Hypertension, Vol 23, 337-345, Copyright © 1994 by American Heart Association
S Lu, DL Mattson and AW Cowley Jr
We examined the contribution of renal medullary function to the maintenance
of hypertension in spontaneously hypertensive rats by infusing captopril
chronically into the renal medullary interstitial space of
uninephrectomized rats. Changes in cortical and medullary blood flow were
determined using a newly developed optical fiber implantation technique for
laser-Doppler flowmetry. Renal medullary interstitial infusion of captopril
(5 mg/kg per day) selectively increased medullary blood flow by 40% without
altering renal cortical blood flow throughout the 5 days of captopril
delivery. In association with the selective increase of medullary
perfusion, a significant natriuresis was observed on the second day of the
drug infusion, and urine osmolality was significantly reduced during the
first 3 days of captopril infusion. Mean arterial pressure was
significantly decreased by 20 mm Hg during 5 days of captopril infusion,
and the chronic renal function curve was shifted to a lower level of
arterial pressure compared with the control values when 0.9% sodium
chloride saline vehicle was infused. Intravenously infused captopril at 5
mg/kg per day did not alter mean arterial pressure, excluding the
possibility that the hypotensive effect of medullary captopril infusion was
due to recirculation. In summary, chronic reduction of the elevated renal
medullary vascular tone by medullary interstitial infusion of captopril
reset the steady-state renal function curve and lowered arterial pressure
in spontaneously hypertensive rats.
ARTICLES
Renal medullary captopril delivery lowers blood pressure in spontaneously hypertensive rats
Department of Physiology, Medical College of Wisconsin, Milwaukee 53226.
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