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Am J Physiol Renal Physiol 295: F1752-F1763, 2008. First published October 8, 2008; doi:10.1152/ajprenal.00531.2007
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Sodium-, potassium-, chloride-, and bicarbonate-related effects on blood pressure and electrolyte homeostasis in deoxycorticosterone acetate-treated rats

Agata Ziomber,1 Agnes Machnik,1 Anke Dahlmann,1 Peter Dietsch,2 Franz-Xaver Beck,3 Hubertus Wagner,4 Karl F. Hilgers,1 Friedrich C. Luft,5 Kai-Uwe Eckardt,1 and Jens Titze1

1Department of Nephrology and Hypertension and Nikolaus Fiebiger Center for Molecular Medicine, Friedrich Alexander University, Erlangen-Nürnberg; 2Institute of Biochemistry, Charité Campus Benjamin Franklin, Berlin; 3Department of Physiology, University of Munich, Munich; 4Department of Safety and Quality of Meat, Max Rubner Institute, Kulmbach; and 5Experimental and Clinical Research Centre, Medical Faculty of the Charité, Max Delbrück Center for Molecular Medicine, HELIOS Klinikum Berlin-Brandenburg, Berlin, Germany

Submitted 12 November 2007 ; accepted in final form 29 September 2008

Na+ loading without Cl fails to increase blood pressure in the DOCA model. We compared the changes in the total body (TB) effective Na+, K+, Cl, and water (TBW) content as well as in intracellular (ICV) or extracellular (ECV) volume in rats receiving DOCA-NaCl, DOCA-NaHCO3, or DOCA-KHCO3. We divided 42 male rats into 5 groups. Group 1 was untreated, group 2 received 1% NaCl, and groups 3, 4, and 5 were treated with DOCA and received 1% NaCl, 1.44% NaHCO3, or 1.7% KHCO3 to drink. We measured mean arterial blood pressure (MAP) directly after 3 wk. Tissue electrolyte and water content was measured by chemical analysis. Compared with control rats, DOCA-NaCl increased MAP while DOCA-NaHCO3 and DOCA-KHCO3 did not. DOCA-NaCl increased TBNa+ 26% but only moderately increased TBW. DOCA-NaHCO3 led to similar TBNa+ excess, while TBW and ICV, but not ECV, were increased more than in DOCA-NaCl rats. DOCA-KHCO3 did not affect TBNa+ or volume. At a given TB(Na++K+) and TBW, MAP in DOCA-NaCl rats was higher than in control, DOCA-NaHCO3, and DOCA-KHCO3 rats, indicating that hypertension in DOCA-NaCl rats was not dependent on TB(Na++K+) and water mass balance. Skin volume retention was hypertonic compared with serum and paralleled hypertension in DOCA-NaCl rats. These rats had higher TB(Na++K+)-to-TBW ratio in accumulated fluid than DOCA-NaHCO3 rats. DOCA-NaCl rats also had increased intracellular Cl concentrations in skeletal muscle. We conclude that excessive cellular electrolyte redistribution and/or intracellular Na+ or Cl accumulation may play an important role in the pathogenesis of salt-sensitive hypertension.

DOCA-salt; salt-induced hypertension; autoregulation; osmotically inactive sodium



Address for reprint requests and other correspondence: Jens Titze, Nikolaus-Fiebiger Center for Molecular Medicine, Glückstr. 6, 91054 Erlangen, Germany (e-mail: jens.titze{at}molmed.uni-erlangen.de)







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