Key result
Hypothyroid rat kidneys showed reduced responsiveness to phenylephrine, acetylcholine, and sodium nitroprusside, which was not related to increased production of NO or EDHF.
In hypothyroid rats, the attenuated renal vascular response to phenylephrine is not due to increased NO or EDHF production, and there is reduced reactivity to NO donors.
Should not guide clinical management in hypothyroidism; leaves open mechanisms of renal vascular hyporesponsiveness for human studies.
This study analyzed the role of nitric oxide (NO) and endothelium-derived hyperpolarizing factor (EDHF) in the abnormal renal vascular reactivity of hypothyroid rats. Renal responses to vasoconstrictors [VC: phenylephrine (PHE) and ANG II] and vasodilators [VD: ACh, sodium nitroprusside (SNP), and papaverine (PV)] were studied in kidneys from control and hypothyroid rats under normal conditions and after NO or EDHF blockade. NO was blocked by the administration of Nomega-nitro-l-arginine methyl ester (l-NAME) and EDHF by the administration of tetraethylammonium (TEA) or by an increased extracellular K+. The response to VC was also evaluated after endothelium removal. Hypothyroid kidneys showed reduced responsiveness to PHE and a normal response to ANG II. l-NAME and TEA administration produced an increased sensitivity to PHE and to ANG II in control preparations. l-NAME also increased the response to PHE in hypothyroid kidneys, but the differences between control and hypothyroid kidneys were maintained. TEA administration did not change the response to either VC in hypothyroid preparations. In endothelium-removed preparations, TEA was unable to increase pressor responsiveness to VC. Hypothyroid kidneys showed reduced responsiveness to ACh and SNP and normal response to PV. The differences between hypothyroid and control preparations in the responses to ACh and SNP were maintained after l-NAME or increased K+. In conclusion, this study shows that 1) the attenuated response to PHE in hypothyroidism is not related to an increased production of endothelium-derived relaxing factors NO and EDHF; 2) the response to VC in hypothyroid preparations is insensitive to EDHF blockade; and 3) hypothyroid preparations have a reduced reactivity to the NO donor, and NO-independent vasodilatation remains unaffected.
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Moreno et al. (2003) studied Hypothyroidism. Hypothyroidism vs. Control rats was evaluated on Renal vascular reactivity to vasoconstrictors and vasodilators. Hypothyroid rat kidneys showed reduced responsiveness to phenylephrine, acetylcholine, and sodium nitroprusside, which was not related to increased production of NO or EDHF.
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