Natriuretic peptide receptor A mediates renal sodium excretory responses to blood volume expansion
pmid: 12824076
Natriuretic peptide receptor A mediates renal sodium excretory responses to blood volume expansion
The deficiency of Npr1 [genetic determinant of natriuretic peptide receptor A (NPRA)] increases arterial pressures and causes hypertensive heart disease in mice similar to those seen in untreated human hypertensive patients. However, the quantitative role of NPRA in mediating the renal responses to blood volume expansion remains uncertain. To determine the specific contribution of NPRA in mediating the signaling mechanisms responsible for natriuretic and diuretic responses to nondilutional intravascular expansion, we administered whole blood to anesthetized Npr1 homozygous null mutant (0-copy), wild-type (2-copy), and gene-duplicated (4-copy) mice. In wild-type (2-copy) animals, urinary flow (μl · min–1· g kidney wt–1) increased from 4.9 ± 1.0 to 14.4 ± 1.8 and sodium excretion (μeq · min–1· g kidney wt–1) from 1.15 ± 0.22 to 3.11 ± 0.60, associated with a rise in glomerular filtration rate (GFR; ml · min–1· g kidney wt–1) from 0.63 ± 0.03 to 0.82 ± 0.09 and renal plasma flow (RPF; ml · min–1· g kidney wt–1) from 2.96 ± 0.17 to 4.36 ± 0.41, whereas arterial pressure did not significantly increase. After volume expansion, 0-copy mice showed significantly lesser increases in urinary flow ( P < 0.001) and sodium excretory ( P < 0.001) responses even though the increases in arterial pressures were greater ( P < 0.001) compared with 2-copy mice. The 4-copy mice showed augmented responses in urinary flow ( P < 0.01) and sodium excretion ( P < 0.001) along with rises in both GFR ( P < 0.01) and RPF ( P < 0.01) compared with 2-copy wild-type mice. These results establish that NPRA activation is the predominant mechanism mediating the natriuretic, diuretic, and renal hemodynamic responses to acute blood volume expansion.
- Tulane University United States
Mice, Knockout, Blood Volume, Osmolar Concentration, Gene Dosage, Natriuresis, Blood Pressure, Blood Proteins, Kidney, Diuresis, Mice, Inbred C57BL, Mice, Hematocrit, Guanylate Cyclase, Gene Duplication, Potassium, Animals, Cyclic GMP, Receptors, Atrial Natriuretic Factor, Atrial Natriuretic Factor, Glomerular Filtration Rate
Mice, Knockout, Blood Volume, Osmolar Concentration, Gene Dosage, Natriuresis, Blood Pressure, Blood Proteins, Kidney, Diuresis, Mice, Inbred C57BL, Mice, Hematocrit, Guanylate Cyclase, Gene Duplication, Potassium, Animals, Cyclic GMP, Receptors, Atrial Natriuretic Factor, Atrial Natriuretic Factor, Glomerular Filtration Rate
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