Why the study?
Does oral DL-propranolol improve sodium excretion in dogs with chronic bile-duct ligation?
Does oral DL-propranolol improve sodium excretion in dogs with chronic bile-duct ligation?
Propranolol can partially reverse the antinatriuresis associated with chronic bile-duct ligation in dogs, suggesting an extrarenal effect of beta-adrenergic blockade.
Suggests beta-blockade effects in experimental cholestasis; leaves open translation to human sodium retention disorders.
Chronic ligation of the bile duct in dogs is associated with salt retention and a blunted natriuretic response to extracellular volume expansion. The mechanism of this phenomenon has not been clarified. 2. We have examined the influence of chronic beta-adrenergic blockade on sodium excretion in dogs with bile-duct ligation during extracellular hypotonic volume expansion. 3. Urinary excretion of sodium and fractional excretion of sodium rose significantly after 5 days of oral DL-propranolol administration to dogs with bile-duct ligation. 4. The antinatriuresis after bile-duct ligation was not followed by a significant alteration in the mean peripheral plasma renin activity as compared with control values. 5. It is suggested that propranolol can partially reverse the antinatriuresis of chronic bile-duct ligation, and that this is mediated by an extrarenal effect of the beta-adrenergic blockade.
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Winaver et al. (1978) studied this question.
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