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Am J Physiol Regul Integr Comp Physiol 280: R1322-R1331, 2001;
0363-6119/01 $5.00
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Vol. 280, Issue 5, R1322-R1331, May 2001

Hemodynamic, renal, and endocrine responses to acute ETA blockade at different ANG II plasma levels

Willehad Boemke1, Berthold Hocher2, Nora Schleyer1, Martin Otto Krebs1, and Gabriele Kaczmarczyk1

1 Experimental Anesthesia, Campus Virchow-Klinikum and 2 Department of Nephrology, Campus Mitte, Medical Faculty of Charité, 13353 Berlin, Germany

Angiotensin (ANG) II effects may be partly mediated by endothelin (ET)-1. This study analyses the hemodynamic, renal, and hormonal responses of acute ETA receptor antagonism (LU-135252) at two ANG II plasma levels in eight conscious dogs. Protocol 1 involved a 60-min baseline, followed by two doses of ANG II for 60 min each (4 and 20 ng · kg-1 · min-1), termed ANG II 4 (slightly increased) and ANG II 20 (pathophysiologically increased ANG II plasma concentration). Protocol 2 was the same as protocol 1 but included 15 mg/kg iv LU-135252 after the baseline period. Protocol 3 was a 3-h time control. ANG II without LU-135252 did not increase plasma big ET-1 and ET-1, whereas LU-135252 increased ET-1 transiently after injection. This transient ET-1 increase was not reflected in urinary ET-1 excretion. The ANG II induced decreases in sodium, water, and potassium excretion, glomerular filtration rate, and fractional sodium excretion were not different with and without LU-135252. Mean arterial pressure increased during ANG II and was not lower with LU-135252 (-6 mmHg, not significant). Most importantly, during ANG II 20 LU-135252 prevented the decrease in cardiac output. Simultaneously, systemic vascular resistance increased 40% less, pulmonary vascular resistance was maintained at baseline levels, and central venous and wedge pressure were lower. Because ANG II stimulated endothelin de novo synthesis should just have started after 2 h of ANG II infusion, there must be mechanisms other than blocking the coupling of de novo synthesized endothelins to the ETA receptors to explain the effects of acute ETA receptor inhibition in our setting.

regulatory systems; endothelins; hemodynamics; hormones; receptors; angiotensin.


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