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Am J Physiol Regul Integr Comp Physiol (January 25, 2007). doi:10.1152/ajpregu.00803.2006
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Submitted on November 16, 2006
Accepted on January 11, 2007

Investigation of the mechanisms by which chronic infusion of an acutely subpressor dose of angiotensin II induces hypertension

Sally G. Hood1, Tim Cochrane1, Michael J. McKinley2, and Clive N May3*

1 Howard Florey Institute, Parkville, Victoria, Australia
2 Howard Florey Institute of Experimental Physiolology and Medicine, University of Melbourne, Parkville, Victoria, Australia
3 Howard Florey Institute, Melbourne - Parkville, Victoria, Australia

* To whom correspondence should be addressed. E-mail: c.may{at}hfi.unimelb.edu.au.

The mechanisms by which chronic infusion of an initially subpressor low-dose of angiotensin II (Ang II) causes a progressive and sustained hypertension remain unclear. In conscious sheep (n=6), intravenous infusion of Ang II (2µg/h) gradually increased mean arterial pressure (MAP) from 82±3 to 96±5 mmHg over 7 days (P<0.001). This was accompanied by peripheral vasoconstriction, total peripheral conductance decreased from 44.6±6.4 to 38.2±6.7 mL/min/mmHg (P<0.001). Cardiac output and heart rate were unchanged. In the regional circulation, mesenteric, renal and iliac conductances decreased but blood flows were unchanged. There was no coronary vasoconstriction and coronary blood flow increased. Ganglion blockade (hexamethonium, 125mg/h for 4 hours) reduced MAP by 13±1 mmHg in the control period and by 7±2 mmHg on day 8 of Ang II. Inhibition of central AT-1 receptors by intracerebroventricular infusion of losartan (1 mg/h for 3 hours) had no effect on MAP in the control period or after 7 days Ang II infusion. Pressor responsiveness to incremental doses of intravenous Ang II (5, 10 20 µg/h, each for 15 min) was unchanged after 7 days of Ang II infusion. Ang II caused no sodium or water retention. In summary, hypertension due to infusion of a low dose of Ang II was accompanied by generalized peripheral vasoconstriction. Indirect evidence suggested that the hypertension was not neurogenic, but measurement of sympathetic nerve activity is required to confirm this conclusion. There was no evidence for a role for central angiotensinergic mechanisms, increased pressor responsiveness to Ang II or sodium and fluid retention




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