Abstract
To determine whether renal prostaglandins participate in the regulation of renal blood flow during acute reduction of cardiac output, cardiac venous return was decreased in 17 anesthetized dogs by inflating a balloon placed in the thoracic inferior vena cava. This maneuver decreased cardiac output from 3.69±0.09 liters/min (mean±SEM) to 2.15±0.19 liters/min (P < 0.01) and the mean arterial blood pressure from 132±4 to 111±5 mm Hg (P < 0.01) and increased total peripheral vascular resistance from 37.6±2.5 to 57.9±4.8 arbitrary resistance units (RU) (P < 0.01). In marked contrast, only slight and insignificant decreases in the renal blood flow from 224±16 to 203±19 ml/min and renal vascular resistance from 0.66±0.06 to 0.61±0.05 arbitrary resistance units (ru) were observed during inflation of the balloon. Concomitant with these hemodynamic changes, plasma renin activity and plasma norepinephrine concentration increased significantly in both the arterial and renal venous bloods. Plasma concentration of prostaglandin E2 in renal venous blood increased from 34±6 to 129±24 pg/ml (P < 0.01). The subsequent administration of indomethacin or meclofenamate had no significant effect on mean arterial pressure, cardiac output, and total peripheral vascular resistance, but reduced renal blood flow from 203±19 to 156±21 ml/min (P < 0.01) and increased renal vascular resistance from 0.61±0.05 to 1.05±0.21 ru (P < 0.01). Simultaneously, the plasma concentration of prostaglandin E2 in renal venous blood fell from 129±24 to 19±3 pg/ml (P < 0.01). Administration of indomethacin to five dogs without prior obstruction of the inferior vena cava had no effect upon renal blood flow or renal vascular resistance. The results indicate that acute reduction of cardiac output enhances renal renin secretion and the activity of the renal adrenergic nerves as well as renal prostaglandin synthesis without significantly changing renal blood flow or renal vascular resistance. Inhibition of prostaglandin synthesis during acute reduction of cardiac output results in an increased renal vascular resistance and reduced renal blood flow. Accordingly, that data provide evidence that renal prostaglandins counteract in the kidney the vasoconstrictor mechanisms activated during acute reduction of cardiac output.
Full text
PDF








Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aiken J. W., Vane J. R. Intrarenal prostaglandin release attenuates the renal vasoconstrictor activity of angiotensin. J Pharmacol Exp Ther. 1973 Mar;184(3):678–687. [PubMed] [Google Scholar]
- Alexander R. W., Gimbrone M. A., Jr Stimulation of prostaglandin E synthesis in cultured human umbilical vein smooth muscle cells. Proc Natl Acad Sci U S A. 1976 May;73(5):1617–1620. doi: 10.1073/pnas.73.5.1617. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Anggård E., Larsson C., Samuelsson B. The distribution of 15-hydroxy prostaglandin dehydrogenase and prostaglandin-delta 13-reductase in tissues of the swine. Acta Physiol Scand. 1971 Mar;81(3):396–404. doi: 10.1111/j.1748-1716.1971.tb04914.x. [DOI] [PubMed] [Google Scholar]
- Auld R. B., Alexander E. A., Levinsky N. G. Proximal tubular function in dogs with thoracic caval constriction. J Clin Invest. 1971 Oct;50(10):2150–2158. doi: 10.1172/JCI106709. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BERNE R. M., LEVY M. N. Effects of acute reduction of cardiac output on the renal circulation of the dog. J Clin Invest. 1950 Apr;29(4):444–454. doi: 10.1172/JCI102277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Baylis C., Brenner B. M. Modulation by prostaglandin synthesis inhibitors of the action of exogenous angiotensin II on glomerular ultrafiltration in the rat. Circ Res. 1978 Dec;43(6):889–898. doi: 10.1161/01.res.43.6.889. [DOI] [PubMed] [Google Scholar]
- Ben-Jonathan N., Porter J. C. A sensitive radioenzymatic assay for dopamine, norepinephrine, and epinephrine in plasma and tissue. Endocrinology. 1976 Jun;98(6):1497–1507. doi: 10.1210/endo-98-6-1497. [DOI] [PubMed] [Google Scholar]
