The effect of indomethacin and other NSAID on renal prostaglandin synthesis and metabolism was studied in nondiuretic rats prepared for acute experimentation. Thirty minutes after the administration of a 2 mg/kg iv dose of indomethacin, the concentration of prostaglandin in renal venous blood as determined by bioassay was reduced 69%. In addition, conversion of radiolabeled arachidonic acid to prostaglandin E2
Pretreatment with indomethacin also inhibited renal cortical-medullary prostaglandin E2 9-ketoreductase activity by 61%. NAD+-dependent 15-hydroxy-prostaglandin dehydrogenase activity was diminished 46%; however, this inhibition was not statistically significant. NADP+-dependent 15-hydroxy-prostaglandin dehydrogenase activity was unaffected by pretreatment. It is concluded that indomethacin alters net renal prostaglandin production by inhibiting both prostaglandin synthesis and its metabolism.