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1 Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, Virginia 23501; and 2 Department of Physiology and Biophysics, Mayo Clinic and Foundation, Rochester, Minnesota 55905
During normal pregnancy, a gradual
plasma volume expansion (VE) occurs and reaches a maximum level at late
term. Pressure natriuresis and renal interstitial hydrostatic pressure
(RIHP) responses are attenuated in pregnant rats. Also, basal RIHP is lower in pregnant rats, suggesting an increase in renal interstitial compliance during pregnancy. This adaptation may contribute to the
increase in plasma volume that is required for a normal pregnancy, because increases in RIHP have been consistently shown to produce natriuresis and diuresis. Acute saline VE (5% body wt/30 min) has been
shown to increase RIHP in normal nonpregnant rats. Therefore, the
objective of this study was to determine RIHP, natriuretic, and
diuretic responses to VE in nonpregnant (n = 7),
midterm pregnant (n = 8), and late-term pregnant
(n = 8) Sprague-Dawley rats. Although VE significantly
increased RIHP, fractional excretion of sodium (FENa), and
urine flow rate (
) in all groups,
RIHP was highest for
nonpregnant (3.0 ± 0.3 mmHg) compared with midterm pregnant (1.6 ± 0.1 mmHg; P < 0.05 vs. nonpregnant) and
late-term pregnant rats (1.2 ± 0.1 mmHg; P < 0.05 vs. both midterm pregnant and nonpregnant rats).
FENa and 
were similar in all groups: 5.8 ± 1.0% and 231 ± 27 µl/min for nonpregnant, 6.8 ± 1.3%
and 173 ± 16 µl/min for midterm pregnant, and 7.6 ± 1.2%
and 203 ± 10 µl/min for late-term pregnant rats, respectively.
In conclusion, basal RIHP and the increase in RIHP during VE were
attenuated during pregnancy; however, the natriuretic and diuretic
responses to VE remain intact during the course of pregnancy.
midterm pregnancy; late-term pregnancy; natriuretic sensitivity; lithium excretion
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