Key result
Unilateral renal denervation in spontaneously hypertensive rats did not significantly normalize the slope of urine flow versus arterial pressure compared to the intact kidney (0.179 vs 0.120 μL/min/kg/mmHg, P=0.098).
Why the study?
Primary acute sympathetic activation elevates arterial pressure, during which renal innervation antidiuresis and pressure diuresis may act antagonistically on the kidneys.
Does unilateral renal denervation improve urine output response to arterial pressure in spontaneously hypertensive rats?
Does unilateral renal denervation improve urine output response to arterial pressure in spontaneously hypertensive rats?
Absolute Event Rate: 0.179% vs 0.12%
p-value: p=0.098
In spontaneously hypertensive rats, the pressure diuresis mechanism outweighs the antidiuretic effect mediated by the renal sympathetic nerve during primary acute sympathetic activation, similar to normotensive rats.
PASA effects on diuresis in denervated SHR kidneys warrant caution in RDN models; leaves open sympathetic-renal mechanisms for human hypertension studies.
Primary acute sympathetic activation (PASA) causes a subsequent arterial pressure (AP) elevation. In this case, an antidiuretic effect via the renal innervation and pressure diuresis can act antagonistically on the kidneys. We examined the effect of PASA on urine output in spontaneously hypertensive rats (SHR) 4–7 days after unilateral renal denervation (RDN) (n = 9). The slope of the plot of urine flow versus AP was positive (0.120 ± 0.031 μL min−1 kg−1 mmHg−1) on the intact side, but it was less than 1/3 of the slope observed previously in normotensive Wistar–Kyoto rats (WKY). RDN did not normalize the slope of urine flow versus AP (0.179 ± 0.025 μL min−1 kg−1 mmHg−1, P = 0.098 versus the intact side). The urine flow at the operating point of the AP tended to be greater on the denervated than the intact side (29.0 ± 1.8 vs. 25.3 ± 1.9 μL min−1 kg−1, P = 0.055). The percent increase (17.2 ± 7.2%) was not different from that observed previously in WKY. Although high-resting sympathetic nerve activity is prerequisite for maintaining hypertension in SHR, the effect of sympathetic innervation on the urine output function was not greater than that in WKY.
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Kawada et al. (2021) studied Hypertension (n=9). Unilateral renal denervation vs. Intact contralateral kidney was evaluated on Slope of normalized urine flow versus arterial pressure (μL min−1 kg−1 mmHg−1) (p=0.098). Unilateral renal denervation in spontaneously hypertensive rats did not significantly normalize the slope of urine flow versus arterial pressure compared to the intact kidney (0.179 vs 0.120 μL/min/kg/mmHg, P=0.098).
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