(Hypertension. 1999;34:832-836.)
© 1999 American Heart Association, Inc.
Scientific Contributions |
From the Department of Physiology, Tulane University School of Medicine, New Orleans, La.
Correspondence to Dewan S.A. Majid, PhD, Department of Physiology SL39, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112. E-mail majid{at}mailhost.tcs.tulane.edu
AbstractA direct relationship
between renal arterial pressure (RAP) and cortical tissue
nitric oxide (NO) activity in the canine kidney was reported earlier.
We have conducted further experiments to evaluate medullary NO
responses to alterations in RAP with the use of a NO-selective
microelectrode inserted into the renal medulla of 6
anesthetized, sodium-replete dogs. Graded reductions in RAP
(from 140 to 80 mm Hg) elicited decreases in medullary tissue NO
concentration, with a slope of 10.2±4.5 nmol ·
L-1 · mm Hg-1. These changes in
NO levels were associated with decreases in urinary excretion rate of
nitrate and nitrite (UNOxV; control value, 1.7±0.03
nmol · min-1 · g-1; slope,
0.02±0.004 nmol · min-1 ·
g-1 · mm Hg-1) and sodium
excretion (UNaV; control, 3.2±0.7 µmol ·
min-1 · g-1; slope, 0.06±0.02
µmol · min-1 · g-1
· mm Hg-1) without changes in
glomerular filtration rate control (0.84±0.06 mL ·
min-1 · g-1).
Intra-arterial administration of the NO synthase
inhibitor
N
-nitro-L-arginine (NLA; 50
µg · kg-1 · min-1) decreased
medullary NO concentration by 218±55 nmol · L-1
(n=5) and attenuated the relationship between RAP and NO concentration
(slope, 2.7±2.2 nmol · L-1 ·
mm Hg-1). NLA infusion decreased UNOxV
(0.8±0.06 nmol · min-1 · g-1)
and UNaV (1.1±0.2 µmol ·
min-1 · g-1) without changes in
glomerular filtration rate and attenuated RAP versus
UNoxV and UNaV relationships. Total and
regional blood flows, as measured by electromagnetic and laser
Doppler needle flow probes, respectively, remained autoregulated
both before and during NLA infusion. These data support the hypothesis
that acute changes in RAP elicit changes in intrarenal NO
production, which may participate in the mediation of
pressure natriuresis.
Key Words: natriuresis nitric oxide selective electrode laser Doppler flowmetry
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