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Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois 60612-7313
The objective of this study was to test the
hypothesis that a decrease in renal interstitial hydrostatic pressure
(RIHP) accounts for the blunted pressure natriuresis during pregnancy. RIHP was measured in nonpregnant (NP; n = 9), midterm
pregnant (MP; 12-14 days after conception; n = 10), and late-term pregnant (LP; 18-21 days after conception;
n = 12) female Sprague-Dawley rats at two renal
perfusion pressure (RPP) levels (99 and 120 mmHg). At the lower RPP
level, RIHP was 5.9 ± 0.3 mmHg for NP, 3.4 ± 0.4 mmHg for
MP (P < 0.05 vs. NP), and 2.9 ± 0.1 mmHg for LP
(P < 0.05 vs. NP) rats. The increase in RPP from 99 to
120 mmHg resulted in pressure natriuretic and diuretic responses in all
groups; however, the increases in fractional excretion of sodium
(
FENa), urine flow rate (
V), and
RIHP were
significantly greater (P < 0.05) in NP compared with
both MP and LP rats.
FENa,
V, and
RIHP were
2.06 ± 0.28%, 81.44 ± 14.10 µl/min, and 3.0 ± 0.5 mmHg for NP; 0.67 ± 0.13%, 28.03 ± 5.28 µl/min, and
0.5 ± 0.2 mmHg for MP; and 0.48 ± 0.12%, 18.14 ± 4.70 µl/min, and 0.4 ± 0.1 mmHg for LP rats. In conclusion,
RIHP is significantly lower in pregnant compared with nonpregnant rats
at similar RPP levels. Also, the ability of pregnant rats to increase
RIHP in response to an increase in RPP is blunted. These changes in
RIHP may play an important role in the blunted pressure natriuresis and
contribute to the conservation of sodium and water that is critical for
fetal growth and development during normal pregnancy.
midterm pregnancy; late-term pregnancy; sodium excretion; renal perfusion pressure
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