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SALT-2 study: Role of endothelial surface layer in regulating the sodium balance and extracellular fluid volume

Recruiting
Conditions
endothelial surface layersodiumextracellular volumeblood pressure
Registration Number
NL-OMON28711
Lead Sponsor
Academic Medical Center, Amsterdam
Brief Summary

none

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
24
Inclusion Criteria

1. Diabetic patients (n=12)

- Male between 18 and 40 years old

Exclusion Criteria

- An office blood pressure >140/90 mmHg

- A body mass index > 30 kg/m2

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
We will primarily study the effects of a salt load on the haemodynamics, ECV and ESL in patients with acquired and congenital loss of the ESL. Primary endpoint will be the ECV as represented by body weight, BP and iohexol measurements.
Secondary Outcome Measures
NameTimeMethod
Other study paramaters consist of indirect measurements of the ESL dynamics and function assessed by imaging of the sublingual microvasculature, measurement of ESL shedding products and determination of the transcapillary escape rate (TER) of I125-albumine. The kidney function will be studied by estimating the glomerular filtration rate (eGFR) and measurement of the fractional Na+ excretion and albuminuria. Finally, skin biopsies will allow studying the role of interstitial GAGs and macrophage influx in response to a salt load.
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