Hypertension, Vol 7, 364-373, Copyright © 1985 by American Heart Association
GA Meininger, LK Routh and HJ Granger
The purpose of this study was to investigate whether local mechanisms of
blood flow autoregulation mediate vasoconstriction during the early
development of renal hypertension. Anesthetized rats were instrumented with
Doppler flow probes on the celiac (CA), superior mesenteric (SMA), and
renal arteries to measure flow velocity in these vessels. Acute two-
kidney, one clip renal hypertension was produced by inflating a pneumatic
occluder on the left renal artery to reduce flow velocity by 50%. Two hours
after renal artery stenosis (RAS), femoral artery pressure (AP) was
increased by 35%, CA resistance by 45%, and SMA resistance by 57%. No
increases were observed in AP or in CA and SMA resistances for
sham-operated, control rats. To determine if autoregulation contributed to
the increase in SMA resistance, we protected the SMA vasculature from the
increased arterial pressure by servocontrolled inflation of a pneumatic
cuff implanted around the SMA. Although normalizing SMA pressure with the
protective cuff significantly reduced (p less than 0.05) the increase in
SMA resistance that occurred after RAS, SMA resistance remained elevated
above control levels. These results suggest that (1) reduced intensity of
SMA constriction produced by protection of the SMA is due to inhibition of
a local autoregulatory mechanism that is contributing to the increase in
SMA resistance during the acute development of renal hypertension, and (2)
maintenance of elevated SMA resistance during protection from increased AP
is the result of pressure-independent mechanisms that are activated
subsequent to renal artery stenosis.
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