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1 Experimental Anesthesia, Campus Virchow-Klinikum and 2 Department of Nephrology, Campus Mitte, Medical Faculty of Charité, 13353 Berlin, Germany
Angiotensin (ANG)
II effects may be partly mediated by endothelin (ET)-1. This study
analyses the hemodynamic, renal, and hormonal responses of acute
ETA receptor antagonism (LU-135252) at two ANG II plasma
levels in eight conscious dogs. Protocol 1 involved a 60-min
baseline, followed by two doses of ANG II for 60 min each (4 and 20 ng · kg
1 · min
1), termed
ANG II 4 (slightly increased) and ANG II 20 (pathophysiologically increased ANG II plasma concentration). Protocol 2 was the
same as protocol 1 but included 15 mg/kg iv LU-135252 after
the baseline period. Protocol 3 was a 3-h time control. ANG
II without LU-135252 did not increase plasma big ET-1 and ET-1, whereas
LU-135252 increased ET-1 transiently after injection. This transient
ET-1 increase was not reflected in urinary ET-1 excretion. The ANG II
induced decreases in sodium, water, and potassium excretion, glomerular filtration rate, and fractional sodium excretion were not different with and without LU-135252. Mean arterial pressure increased during ANG
II and was not lower with LU-135252 (
6 mmHg, not significant). Most
importantly, during ANG II 20 LU-135252 prevented the decrease in
cardiac output. Simultaneously, systemic vascular resistance increased
40% less, pulmonary vascular resistance was maintained at baseline
levels, and central venous and wedge pressure were lower. Because ANG
II stimulated endothelin de novo synthesis should just have started
after 2 h of ANG II infusion, there must be mechanisms other than
blocking the coupling of de novo synthesized endothelins to the
ETA receptors to explain the effects of acute ETA receptor inhibition in our setting.
regulatory systems; endothelins; hemodynamics; hormones; receptors; angiotensin.
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