Why the study?
Does cardiac denervation affect the renal responses to acute intravascular volume expansion in nonhuman primates?
Does cardiac denervation affect the renal responses to acute intravascular volume expansion in nonhuman primates?
Cardiac denervation does not attenuate renal excretory responses to volume expansion in nonhuman primates, suggesting redundant afferent pathways or a minor role for cardiac receptors.
Renal volume responses persist after cardiac denervation in primates; leaves open redundant pathways and requires human validation.
Experiments were performed to determine whether total, specific cardiac denervation affects the renal responses of the nonhuman primate to acute intravascular volume expansion. Adult male Macaca fascicularis monkeys underwent chronic intrapericardial cardiac denervation or sham surgery. After a 14- to 30-day recovery period, each animal was anesthetized with sodium pentobarbital and estimated blood volume was volume-expanded 20% with 6% dextran in isotonic saline. Control renal excretory function did not differ between the two groups, and both groups had similar increases in urine flow, sodium and potassium excretion, osmolar clearance, free water clearance, and renal plasma flow after volume expansion. The times to peak diuresis and natriuresis also were similar in both groups. These results demonstrate that the cardiac-denervated monkey shows unattenuated renal excretory responses to volume expansion. This could indicate that either cardiac receptors do not play a major role in eliciting these responses in the primate or that eliminating a role of cardiac afferents is compensated for by redundant afferents from arterial baroreceptors.
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Peterson et al. (1983) studied this question.
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