Why the study?
Do extracts of kidneys reduce blood pressure in hypertensive patients and animals?
Do extracts of kidneys reduce blood pressure in hypertensive patients and animals?
This historical paper investigates the early physiological mechanisms and blood pressure-reducing properties of kidney extracts in the context of hypertension.
Answers are grounded in this paper and cite their sources.
Historical observations of kidney extracts in hypertension leave open renal mechanisms; modern validation required before clinical consideration.
Article1 September 1941THE BLOOD PRESSURE REDUCING PROPERTY OF EXTRACTS OF KIDNEYS IN HYPERTENSIVE PATIENTS AND ANIMALSIRVINE H. PAGE, M.D., O. M. HELMER, Ph.D., K. G. KOHLSTAEDT, M.D., G. F. KEMPF, M.D., W. D. GAMBILL, M.D., R. D. TAYLOR, M.D.IRVINE H. PAGE, M.D., O. M. HELMER, Ph.D., K. G. KOHLSTAEDT, M.D., G. F. KEMPF, M.D., W. D. GAMBILL, M.D., R. D. TAYLOR, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-15-3-347 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Excerpt1. Tigerstedt and Bergmann1 demonstrated that bilateral nephrectomy increases the rise in arterial pressure occurring in anesthetized animals when extracts of kidney containing renin are injected into them. This observation was confirmed by Merrill, Williams and Harrison,2 and by Fasciolo, Houssay and Taquini3 who suggested that the increased sensitivity might be due to loss of an anti-pressor substance. Similar increase in sensitivity was observed by Page and Helmer4 when angiotonin was administered instead of renin. Angiotonin is the pressor substance resulting from interaction of renin and renin-activator.5Nephrectomy therefore appears to remove the source of some substance which opposes the...Bibliography1. TIGERSTEDTBERGMANN RPG: Niere und Kreislauf, Skand. Arch. f. Physiol., 1898, viii, 223. CrossrefGoogle Scholar2. MERRILLWILLIAMSHARRISON ARHTR: The effects of a pressor substance obtained from the kidneys on the renal circulation of rats and dogs, Am. Jr. Med. Sci., 1938, cxcvi, 240. CrossrefGoogle Scholar3. FASCIOLOHOUSSAYTAQUINI JCBAAC: The blood pressure raising secretion of the ischemic kidney, Jr. Physiol., 1938, xciv, 281. CrossrefGoogle Scholar4. PAGEHELMER IHOM: Angiotonin-activator, renin and angiotonin inhibitor and the mechanism of angiotonin tachyphylaxis in normal, hypertensive and nephrectomized animals, Jr. Exper. Med., 1940, lxxi, 495. CrossrefGoogle Scholar5. 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HARRISONGROLLMANWILLIAMS TRAJR: The antipressor action of renal extracts and their capacity to reduce the blood pressure of hypertensive rats, Am. Jr. Physiol., 1940, cxxviii, 716. CrossrefGoogle Scholar12. PAGEHELMER IHOM: Unpublished observations. Google Scholar13. GROLLMANHARRISONWILLIAMS ATRJR: Humoral agents in the causation of hypertension, Am. Assoc. Adv. Sci., Publication No. 13, 1940, p. 274. Google Scholar14. PAGE IH: Newer aspects of experimental hypertension, Am. Assoc. Adv. Sci., Publication No. 13, 1940, p. 239. Google Scholar15. GROLLMANWILLIAMSHARRISON AJRTR: The preparation of renal extracts capable of reducing the blood pressure of animals with experimental renal hypertension, Jr. Biol. Chem., 1940, cxxxiv, 115. CrossrefGoogle Scholar16. PAGEHELMERKOHLSTAEDTFOUTSKEMPFCORCORAN IHOMKGPJGFAC: Substances in kidneys and muscle eliciting prolonged reduction of blood pressure in human and experimental hypertension, Proc. Soc. Exper. Biol. and Med., 1940, xliii, 722. CrossrefGoogle Scholar17. PAGEHELMERKOHLSTAEDTFOUTSKEMPF IHOMKGPJGF: Reduction of arterial blood pressure of hypertensive patients and animals with extracts of kidneys, Jr. Exper. Med., 1941, lxxiii, 7. CrossrefGoogle Scholar18. PAGE IH: The production of persistent arterial hypertension by cellophane perinephritis, Jr. Am. Med. Assoc., 1939, cxiii, 2046. Google Scholar19. CORCORANPAGE ACIH: Effects of renal extracts containing "angiotonin inhibitor" on renal blood flow and function in normal and hypertensive dogs and human beings, Am. Jr. Physiol., 1941, cxxxiii, 248. Google Scholar20. CORCORANPAGE ACIH: The effects of angiotonin on renal blood flow and glomerular filtration, Am. Jr. Physiol., 1940, cxxx, 335. CrossrefGoogle Scholar21. CORCORANKOHLSTAEDTPAGE ACKGIH: Changes of arterial blood pressure and renal hemodynamics by injection of angiotonin in human beings, Proc. Soc. Exper. Biol. and Med., 1941, xlvi, 244. CrossrefGoogle Scholar22. VAN SLYKEPAGEHILLERKIRK DDIHAE: Comparison of urea clearance calculated from the excretion of urea, of urea plus ammonia, and of nitrogen determinable by hypobromite, Jr. Clin. Invest., 1935, xiv, 901. CrossrefGoogle Scholar23. ADDIS T: The number of formed elements in the urinary sediment of normal individuals, Jr. Clin. Invest., 1926, ii, 409. CrossrefGoogle Scholar24. HOWE PE: The determination of protein in blood by micromethod, Jr. Biol. Chem., 1921, xlix, 109. CrossrefGoogle Scholar25. CRANDALLANDERSON LAMX: Estimation of the state of hydration of the body by the amount of water available for the solution for sodium thiocyanate, Am. Jr. Digest. Dis., 1934, i, 1926. Google Scholar26. HARRISONGROLLMANWILLIAMS TRAJR: Reduction of elevated blood pressure by administration of renal extracts, Jr. Am. Med. Assoc., 1940, cxv, 1119. Google Scholar27. PAGE IH: The effect on renal efficiency of lowering arterial blood pressure in cases of essential hypertension and nephritis, Jr. Clin. Invest., 1934, xiii, 909. CrossrefGoogle Scholar28. PAGE IH: A clinical study of malignant hypertension, ANN. INT. MED., 1939, xii, 978. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Indianapolis, Indiana*Lecture given before the Third General Session of the American College of Physicians, April 22, 1941, Boston, Massachusetts.From the Lilly Laboratory for Clinical Research, Indianapolis City Hospital, Indianapolis, Indiana. 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POUTASSE, M.D.Herz und KreislaufDie Klinik und Chemie der Proteinasen des menschlichen und tierischen Organismus, ihre besondere Bedeutung in seinen Abwehrleistungen und in der klinischen DiagnostikVASOCONSTRICTORS IN THE COMMON COLDPENICILLIN IN RHEUMATIC FEVERRENAL EXTRACTS IN HYPERTENSIONThe Treatment of HypertensionArterial Hypertension 1 September 1941Volume 15, Issue 3Page: 347-389KeywordsBlood pressureClinical laboratoriesKidneysNephrectomyResearch laboratories ePublished: 1 December 2008 Issue Published: 1 September 1941 Copyright & PermissionsCopyright, 1941, by The American College of PhysiciansPDF downloadLoading ...
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