Renal effects of natriuretic peptide receptor blockade in cirrhotic rats with ascites
✍ Scribed by Paolo Angeli; Wladimiro Jiménez; Vicente Arroyo; Harald S. Mackenzie; Ping L. Zhang; Joan Clária; Francisca Rivera; Barry M. Brenner; Joan Rodés
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 792 KB
- Volume
- 20
- Category
- Article
- ISSN
- 0270-9139
No coin nor oath required. For personal study only.
✦ Synopsis
The aim of this study was to assess the effect of HS-142-1, a recently discovered specific antagonist of endogenous natriuretic peptides, on systemic hemodynamics, renal function, and the renin-aldosterone system in rats with cirrhosis and ascites. The study consisted of three protocols, each including 10 conscious control rats and 10 conscious rats with carbontetrachloride-induced cirrhosis with ascites. In protocol 1, HS-142-1 administration (by intravenous bolus of 20 mg-kg-' . body weight in all protocols) was not associated with significant changes in mean arterial pressure, heart rate, cardiac output or total peripheral resistance in the two groups of animals. In protocol 2, HS-142-1 induced a significant reduction in glomerular filtration rate (from 4.2 2 0.5 to 2.6 & 0.3 ml/min, p < 0.025) in control animals. A decrease in renal plasma flow and an increase in renal vascular resistance also occurred, but these changes were not statistically significant. In cirrhotic rats, HS-142-1 resulted in a significant decrease in renal plasma flow (from 10.9 & 0.7 to 4.3 * 0.6 ml/min, p < 0.001) and a significant increase in renal vascular resistance (from 6.0 f 0.6 to 16.3 f 2.7 mm Hg.min.ml-', p < 0.025). Glomerular filtration rate decreased more in cirrhotic rats with ascites than in control rats (from 3.8 f 0.3 to 1.3 f 0.2 ml/min, p c 0.001). Changes in urine flow rate and urinary sodium excretion rate paralleled those of
📜 SIMILAR VOLUMES
An interrelationship between atrial natriuretic peptide (ANP) and the renin-angiotensin system has been established. Both of these hormonal systems are modulated by sodium balance. The role of the beta-adrenoceptor in the regulation of release of ANP is not clear. We therefore undertook a study to e
The reliability of lithium clearance as an index of distal fluid delivery in cirrhosis with ascites and in other clinical conditions characterized by low fractional sodium excretion has not yet been proven. In particular, lithium reabsorption in the amiloridesensitive segment of the distal tubule, a
A possible defect of guanosine 3Ј-5Ј-cyclic monophosphate (cGMP) content in the renal tissue caused by an increased activity of cGMP phosphodiesterase (PDE) has, so far, not been evaluated in the pathogenesis of renal resistance to endogenous natriuretic peptides (ENP) in cirrhosis with ascites. To