EFFECTS OF RENAL DENERVATION ON PRESSURE-NATRIURESIS IN SPONTANEOUSLY HYPERTENSIVE RATS

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To investigate the role of renal sympathetic nerve activity (RSNA) under developing and established hypertension, renal function was studied in chronically renal-denervated and sham-operated male spontaneously hypertensive rats (SHR) and control Wistar Kyoto rats (WKY) at 8 (early hypertensive) and 22 (established hypertensive) weeks of age. To further characterize the renal pressure-natriuresis-diuresis relationship in SHR, renal perfusion pressure (RPP) was reduced by aortic constriction to the level seen in age-matched WKY and the same studies were repeated. After denervation, urinary sodium excretion (U_<Na>V), fractional excretion of sodium (FEN.) and urine flow (UF) were increased in 8-week-old SHR (p<0.01). With the exceptions of U_<Na>V and FE_<Na>. in denervated 8-week-old SHR, renal cortical blood flow, glomerular filtration rate, UF, U_<Na>V and FE_<Na> decreased with the reduction of RPP in all of the SHR groups. These results suggest that RSNA significantly influences renal sodium and fluid handling, thus contributing to the shifting of the arterial pressure-renal sodium excretion curve to the right along the pressure axis and/or to an increase in the steepness of the relationship in 8-week-old SHR. There appeared to be a marked difference in renal sodium handling between 8-and 22-week-old SHR.
社団法人日本循環器学会の論文
1993-10-20