Vol. 282, Issue 1, F113-F123, January 2002
Sympathetic modulation of renal blood flow by rilmenidine and
captopril: central vs. peripheral effects
Ben J. A.
Janssen1,
Elena V.
Lukoshkova2, and
Geoffrey A.
Head3
1 Department of Pharmacology and Toxicology, Cardiovascular
Research Institute Maastricht, 6200 MD Maastricht, The
Netherlands; 2 Department of Circulation Control,
National Cardiology Research Center, Moscow 121552, Russia; and
3 Neuropharmacology, Baker Medical Research Institute,
Prahran, Victoria 8008, Australia
Renal blood
flow (RBF) is modulated by renal sympathetic nerve activity (RSNA).
However, agents that are supposed to reduce sympathetic tone, such as
rilmenidine and captopril, influence RBF also by direct arteriolar
effects. The present study was designed to test to what extent the
renal nerves contribute to the renal hemodynamic response to
rilmenidine and captopril. We used a technique that allows simultaneous
recording of RBF and RSNA to the same kidney in conscious rabbits. We
compared the dose-dependent effects of rilmenidine (0.01-1 mg/kg)
and captopril (0.03-3 mg/kg) on RBF and RSNA in intact and renal
denervated (RNX) rabbits. Because rilmenidine and captopril lower blood
pressure, studies were also performed in sinoaortically denervated
(SAD) rabbits to determine the role of the baroreflex in the renal
hemodynamic response. Rilmenidine reduced arterial pressure, RBF, and
RSNA dose dependently. In intact rabbits (n = 10),
renal conductance (RC) remained unaltered (3 ± 5%), even after
the 1-mg/kg dose, which completely abolished RSNA. In RNX rabbits
(n = 6), RC fell by 18 ± 5%, whereas in SAD rabbits (n = 7) RC increased by 30 ± 20% after
rilmenidine. In intact rabbits, captopril increased RSNA maximally by
64 ± 8%. RSNA did not rise in SAD rabbits. Despite the
differential response or absence of RSNA, captopril increased RC to a
comparable degree (maximally 40-50%) in all three groups. Using
spectral analysis techniques, we found that in all groups,
independently of ongoing RSNA, captopril, but not rilmenidine,
attenuated both myogenic (0.07-0.25 Hz) and tubuloglomerular
feedback (0.01-0.07 Hz) related fluctuations in RC. We conclude
that, in conscious rabbits, the renal vasodilator effect of rilmenidine
depends on the level of ongoing RSNA. Its sympatholytic effect is,
however, blunted by a direct arteriolar vasoconstrictor effect. In
contrast, the renal vasodilator effect of captopril is not modulated by
ongoing RSNA and is associated with impairment of autoregulation of RBF.
baroflex; renal sympathetic nerve activity; spectral
analysis