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1 NIDDK, NIH, Bethesda, Maryland, United States
2 Department of Physiology and Pharmacology, University of Southern Denmark, Odense, Denmark
3 Institute of Physiology, University of Regensburg, Regensburg, Germany
* To whom correspondence should be addressed. E-mail: jurgens{at}intra.niddk.nih.gov.
Loop diuretics like furosemide have been shown to cause renal vasodilatation in dogs and humans, an effect thought to result from both a direct vascular dilator effect and from inhibition of tubuloglomerular feedback (TGF). In isolated perfused afferent arterioles preconstricted with angiotensin II or L-NAME, furosemide caused a dose-dependent increase of vascular diameter, but it was without effect in vessels from NKCC1-/- mice suggesting that inhibition of NKCC1 mediates dilatation in afferent arterioles. In the intact kidney, however, furosemide (2 mg/kg i.v.) caused a 50.5 ± 3 % reduction of total renal blood flow and a 27 % reduction of superficial blood flow accompanied by a marked and immediate increase of tubular pressure and volume. At 10 mg/kg, furosemide reduced RBF by 60.4 ± 2 %. Similarly, NKCC1-/- mice responded to furosemide with a 45.4 % decrease of RBF and a 29 % decrease of SBF. Decreases in RBF and SBF and increases of tubular pressure by furosemide were ameliorated by renal decapsulation. In addition, pretreatment with candesartan (2 mg/kg) or indomethacin (5 mg/kg) attenuated the reduction of RBF and peak urine flows caused by furosemide. Our data indicate that furosemide, despite its direct vasodilator potential in isolated afferent arterioles, causes a marked increase in flow resistance of the vascular bed of the intact mouse kidney. We suggest that generation of angiotensin II and/or a vasoconstrictor prostaglandin combined with compression of peritubular capillaries by the expanding tubular compartment are responsible for the reduction of renal blood flow in vivo.
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