(Hypertension. 1995;26:249-255.)
© 1995 American Heart Association, Inc.
Articles |
Presented at the 27th Annual Meeting of the American Society of Nephrology, Orlando, Fla, October 26-29, 1994, and published in abstract form (J Am Soc Nephrol. 1994;3:548).
From the Hypertension Research Laboratories, Alton Ochsner Medical Foundation, New Orleans, La.
Abstract To investigate the prolonged effects of nitric oxide
inhibition on systemic, renal, and glomerular
hemodynamics, the effects of the nitric oxide synthase
inhibitor
N
-nitro-L-arginine methyl ester
(L-NAME) on cardiac index, renal micropuncture results, urinary
excretion, and histology were obtained in 20-week-old male
spontaneously hypertensive rats (SHR) that were divided into two
groups: untreated and L-NAMEtreated (50 mg/L), each followed for 3
weeks. Cardiac index and effective renal plasma flow decreased
(P<.01) in L-NAMEtreated SHR, exhibiting a positive
correlation (r=.816; P<.0001). Single-nephron
plasma flow (123±8 versus 80±12 nL/min per gram; P<.01)
and ultrafiltration coefficient (P<.05) were also reduced
in L-NAMEtreated SHR versus controls. Most notably, the
L-NAMEtreated SHR had increased afferent (4.4±0.3 versus 9.5±1.3 U;
P<.01) and efferent (1.4±0.1 versus 2.7±0.3 U;
P<.01) glomerular arteriolar resistances versus
controls. These functional changes were associated with significantly
altered afferent arteriolar (P<.001) and
glomerular (P<.005)
histological injury scores accompanied by marked
proteinuria (P<.001). Because of the intense afferent
glomerular artery constriction and lesser increase in
efferent glomerular arteriolar resistance associated with
reduced single-nephron plasma flow, glomerular capillary
pressure did not increase in the L-NAMEtreated SHR. Thus, L-NAME
produced marked proteinuria and severe hypertensive
nephrosclerosis manifested by afferent arteriolar
fibrinoid necrosis, segmental glomerular hyalinosis and
sclerosis, and myocardial fibrosis without any further increase in left
ventricular mass, thereby providing a new model for severe
hypertensive nephrosclerosis in young SHR without the
necessity for surgical reduction of renal mass.
Key Words: nitric oxide hypertension, L-NAME cardiac output renal micropuncture nephrosclerosis rats, inbred SHR
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