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RENAL MEDULLARY CAPTOPRIL DELIVERY LOWERS BLOOD-PRESSURE IN SPONTANEOUSLY HYPERTENSIVE RATS
Author(s): LU SH, MATTSON DL, COWLEY AW
Source: HYPERTENSION    Volume: 23    Issue: 3    Pages: 337-345    Published: MAR 1994  
Times Cited: 72     References: 29     
Abstract: We examined the contribution of renal medullary function to the maintenance of hypertension in spontaneously hypertensive rats by infusing captopril chronically into the renal medullary interstitial space of uninephrectomized rats. Changes in cortical and medullary blood flow were determined using a newly developed optical fiber implantation technique for laser-Doppler flowmetry. Renal medullary interstitial infusion of captopril (5 mg/kg per day) selectively increased medullary blood flow by 40% without altering renal cortical blood flow throughout the 5 days of captopril delivery. In association with the selective increase of medullary perfusion, a significant natriuresis was observed on the second day of the drug infusion, and urine osmolality was significantly reduced during the first 3 days of captopril infusion. Mean arterial pressure was significantly decreased by 20 mm Hg during 5 days of captopril infusion, and the chronic renal function curve was shifted to a lower level of arterial pressure compared with the control values when 0.9% sodium chloride saline vehicle was infused. Intravenously infused captropril at 5 mg/kg per day did not alter mean arterial pressure, excluding the possibility that the hypotensive effect of medullary captopril infusion was due to recirculation. In summary, chronic reduction of the elevated renal medullary vascular tone by medullary interstitial infusion of captopril reset the steady-state renal function curve and lowered arterial pressure in spontaneously hypertensive rats.
Document Type: Article
Language: English
Addresses:
1. MED COLL WISCONSIN, DEPT PHYSIOL, MILWAUKEE, WI 53226 USA
Publisher: AMER HEART ASSOC, 7272 GREENVILLE AVENUE, DALLAS, TX 75231-4596
Subject Category: Peripheral Vascular Disease
IDS Number: MZ690
ISSN: 0194-911X
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