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Am J Physiol Renal Physiol (April 4, 2006). doi:10.1152/ajprenal.00508.2005
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Submitted on December 16, 2005
Accepted on March 26, 2006

Aldosterone infusion with high-NaCl diet increases blood pressure in obese but not lean Zucker rats

Shahla Riazi1, Osman Khan1, Xinqun Hu1, and Carolyn Ecelbarger1*

1 Department of Medicine, Georgetown University, Washington, District of Columbia, United States

* To whom correspondence should be addressed. E-mail: ecelbarc{at}gunet.georget.

Insulin-resistant, obese Zucker rats have blunted pressure natriuresis and are mildly hypertensive. This may involve inappropriate regulation of the renin-angiotensin-aldosterone system. In order to evaluate mechanisms underlying this defect, we employed the model of aldosterone escape. Male lean (L) and obese (O) Zucker rats were infused with aldosterone (2.8 µg/g body weight3/4) via osmotic minipump while being fed a 0.02% NaCl diet (LS). After 4 days, 6 rats of each type were switched to a high NaCl (HS) diet (4%) for 4 additional days. Mean arterial blood pressure measured by radiotelemetry was significantly increased by HS diet only in obese rats (final mean mm Hg): 104 (LLS), 99 (LHS), 103 (OLS), 115 (OHS). Obese rats had relatively increased renal cortical abundance of the bumetanide-sensitive Na-K-2Cl cotransporter (NKCC2) and whole kidney {alpha}- and {beta}-ENaC (epithelial sodium channel) relative to lean rats. However, band density for the thiazide-sensitive (Na-Cl) cotransporter (NCC) was similarly reduced by HS in lean and obese rats (~50%). Obese rats had relatively reduced creatinine clearances and plasma renin activities, effects exacerbated by HS. Furthermore, HS resulted in a 129% increase in urinary nitrates plus nitrites (NOx) excretion in lean rats, and led to, in contrast, a 46% reduction in obese rats. Plasma sodium and potassium concentrations were increased by HS in obese, but not lean rats. Thus, we demonstrate impaired response to aldosterone infusion in obese, relative to lean Zucker rats. This impairment may involve increased sodium reabsorption via NKCC2 or ENaC, decreased GFR, and/or nitric oxide bioavailability.




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