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Division of Nephrology/Hypertension, Department of Medicine, University of California San Diego, La Jolla, California 92093-0623
Excess NaCl increases blood pressure in
some strains of animals but not others. An 8% NaCl diet did not change
renal thiazide receptor (TZR) density in two salt-resistant
normotensive rat strains (Wistar-Kyoto and Sprague-Dawley)
[Fanestil, D. D., D. A. Vaughn, and P. Blakely.
Am. J. Physiol. 273 (Regulatory Integrative Comp. Physiol.
42): R1241-R1245, 1997]. However, the renal response to salt
differs in normal and hypertensive kidneys [Rettig, R., N. Bandelow, O. Patschan, B. Kuttler, B. Frey, and A. Uber.
J. Hum. Hypertens. 10: 641-644,
1996]. Therefore, we examined two strains with salt-aggravated
hypertension. Renal TZR did not change when Dahl-S (salt sensitive)
animals became hypertensive with 8% dietary NaCl. In contrast, renal
TZR decreased 34%, whereas blood pressure increased further, in SHR
with 8% dietary NaCl. Blood pressure increased after
NG-nitro-L-arginine in SHR, but
renal TZR did not change, indicating the salt-induced decrease in TZR
in SHR cannot be attributed nonspecifically to elevated arterial
pressure. We conclude that the renal response to NaCl-induced increases
in blood pressure can be genetically modulated independently of the
genes that mediate either the primary hypertension or the salt
sensitivity of the hypertension. This finding may be of use in future
studies directed at identifying genotypes associated with
salt-dependent hypertension.
diuretics; distal convoluted tubule; pressure natriuresis
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