- Boyer T. D., Zia P., Reynolds T. B. Effect of indomethacin and prostaglandin A1 on renal function and plasma renin activity in alcoholic liver disease. Gastroenterology. 1979 Aug;77(2):215–222. [PubMed] [Google Scholar]
- CHIDSEY C. A., HARRISON D. C., BRAUNWALD E. Augmentation of the plasma nor-epinephrine response to exercise in patients with congestive heart failure. N Engl J Med. 1962 Sep 27;267:650–654. doi: 10.1056/NEJM196209272671305. [DOI] [PubMed] [Google Scholar]
- Curtiss C., Cohn J. N., Vrobel T., Franciosa J. A. Role of the renin-angiotensin system in the systemic vasoconstriction of chronic congestive heart failure. Circulation. 1978 Nov;58(5):763–770. doi: 10.1161/01.cir.58.5.763. [DOI] [PubMed] [Google Scholar]
- Deen W. M., Robertson C. R., Brenner B. M. Glomerular ultrafiltration. Fed Proc. 1974 Jan;33(1):14–20. [PubMed] [Google Scholar]
- Donker A. J., Brentjens J. R., van der Hem G. K., Arisz L. Treatment of the nephrotic syndrome with indomethacin. Nephron. 1978;22(4-6):374–381. doi: 10.1159/000181478. [DOI] [PubMed] [Google Scholar]
- Dunham E. W., Zimmerman B. G. Release of prostaglandin-like material from dog kidney during nerve stimulation. Am J Physiol. 1970 Nov;219(5):1279–1285. doi: 10.1152/ajplegacy.1970.219.5.1279. [DOI] [PubMed] [Google Scholar]
- Friedler R. M., Belleau L. J., Martino J. A., Earley L. E. Hemodynamically induced natriuresis in the presence of sodium retention resulting from constriction of the thoracic inferior vena cava. J Lab Clin Med. 1967 Apr;69(4):565–583. [PubMed] [Google Scholar]
- Gill J. R., Jr, Frölich J. C., Bowden R. E., Taylor A. A., Keiser H. R., Seyberth H. W., Oates J. A., Bartter F. C. Bartter's syndrome: a disorder characterized by high urinary prostaglandins and a dependence of hyperreninemia on prostaglandin synthesis. Am J Med. 1976 Jul;61(1):43–51. doi: 10.1016/0002-9343(76)90029-2. [DOI] [PubMed] [Google Scholar]
- Gimbrone M. A., Jr, Alexander R. W. Angiotensin II stimulation of prostaglandin production in cultured human vascular endothelium. Science. 1975 Jul 18;189(4198):219–220. doi: 10.1126/science.1138377. [DOI] [PubMed] [Google Scholar]
- Gunther S., Cannon P. J. Modulation of angiotensin II coronary vasoconstriction by cardiac prostaglandin synthesis. Am J Physiol. 1980 Jun;238(6):H895–H901. doi: 10.1152/ajpheart.1980.238.6.H895. [DOI] [PubMed] [Google Scholar]
- Henrich W. L., Anderson R. J., Berns A. S., McDonald K. M., Paulsen P. J., Berl T., Schrier R. W. The role of renal nerves and prostaglandins in control of renal hemodynamics and plasma renin activity during hypotensive hemorrhage in the dog. J Clin Invest. 1978 Mar;61(3):744–750. doi: 10.1172/JCI108988. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Henrich W. L., Berl T., McDonald K. M., Anderson R. J., Schrier R. W. Angiotensin II, renal nerves, and prostaglandins in renal hemodynamics during hemorrhage. Am J Physiol. 1978 Jul;235(1):F46–F51. doi: 10.1152/ajprenal.1978.235.1.F46. [DOI] [PubMed] [Google Scholar]
- Higgins C. B., Vatner S. F., Franklin D., Braunwald E. Pattern of differential vasoconstriction in response to acute and chronic low-output states in the conscious dog. Cardiovasc Res. 1974 Jan;8(1):92–98. doi: 10.1093/cvr/8.1.92. [DOI] [PubMed] [Google Scholar]
- LEVY M. N., BERNE R. M. Effects of acute reduction of cardiac output upon the mechanisms of sodium excretion in the dog. Am J Physiol. 1951 Aug;166(2):262–268. doi: 10.1152/ajplegacy.1951.166.2.262. [DOI] [PubMed] [Google Scholar]
- Levine L., Moskowitz M. A. Alpha- and beta-adrenergic stimulation of arachidonic acid metabolism in cells in culture. Proc Natl Acad Sci U S A. 1979 Dec;76(12):6632–6636. doi: 10.1073/pnas.76.12.6632. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Malik K. U., McGiff J. C. Modulation by prostaglandins of adrenergic transmission in the isolated perfused rabbit and rat kidney. Circ Res. 1975 May;36(5):599–609. doi: 10.1161/01.res.36.5.599. [DOI] [PubMed] [Google Scholar]
