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Cited by 329

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

Effects of Sulindac and Ibuprofen in Patients with Chronic Glomerular Disease: Evidence for the Dependence of Renal Function on Prostacyclin

Ciabattoni, Giovanni, Cinotti, Giulio A., Pierucci, Alessandro, Simonetti, Bianca M., Manzi, Massimo, Pugliese, Francesco, Barsotti, Paola, Pecci, Gabriella, Taggi, Franco, Patrono, Carlo·1984·New England Journal of Medicine

Abstract

We investigated whether the glomerular synthesis of prostacyclin modulates the renal blood flow and glomerular filtration rate in chronic glomerular disease. The urinary excretion of 6-keto-prostaglandin F1 alpha, a stable breakdown product of prostacyclin, was significantly (P less than 0.01) reduced in 20 women with chronic glomerular disease, as compared with 19 controls, whereas excretion of urinary prostaglandin E2 was unchanged. In 10 patients randomly assigned to one week of treatment with ibuprofen, excretion of urinary 6-keto-prostaglandin F1 alpha and prostaglandin E2 was reduced by 80 per cent, the level of serum creatinine was increased by 40 per cent, and creatinine and para-aminohippurate clearances were reduced by 28 and 35 per cent, respectively. The reduction of both clearances was inversely related (P less than 0.01) to the basal urinary excretion of 6-keto-prostaglandin F1 alpha but not of prostaglandin E2. No functional changes were detected in five healthy women, despite a similar suppression of renal prostacyclin synthesis by ibuprofen. In contrast, one week of treatment with sulindac did not affect renal prostacyclin synthesis or renal function in the other 10 patients, despite a marked inhibition of extrarenal cyclooxygenase activity. We conclude that in patients with mild impairment of renal function, the renal blood flow and glomerular filtration rate are critically dependent on prostacyclin production. In such patients sulindac may be a safe substitute for other nonsteroidal antiinflammatory drugs.

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Metadata

Authors
Ciabattoni, G., Cinotti, G. A., Pierucci, A., Simonetti, B. M., Manzi, M., Pugliese, F., Barsotti, P., Pecci, G., Taggi, F., & Patrono, C.
Venue
New England Journal of Medicine
Published
1984-02-02
Volume
310
Issue
5
Pages
279-283
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2003525499
Cited by
329
References
12
FWCI
50.15
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Effects of Sulindac and Ibuprofen in Patients with Chronic Glomerular Disease: Evidence for the Dependence of Renal Function on Prostacyclin. https://app.cochat.ai/papers/10.1056/nejm198402023100502
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Ciabattoni, G., Cinotti, G. A., Pierucci, A., Simonetti, B. M., Manzi, M., Pugliese, F., Barsotti, P., Pecci, G., Taggi, F., & Patrono, C. (1984). Effects of Sulindac and Ibuprofen in Patients with Chronic Glomerular Disease: Evidence for the Dependence of Renal Function on Prostacyclin. New England Journal of Medicine. https://doi.org/10.1056/nejm198402023100502

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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