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September 1, 1980AJP Renal Physiology226 citations

Blood pressure and renal function during chronic changes in sodium intake: role of angiotensin

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JHJohn E. HallAGArthur C. GuytonMSM. J. Smith

Key Points

  • To quantify the role of the renin-angiotensin system in regulating arterial pressure, renal hemodynamics, and sodium excretion across chronic changes in sodium intake.
  • Studied 18 dogs across three groups of six: intact controls, dogs with fixed continuous intravenous angiotensin II infusion (5 ng/kg/min), and dogs with angiotensin II blockade via SQ 14,225.
  • Measured arterial pressure, glomerular filtration rate, filtration fraction, sodium excretion, and plasma aldosterone during chronic step increases in sodium intake from 5 to 500 meq/day.
  • Control dogs maintained sodium balance across 5 to 500 meq/day with arterial pressure rising <7 mmHg, glomerular filtration rate increasing 19%, and decreases in filtration fraction and plasma renin activity.
  • Fixed angiotensin II infusion amplified sodium-induced increases, causing a 42% rise in arterial pressure, a 31% rise in glomerular filtration rate, and elevated tubular sodium reabsorption.
  • Angiotensin II blockade reduced arterial pressure, glomerular filtration rate, and tubular sodium reabsorption at sodium intakes of 5 to 80 meq/day independently of plasma aldosterone, with no blood pressure effect above 240 meq/day.

Abstract

The present study was designed to quantitate the role of the renin-angiotensin system (RAS) in determining the chronic relationships between arterial pressure (AP), renal hemodynamics, and Na excretion. In six control dogs, Na balance was achieved during chronic step increases in Na intake from 5 to 500 meq/day with small increases in AP (<7 mmHg), moderate increases in GFR (19%), and decreases in filtration fraction (FF) and plasma renin activity. Similar increases in Na intake in six dogs with angiotensin II (AII) fixed, due to constant intravenous infusion of 5 ng . kg-1 . min-1 AII, caused large increases in AP (42%), GFR (31%) FF, and calculated renal Na reabsorption (TNa) above control. In six dogs with AII formation blocked with SQ 14,225, Na balance at intakes of 5-80 meq/day occurred at reduced AP, GFR, FF, and TNa, although plasma aldosterone concentration (PAC) was not substantially different from that in control dogs. At Na intakes above 240 meq/day, AP was not altered by SQ 14,225. These data indicate that during chronic changes in Na intake the RAS plays a major role, independent of changes in PAC, in allowing Na balance without large changes in GFR or AP. The mechanism whereby AII conserves Na chronically is through increased TNa, since steady-state TNa was increased by AII and decreased by SQ 14,225.

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Cite This Study

Hall et al. (1980) studied this question.

synapsesocial.com/papers/6a8443a125efb1e71e83e9echttps://doi.org/10.1152/ajprenal.1980.239.3.f271
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