Key result
Unilateral renal denervation significantly increased the slope of urine flow versus sympathetic nerve activity (0.331 vs 0.252 μL·min−1·kg−1·%−1, P<0.05) during primary acute sympathetic activation.
Why the study?
During primary acute sympathetic activation, kidneys face opposing influences from direct anti-diuretic neural effects versus pressure diuresis, leaving the net effect on urine output and the impact of renal denervation unclear.
Does unilateral renal denervation augment pressure diuresis during primary acute sympathetic activation in rats?
Does unilateral renal denervation augment pressure diuresis during primary acute sympathetic activation in rats?
Absolute Event Rate: 0.331% vs 0.252%
p-value: p=<0.05
In a rat model, urine output change was an effect of elevated arterial pressure during primary acute sympathetic activation, and renal denervation augmented this pressure diuresis.
Does not support clinical use of renal denervation; leaves open its role in human pressure diuresis.
Primary acute sympathetic activation (PASA) can increase arterial pressure (AP). Under this situation, the kidneys may receive mutually opposing influences from sympathetic activation: a direct anti-diuretic effect via the renal innervation and pressure diuresis. We examined whether PASA would reduce urine output regardless of the AP elevation. We also examined the impact of renal denervation (RDN) on urine output during PASA. The experiment was performed on rats 3 to 9 days after unilateral RDN (n = 10). Under anesthesia, systemic sympathetic nerve activity (SNA) was varied over a wide range via the carotid sinus baroreflex. The slope of urine flow versus SNA was positive (0.252 ± 0.052 μL·min−1·kg−1· %−1) on the intact side, and it was greater on the denervated side (0.331 ± 0.069 μL·min−1·kg−1· %−1, P < 0.05). In conclusion, urine output change was an effect of elevated AP during PASA. Nevertheless, RDN was able to augment pressure diuresis during PASA.
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Kawada et al. (2020) studied Primary acute sympathetic activation (n=10). Unilateral renal denervation vs. Intact side (contralateral kidney) was evaluated on Slope of normalized urine flow versus sympathetic nerve activity (p=<0.05). Unilateral renal denervation significantly increased the slope of urine flow versus sympathetic nerve activity (0.331 vs 0.252 μL·min−1·kg−1·%−1, P<0.05) during primary acute sympathetic activation.
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