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1 Division of Nephrology, Hypertension, and Clinical Pharmacology, Oregon Health Sciences University, Portland, Oregon 97201-3098; and 2 Department of Cell Biology, Institute of Anatomy, University of Aarhus, DK-8000, Aarhus C, Denmark
ANG II is known to be important in normal
renal development, but the long-term consequences of a suppressed
renin-angiotensin system (RAS) during the developmental period are not
completely understood. This study tested the hypothesis that the RAS in
the developing animal is important in long-term regulation of renal function and arterial pressure. Newborn Sprague-Dawley rat pups were
given the ANG II AT1 receptor
antagonist losartan (25 mg · kg
1 · day
1
sc) for the first 12 days of postnatal life (Los). Body weights at
weaning (22 days) were significantly reduced in Los (53.4 ± 3.2 vs.
64.5 ± 3.6 g in controls); however, at the time of study (~22
wk), body weights and the kidney-to-body weight ratios were not
different. In chronically instrumented conscious animals, glomerular
filtration rate and effective renal plasma flow were reduced by 27 and
20%, respectively, in Los; the filtration fraction was not different.
Maximal urine concentrating ability was also reduced in Los (1,351 ± 45 vs. 2,393 ± 52 mosmol/kg in controls). Mean arterial
pressure was significantly higher in Los (134 ± 3 vs. 120 ± 1 mmHg). The number of glomeruli per kidney was reduced by 42% in Los,
but the total glomerular volume was unchanged. Thus perinatal blockade
of ANG II AT1 receptors results in
fewer but enlarged glomeruli, reduced renal function, and an increased arterial pressure in adulthood. These data indicate that perinatal ANG
II, acting via AT1 receptors,
plays an important role in renal development and long-term control of
renal function and arterial pressure. Physiological conditions that
cause suppression of the RAS in the developing animal may have
long-term consequences for renal function and blood pressure.
glomerular filtration rate; renal plasma flow; losartan
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