Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center, Osaka, 564-8565, Japan.
Corporate R&D Center, Terumo Corporation, Kanagawa, 259-0151, Japan.
J Physiol Sci. 2020 Jun 25;70(1):32. doi: 10.1186/s12576-020-00759-w.
Primary acute sympathetic activation (PASA) can increase arterial pressure (AP). Under this situation, the kidneys may receive mutually opposing influences from sympathetic activation: a direct anti-diuretic effect via the renal innervation and pressure diuresis. We examined whether PASA would reduce urine output regardless of the AP elevation. We also examined the impact of renal denervation (RDN) on urine output during PASA. The experiment was performed on rats 3 to 9 days after unilateral RDN (n = 10). Under anesthesia, systemic sympathetic nerve activity (SNA) was varied over a wide range via the carotid sinus baroreflex. The slope of urine flow versus SNA was positive (0.252 ± 0.052 μL·min·kg· %) on the intact side, and it was greater on the denervated side (0.331 ± 0.069 μL·min·kg· %, P < 0.05). In conclusion, urine output change was an effect of elevated AP during PASA. Nevertheless, RDN was able to augment pressure diuresis during PASA.
原发性急性交感神经激活 (PASA) 可增加动脉压 (AP)。在这种情况下,肾脏可能会受到来自交感神经激活的相互对立的影响:通过肾脏神经支配和压力利尿产生直接的抗利尿作用。我们研究了 PASA 是否会降低尿量,而不考虑 AP 升高。我们还研究了肾去神经支配 (RDN) 在 PASA 期间对尿量的影响。该实验在单侧 RDN 后 3 至 9 天的大鼠上进行 (n = 10)。在麻醉下,通过颈动脉窦压力反射在全身范围内广泛改变交感神经活动 (SNA)。在完整侧,尿流量与 SNA 的斜率为正 (0.252 ± 0.052 μL·min·kg·%),在去神经侧更大 (0.331 ± 0.069 μL·min·kg·%,P < 0.05)。总之,PASA 期间尿量的变化是 AP 升高的结果。然而,RDN 能够在 PASA 期间增强压力利尿。