ADRENALECTOMY OVERCOMES THE BLUNTED NATRIURETIC RESPONSE TO ATRIAL NATRIURETIC PEPTIDE DURING HYPOCAPNIA IN RATS

1. Hypocapnia has been shown to blunt the natriuretic effect of atrial natriuretic peptide (ANP) independently of the renal nerves. In order to examine whether the adrenal glands are a limiting factor for the natriuretic effect of ANP, we evaluated the natriuretic responses of adrenalectomized rats to ANP infusion during hypocapnia. 2. Rats subjected to total adrenalectomy (ADX) or sham-operation (sham) were divided into hypocapnic and normo-capnic groups depending on their arteria. PCO₂ levels. 3. In sham rats, ANP infusion at a rate of 12 μg/kg per h resulted in a smaller increase in the fractional excretion of sodium during hypocapnia (mean±SEM: 1.02±0.40%, n = 10) than normocapnia (3.95±0.64%, n = 9; P < 0.001). The level of fractional excretion of sodium with ANP infusion during hypocapnia was not significantly different from the level in saline-infused hypocapnic sham rats (0.93 ±0.62%, n= 10). In hypocapnic ADX rats (n= 11), ANP induced greater increases in the fractional excretion of sodium (5.59±1.35%) than did saline infusion (1.04+1.02%, n= 10; P < 0.002). In the absence of adrenal glands, the magnitude of natriuresis after ANP infusion during hypocapnia and normocapnia (3.32 ±1.07%, n = 9) were the same. 4. We conclude that the natriuretic effect of ANP is blunted during hypocapnia in the presence, but not in the absence, of adrenal glands. Our data suggest that the adrenal glands have an important role in limiting the natriuretic effect of ANP.