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ADAPTATION TO INCREASED DIETARY SALT INTAKE IN THE RAT - ROLE OF ENDOGENOUS NITRIC-OXIDE
Author(s): SHULTZ PJ, TOLINS JP
Source: JOURNAL OF CLINICAL INVESTIGATION    Volume: 91    Issue: 2    Pages: 642-650    Published: FEB 1993  
Times Cited: 177     References: 44     
Abstract: Previous studies have suggested that nitric oxide (NO) plays a role in regulation of renal vascular tone and sodium handling. We questioned whether the effects of NO synthase inhibition on renal function are direct or due to increased renal perfusion pressure (RPP) and whether stimulation of endogenous NO activity plays a role in adaptation to increased dietary salt intake. Intrarenal arterial infusion of the NO synthase inhibitor N(G)-monomethyl-L-arginine (L-NMMA) in control rats resulted in decreased glomerular filtration rate, renal vasoconstriction, natriuresis, and proteinuria. When RPP was held at basal levels with a suprarenal aortic snare, L-NMMA had similar hemodynamic effects but decreased sodium excretion and did not induce proteinuria. Exposure of rats to high salt intake (1% NaCl drinking water) for 2 wk induced increased serum concentration and urinary excretion of the NO decomposition products, NO2 + NO3. Urinary NO2 + NO3 and sodium excretion were significantly correlated. Compared with controls, chronically salt-loaded rats also demonstrated enhanced renal hemodynamic responses to NO synthase inhibition. We conclude that the endogenous NO system directly modulates renal hemodynamics and sodium handling and participates in the renal adaptation to increased dietary salt intake. Enhanced NO synthesis in response to increased salt intake may facilitate sodium excretion and allow maintenance of normal blood pressure.
Document Type: Article
Language: English
Addresses:
1. VET AFFAIRS MED CTR, DEPT MED, MINNEAPOLIS, MN 55417 USA
2. UNIV MINNESOTA, SCH MED, MINNEAPOLIS, MN 55417 USA
Publisher: ROCKEFELLER UNIV PRESS, 1114 FIRST AVE, 4TH FL, NEW YORK, NY 10021
Subject Category: Medicine, Research & Experimental
IDS Number: KM222
ISSN: 0021-9738
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