Mannitol
Found in Kelp and occurs naturally as the main constituent of “manna” an edible exudate from some species of Ash (Fraxinus) Its sometimes used in phytotherapy to treat constipation and to simulate the gallbladder. In food technology, synthetically-produced mannitol is used similarly to sorbitol. It also has numerous medical and pharmaceutical uses.
Mannitol may be useful clinically both as a diuretic and as an obligate extracellular solute. As a diuretic it can be used to treat patients with intractable edema states, to increase urine flow and flush out debris from the renal tubules in patients with acute tubular necrosis, and to increase toxin excretion in patients with barbiturate, salicylate or bromide intoxication. As an obligate extracellular solute it may be useful to ameliorate symptoms of the dialysis disequilibrium syndrome, to decrease cerebral edema following trauma or cerebrovascular accident, and to prevent cell swelling related to renal ischemia following cross-clamping of the aorta. Largely unexplored uses for mannitol include its use as an osmotic agent in place of dextrose in peritoneal dialysis solutions, its use to maintain urine output in patients newly begun on hemodialysis, and its use to limit infarct size following acute myocardial infarction. Read more...
Mannitol and the blood-labyrinth barrier.
Lactobacillus reuteri CRL 1101 highly produces mannitol from sugarcane molasses as carbon source
Baker's Asthma
Mannitol vs. methacholine in the evaluation of airway responsiveness in bakers' asthma.
Cystic Fibrosis
Gastrointestinal Effects
mannitol as a novel biomarker for measurement of intestinal permeability.
Hemodialysis
Hypertonic Mannitol for the Prevention of Intradialytic Hypotension: A Randomized Controlled Trial.
Pulmonary Fibrosis
Nebulized Mannitol, Particle Distribution, and Cough in Idiopathic Pulmonary Fibrosis.
Renoprotective
- Mannitol reduces nephron loss after warm renal ischemia in a porcine model.
- Intravascular administration of mannitol for acute kidney injury prevention: a systematic review and meta-analysis.
Stroke
Traumatic Brain Injury
- Equimolar doses of hypertonic agents (saline or mannitol) in the treatment of intracranial hypertension after severe traumatic brain injury.
- Mannitol for acute traumatic brain injury.
Other Effects
- Mannitol versus hypertonic saline for brain relaxation in patients undergoing craniotomy.
- Mannitol and other osmotic diuretics as adjuncts for treating cerebral malaria.
- Mannitol-enhanced delivery of stem cells and their growth factors across the blood-brain barrier.
- The sensitivity and specificity of the mannitol bronchial challenge test to identify asthma in different populations: a systematic review.