see text
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