- Merrill A. J. EDEMA AND DECREASED RENAL BLOOD FLOW IN PATIENTS WITH CHRONIC CONGESTIVE HEART FAILURE: EVIDENCE OF "FORWARD FAILURE" AS THE PRIMARY CAUSE OF EDEMA. J Clin Invest. 1946 May;25(3):389–400. doi: 10.1172/JCI101720. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oliver J. A., Cannon P. J. The effect of altered sodium balance upon renal vascular reactivity to angiotensin II and norepinephrine in the dog. Mechanism of variation in angiotensin responses. J Clin Invest. 1978 Mar;61(3):610–623. doi: 10.1172/JCI108972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oliver J. A., Pinto J., Sciacca R. R., Cannon P. J. Basal norepinephrine overflow into the renal vein: effect of renal nerve stimulation. Am J Physiol. 1980 Oct;239(4):F371–F377. doi: 10.1152/ajprenal.1980.239.4.F371. [DOI] [PubMed] [Google Scholar]
- Oliver J. A., Sciacca R. R., Cannon P. J. Renal vascular and excretory responses to prostaglandin endoperoxides in the dog. Am J Physiol. 1979 Mar;236(3):H427–H433. doi: 10.1152/ajpheart.1979.236.3.H427. [DOI] [PubMed] [Google Scholar]
- Peuler J. D., Johnson G. A. Simultaneous single isotope radioenzymatic assay of plasma norepinephrine, epinephrine and dopamine. Life Sci. 1977 Sep 1;21(5):625–636. doi: 10.1016/0024-3205(77)90070-4. [DOI] [PubMed] [Google Scholar]
- Piper P., Vane J. The release of prostaglandins from lung and other tissues. Ann N Y Acad Sci. 1971 Apr 30;180:363–385. doi: 10.1111/j.1749-6632.1971.tb53205.x. [DOI] [PubMed] [Google Scholar]
- Satoh S., Zimmerman B. G. Influence of the renin-angiotensin system on the effect of prostaglandin synthesis inhibitors in the renal vasculature. Circ Res. 1975 Jun;36(6 Suppl 1):89–96. doi: 10.1161/01.res.36.6.89. [DOI] [PubMed] [Google Scholar]
- Silva P., Landsberg L., Besarab A. Excretion and metabolism of catecholamines by the isolated perfused rat kidney. J Clin Invest. 1979 Sep;64(3):850–857. doi: 10.1172/JCI109533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stahl R. A., Attallah A. A., Bloch D. L., Lee J. B. Stimulation of rabbit renal PGE2 biosynthesis by dietary sodium restriction. Am J Physiol. 1979 Nov;237(5):F344–F349. doi: 10.1152/ajprenal.1979.237.5.F344. [DOI] [PubMed] [Google Scholar]
- Swain J. A., Heyndrickx G. R., Boettcher D. H., Vatner S. F. Prostaglandin control of renal circulation in the unanesthetized dog and baboon. Am J Physiol. 1975 Sep;229(3):826–830. doi: 10.1152/ajplegacy.1975.229.3.826. [DOI] [PubMed] [Google Scholar]
- Vatner S. F. Effects of hemorrhage on regional blood flow distribution in dogs and primates. J Clin Invest. 1974 Aug;54(2):225–235. doi: 10.1172/JCI107757. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Watkins L., Jr, Burton J. A., Haber E., Cant J. R., Smith F. W., Barger A. C. The renin-angiotensin-aldosterone system in congestive failure in conscious dogs. J Clin Invest. 1976 Jun;57(6):1606–1617. doi: 10.1172/JCI108431. [DOI] [PMC free article] [PubMed] [Google Scholar]
- White S., Patrick T., Higgins C. B., Vatner S. F., Franklin D., Braunwald E. Effects of altering ventricular rate on blood flow distribution in conscious dogs. Am J Physiol. 1971 Nov;221(5):1402–1407. doi: 10.1152/ajplegacy.1971.221.5.1402. [DOI] [PubMed] [Google Scholar]
- Zia P., Zipser R., Speckart P., Horton R. The measurement of urinary prostaglandin E in normal subjects and in high-renin states. J Lab Clin Med. 1978 Sep;92(3):415–422. [PubMed] [Google Scholar]
- Zins G. R. Renal prostaglandins. Am J Med. 1975 Jan;58(1):14–24. doi: 10.1016/0002-9343(75)90528-8. [DOI] [PubMed] [Google Scholar]
- Zusman R. M., Keiser H. R. Prostaglandin biosynthesis by rabbit renomedullary interstitial cells in tissue culture. Stimulation by angiotensin II, bradykinin, and arginine vasopressin. J Clin Invest. 1977 Jul;60(1):215–223. doi: 10.1172/JCI108758. [DOI] [PMC free article] [PubMed] [Google Scholar]