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Nitric oxide and the role of blood pressure variability to the kidney
Authors:B. Nafz  E. Seeliger  P. B. Persson
Abstract:Blood pressure variability is buffered by at least two mechanisms: the arterial baroreceptor reflex and nitric oxide (NO). Only recently is the importance of blood pressure variations on cardiovascular control being investigated. Here we report of a study performed in conscious dogs, in which renovascular hypertension was induced. Reduction of renal arterial pressure (RAP) to 85 mmHg for 24 h elicited profound hypertension by 60 mmHg (vs. control: 110 ± 3 mmHg; P < 0.01). This was accompanied by reduced volume and sodium excretion (–48% of control, P < 0.01 and –80% of control, P < 0.01, respectively) and augmented renin release by more than two‐fold (P < 0.01). This intervention was compared with a protocol in which RAP was reduced to the same mean value, however, RAP oscillated by ±10 mmHg at 0.1 Hz. This manoeuvre led to a transient increase in NO3 excretion in urine (P < 0.01), blunted antidiuresis (–14% of control) as well as antinatriuresis (–40% of control) and attenuated the increased renin release by 30% (P < 0.05). In consequence, the magnitude of blood pressure increase was only half as high as that observed during static reduction of RAP (P < 0.01). It is concluded that blood pressure oscillations to the kidney have a profound influence on water and electrolyte balance and on renin release, which alleviates the onset of Goldblatt hypertension.
Keywords:arterial blood pressure  hypertension  nitric oxide  renal blood flow  renin
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