Effects of complete renal denervation and selective afferent renal denervation on the hypertension induced by intrarenal norepinephrine infusion in conscious rats

• Published in: Journal of hypertension Vol. 7; no. 6; p. 447
• Main Authors: Janssen, B J, van Essen, H, Vervoort-Peters, L H, Thijssen, H H, Derkx, F H, Struyker-Boudier, H A, Smits, J F
• Format: Journal Article
• Language: English
• Published: England 01.06.1989
• Subjects: Afferent Pathways - surgery; Animals; Denervation; Hypertension, Renal - chemically induced; Infusions, Intra-Arterial; Kidney - drug effects; Kidney - innervation; Kidney - surgery; Male; Neurons, Afferent - physiology; Norepinephrine - administration & dosage; Norepinephrine - pharmacology; Rats; Rats, Inbred Strains
• ISSN: 0263-6352
• DOI: 10.1097/00004872-198906000-00003

To test the hypothesis that continuous intrarenal norepinephrine (NE) infusions produce hypertension via activation of afferent renal nerves (ARN), rats were subjected to complete renal denervation (RN-x), selective renal deafferentation (ARN-x) or sham surgery, prior to infusion of NE. In the pre-infusion period, mean arterial pressure (MAP) was significantly lower in RN-x than in ARN-x or sham-operated rats. Plasma renin concentration (PRC) was significantly reduced following ARN-x, but not RN-x. During 5-day intrarenal infusions of 4, 12 or 36 micrograms NE/kg per h, MAP rose to similar levels in RN-x and sham-RN-x rats. However, RN-x rats exhibited significantly elevated PRC levels, suggesting that denervation supersensitivity masked the possible effects of RN-x. In sham-RN-x rats, MAP increased significantly more during intrarenal infusion of 12 micrograms NE/kg per h than during intravenous infusion of the same amount. In ARN-x rats, MAP rose to a similar degree during intravenous and intrarenal infusions. The pressor responses in the ARN-x rats, however, were not significantly smaller at any point than those in intact rats. PRC rose to comparable levels in ARN-x and intact rats. Thus, in normotensive rats, efferent renal nerves (ERN) but not ARN are of functional significance in maintaining basal blood pressure. ARN may be involved in the control of renin release. Since neither RN-x nor ARN-x attenuated the development of hypertension, renal nerves are not necessary for the full expression of hypertension in this model.