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August 1, 1993HypertensionOpen Access

Renal nitric oxide and angiotensin II interaction in renovascular hypertension.

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Key result

In 2K1C hypertensive rats, L-NAME decreased renal blood flow in the nonclipped kidney by 61% (P<0.001), whereas losartan reduced blood pressure and normalized blood flow in the clipped kidney.

Why the study?

Does angiotensin II antagonism with losartan alter the renal hemodynamic response to nitric oxide synthesis inhibition in 2K1C renovascular hypertensive rats?

Population

Anesthetized two-kidney, one clip (2K1C) renovascular hypertensive rats 4 weeks after clipping (n=10)

Comparison

Nitric oxide synthesis inhibition with 10 mg/kg… vs 10 mg/kg body wt L-NAME in hypertensive rats…

Design

Preclinical

Follow-up

Acute (during anesthesia)

Authors

DSDavid H. SigmonTulane UniversityWBWilliam H. BeierwaltesVascular / Pulmonary Vascular

Discussion

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Implication

Hypothesis-generating for NO-Ang II interplay in renovascular hypertension; human studies required before clinical translation.

Structured PICO

Does angiotensin II antagonism with losartan alter the renal hemodynamic response to nitric oxide synthesis inhibition in 2K1C renovascular hypertensive rats?

P
Population
10 anesthetized two-kidney, one clip (2K1C) hypertensive rats studied 4 weeks after clipping to evaluate renal blood flow.
I
Intervention
Nitric oxide synthesis inhibition with 10 mg/kg body wt NG-nitro-L-arginine-methyl ester (L-NAME) in rats treated with 10 mg/kg body wt of the angiotensin II antagonist losartan (n=5)
C
Comparator
10 mg/kg body wt L-NAME in hypertensive rats untreated with losartan (n=5)
O
Outcome
Bilateral renal blood flow measured using radioactive microspheressurrogate

The study demonstrates significant interactions between endothelium-derived nitric oxide and angiotensin II in regulating bilateral renal blood flow in renovascular hypertension.

Cite This Study

Sigmon et al. (1993) studied Renovascular hypertension (n=10). L-NAME (with or without losartan) vs. Untreated (no losartan) was evaluated on Bilateral renal blood flow and blood pressure. In 2K1C hypertensive rats, L-NAME decreased renal blood flow in the nonclipped kidney by 61% (P<0.001), whereas losartan reduced blood pressure and normalized blood flow in the clipped kidney.

synapsesocial.com/papers/6a244f8a4e3df5db62a60087https://doi.org/10.1161/01.hyp.22.2.237
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Importance of the renal nerves in established two-kidney, one clip Goldblatt hypertension.1982 · 133 citations
  2. 2The role of thromboxane in two-kidney, one-clip Goldblatt hypertension in rats1989 · 40 citations
  3. 3Renal function in rats with angiotensin li-salt-induced hypertension: effect of thromboxane synthesis inhibition and receptor blockade1990 · 40 citations
  4. 4Endothelium modulates renal blood flow but not autoregulation1992 · 107 citations
  5. 5Endothelial derived relaxing factor controls renal hemodynamics in the normal rat kidney.1990 · 292 citations