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Departments of 1 Obstetrics and Gynecology and 2 Physiology and Pharmacology, Perinatal Research Laboratories, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157
We hypothesized
that renal denervation in mature ovine fetuses reduces renin mRNA
response to 24 h of reduced renal perfusion pressure (RPP). Seven
occluder (O) (132.4 ± 1.2 days gestation) and six control (C)
(131.5 ± 1.2 days gestation) fetuses underwent left renal
denervation. Postoperatively, O fetuses experienced 24 h of
reduced RPP by suprarenal aortic occlusion. Femoral arterial blood
pressure (FAB) and plasma active renin (pARC) and prorenin (pPRC)
concentrations were obtained hourly for 6 h and at h 23 and 24. Renin mRNA was measured by RNase protection assay. We quantitated renin
containing glomeruli by immunocytochemistry. Variables were compared by
ANOVA. Mean O group FAB reduction from baseline was
6.60 ± 0.41 mmHg. pARC and pPRC increased with occlusion, renal
ARC and renal PRC1 did not increase with occlusion.
No effect in renin mRNA or number of positive glomeruli was noted with
denervation in the basal state; however, significant increases were
noted in response to RPP irrespective of innervation status. In
conclusion, 24 h or reduced RPP in mature ovine fetus increases
renal renin mRNA and the immunocytochemical expression of renin. This
response is conserved despite denervation.
fetus; renin gene; renal nerve; immunocytochemistry; messenger ribonucleic acid
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