Hypertension, Vol 2, 187-191, Copyright © 1980 by American Heart Association
ML Leavitt, RE Miller and TA Kotchen
The mechanism by which clonidine suppresses plasma renin activity (PRA) was
investigated in dogs anesthetized with pentobarbital. Injection of
clonidine (1 micrograms/kg) into the cisterna magna decreased PRA from
levels stimulated by prior hemorrhage into a blood reservoir to reduce mean
blood pressure by 25% (21.7 ng/ml/hr +/- 6.6 SE leads to 11.1 ng/ml/hr +/-
2.4 SE; p less than 0.05). Clonidine reduced heart rate but mean arterial
pressure remained constant due to fluid movement between the reservoir and
the arterial circulation of the dog. These effects could not be attributed
to leakage of clonidine from the cerebrospinal fluid since intravenous
administration of the same dose had no effect on PRA. In animals
bilaterally splanchnicotomized at the level of the diaphragm, elevated PRA
was not reduced by intracisternal clonidine. When return of reservoir fluid
was prevented, animals became hypotensive after central clonidine and renin
tended to increase. These results indicate that clonidine reduces
stimulated renin by a central mechanism that is dependent upon the
integrity of the sympathetic innervation of the kidney. Other stimuli for
renin release may override the inhibitory effect of central clonidine.
ARTICLES
Suppression of stimulated plasma renin by clonidine in the dog
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