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Am J Physiol Renal Physiol (March 11, 2003). doi:10.1152/ajprenal.00012.2003
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Submitted on January 13, 2003
Accepted on March 5, 2003

'Step' vs 'Dynamic' Autoregulation: Implications for Susceptibility to Hypertensive Injury

Anil K. Bidani1*, Rifat Hacioglu2, Isam Abu-Amarah3, Geoffrey A. Williamson2, Rodger Loutzenhiser4, and Karen A. Griffin5

1 Department of Internal Medicine, Loyola University Medical Center, Maywood, IL, USA; Department of Internal Medicine, Edward Hines Jr. VA Hospital, Hines, IL, USA
2 Department of Electrical and Computer Engineering, Illinois Institute of Technology, Chicago, IL, USA
3 Department of Internal Medicine, Loyola University Medical Center, Maywood, IL, USA
4 Department of Pharmacology & Therapeutics, University of Calgary, Alberta, Calgary, Canada
5 Department of Internal Medicine, Edward Hines Jr. VA Hospital, Hines, IL, USA; Department of Internal Medicine, Loyola University Medical Center, Maywood, IL, USA

* To whom correspondence should be addressed. E-mail: abidani{at}lumc.edu.

Renal autoregulatory (AR) mechanisms provide the primary protection against transmission of systemic pressures and their impairment is believed to be responsible for the enhanced susceptibility to hypertensive renal damage in renal mass reduction (RMR) models. Assessment of AR capacity by the 'step'change methodology under anesthesia was compared to that by 'dynamic' methods in separate conscious control Sprague-Dawley rats and after uninephrectomy (UNX) and 3/4 RMR (RK-NX) (n=7-10/group). Substantially less AR capacity was seen by the 'dynamic' vs. the 'step' methodology in control rats. Moreover, 'dynamic' AR capacity did not differ between controls, UNX and RK-NX rats (fractional gain in admittance ~0.4 to 0.5 in all groups at frequencies in the range of 0.0025 to 0.025 Hz). By contrast, significant impairment of step AR was seen in RK-NX vs. control or UNX rats (autoregulatory indices 0.7±0.1 vs. 0.1±0.02 and 0.2±0.04 respectively, p<0.01). We propose that the 'step' and 'dynamic' methods evaluate the renal AR responses to different components of BP power with the 'step' AR assessing the ability to buffer large changes in average BP (DC Power) while the current methods assess the AR ability to buffer slow BP fluctuations (<0.25Hz) superimposed on the average BP (AC power), a substantially smaller component of total BP power. We further suggest that 'step' but not 'dynamic' AR methods as currently performed provide a valid index of the underlying susceptibility to hypertensive glomerular damage after RMR.




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