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Department of Physiology, School of Medicine, University of Murcia, 30100 Murcia, Spain
The objective of this
study was to examine the role of cylcooxygenase (COX)-2-derived
prostaglandins (PG) in modulating the renal hemodynamic effects of
norepinephrine (NE) during low or normal sodium intake. The
relative contribution of each COX isoform in producing the PG that
attenuate the renal NE effects during normal sodium intake was also
evaluated. The renal response to three doses of NE (50, 100, and 250 ng · kg
1 · min
1) was
evaluated in anesthetized dogs pretreated with vehicle, a selective
COX-2 inhibitor (nimesulide), or a nonselective COX inhibitor
(meclofenamate). Intrarenal infusion of the two lower doses of NE in
vehicle-pretreated dogs with normal sodium intake (n = 8) elicited an increase in renal vascular resistance (RVR; 21 and 34%)
without inducing changes in glomerular filtration rate (GFR). The
highest dose of NE in this group induced a further increment in RVR
(113%) and a decrease in GFR (33%). Pretreatment with nimesulide in
dogs with normal sodium intake (n = 7) did not modify
the NE-induced increments in RVR but enhanced the decreases in GFR
induced by the three NE doses (12, 26, and 64%). The renal hemodynamic
response to NE in meclofenamate-pretreated dogs with normal sodium
intake (n = 7) was similar to that found in dogs pretreated with nimesulide. Infusion of the lowest dose of NE to
vehicle-pretreated dogs with low sodium intake (n = 6)
did not modify GFR and elicited an increase in RVR (42%). Infusion of
the second and third doses of NE led to a decrease in GFR (35 and 91%)
and a rise in RVR (82 and 587%). Infusion of the first two doses of NE
in nimesulide-pretreated dogs with low sodium intake (n = 5) induced a fall in GFR (64 and 92%) and an increase in RVR (174 and 2,293%) that were greater (P < 0.05) than
those induced by NE in vehicle-pretreated dogs. The elevation in the urinary excretion rates of PGE2 and
6-keto-PGF1
elicited by NE was prevented in the
nimesulide-pretreated dogs. Our results show that COX-2
inhibition potentiates the renal hemodynamic effects of NE and propose
that the PG involved in modulating them are mainly derived from COX-2 activity.
renal function; glomerular filtration rate; renal vascular resistance; prostaglandins; cyclooxygenase-2
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