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bieta Kompanowska-JezierskaLaboratory of Renal and Body Fluid Physiology, M. Mossakowski Medical Research Centre, Polish Academy of Sciences, 02-106 Warsaw, Poland
To whom requests for reprints should be addressed at
1 Laboratory of Renal and Body Fluid Physiology, M. Mossakowski Medical Research Centre, Polish Academy of Sciences, Pawi
skiego 5, 02-106 Warsaw, Poland. E-mail: renal{at}cmdik.pan.pl
The mechanism of adenosine A1 receptorinduced intrarenal vasoconstriction is unclear; it depends on sodium intake and may be mediated by changing the intrarenal activity of the nitric oxide (NO) and/or cyclooxygenase (COX) pathway of arachidonic acid metabolism. The effects of 2-chloro-N6-cyclopentyl-adenosine (CCPA), a selective A1 receptor agonist, on renal hemodynamics were examined in anesthetized rats maintained on high sodium (HS) or low sodium (LS) diet. Total renal (i.e., cortical) blood flow (RBF) as well as superficial cortical (CBF), outer medullary (OMBF), and inner medullary (IMBF) flows were determined by laser-Doppler. In HS rats, suprarenal aortic infusions of 840 nmol/kg/hr CCPA decreased IMBF (15%) and other perfusion indices (22%27%); in LS rats, IMBF increased 3% (insignificant) and other indices decreased 13%24%. In LS rats, pretreatment with N-nitro-L-arginine methyl ester prevented the A1 receptormediated decrease in RBF and CBF but not OMBF; the response in IMBF was not altered. Pretreatment with indomethacin prevented the decreases in RBF, CBF, and OMBF and did not change the response of IMBF. Thus, within the cortex the vasoconstriction that follows A1 receptor activation results both from inhibition of NO synthesis and from stimulation of vasoconstrictor products of the COX pathway. In the outer medulla, the latter products seem exclusively responsible for CCPA-induced vasoconstriction. The observation that in LS rats IMBF was not affected by stimulation of adenosine A1 receptors suggests that limiting salt intake may help protect medullary perfusion against vasoconstrictor stimuli which have the potential to disturb long-term control of arterial pressure.
Key Words: renal cortical blood flow renal medullary blood flow adenosine A1 receptor agonist nitric oxide COX
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