PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
December 1, 1979AJP Renal Physiology81 citations

Chronic blockade of angiotensin II formation during sodium deprivation

View Full Paper
JHJ. E. HallAGArthur C. GuytonMSM. J. Smith

Key Points

  • To determine the mechanisms by which the renin-angiotensin system regulates arterial pressure and renal hemodynamics during chronic sodium deprivation.
  • Infused the converting enzyme inhibitor SQ 14225 (14 µg·kg⁻¹·min⁻¹) intravenously for 8 days in 12 sodium-deficient dogs.
  • Administered replacement infusions of aldosterone (200 µg/day for 8 days, n=4) or angiotensin II (10 or 20 ng·kg⁻¹·min⁻¹ for 5–8 days) during continuous SQ 14225 infusion.
  • SQ 14225 infusion decreased arterial pressure from 90 ± 1 to 67 ± 2 mmHg and reduced glomerular filtration rate, filtration fraction, and plasma aldosterone, while increasing urinary sodium excretion and effective renal plasma flow.
  • Aldosterone infusion normalized plasma aldosterone levels without altering arterial pressure or renal parameters, whereas angiotensin II infusion almost completely restored blood pressure and renal function to control levels.

Abstract

The present study was designed to investigate the mechanisms by which the renin-angiotensin system (RAS) regulates arterial pressure (AP) and renal function during chronic sodium deprivation. Intravenous infusion of the converting enzyme inhibitor SQ 14225 (14 microgram.kg-1.mm-1) for 8 days in 12 sodium-deficient dogs caused a marked decrease in AP from 90 +/- 1 to 67 +/- 2 mmHg and a reduction in glomerular filtration rate (GFR), filtration fraction (FF), and plasma aldosterone concentration (PAC). Despite the fall in AP and GFR, urinary Na excretion and effective renal plasma flow (ERPF) increased above control levels. In four dogs, infusion of aldosterone (200 micrograms/day) for 8 days during continuous SQ 14225 infusion restored PAC to levels above control, but did not significantly change AP or renal function from the values observed during SQ 14225 infusion alone. However, infusion of angiotensin II (AII) (10 or 20 ng.kg-1.min-1) for 5--8 days during continuous SQ 14225 infusion almost completely restored AP and renal function to control levels. These data indicate that the RAS plays a major role in regulating AP, renal hemodynamics, and Na excretion during Na deprivation, probably through the direct effects of AII rather than through changes in PAC.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Hall et al. (1979) studied this question.

synapsesocial.com/papers/6a856ae48e43bc0304d0bc23https://doi.org/10.1152/ajprenal.1979.237.6.f424
Ask AI
Helpful
Bookmark
Share
View Full Paper