C. Emmeluth et al., NATRIURESIS CAUSED BY INCREASED CAROTID NA+ CONCENTRATION AFTER RENALDENERVATION, American journal of physiology. Renal, fluid and electrolyte physiology, 39(3), 1996, pp. 510-517
The renal effects of a selective estimated 3 mM increase in the concen
tration of Na+ in blood perfusing the brain was investigated in consci
ous dogs with surgically denervated kidneys. In split-infusion experim
ents the concentration of Na+ in carotid plasma was increased by a bil
ateral carotid infusion of hypertonic NaCl combined with an infusion o
f distilled water into the caval vein. In control experiments the same
load of NaCl and water was administered as an isotonic solution into
the carotid and jugular vessels. Peak rate of Na+ excretion was signif
icantly higher during split infusion (156 +/- 19 mu mol/min) compared
with control (89 +/- 14 mu mol/min). Renal excretion of urodilatin inc
reased in both series. Renal excretion of endothelin immunoreactivity
increased significantly more during split infusion (20 +/- 6 pg/min) t
han during control (9 +/- 3 pg/min). It is concluded that the natriure
tic response to minute increases in Na+ concentration of carotid plasm
a is intact after renal denervation. Furthermore, endothelin may be in
volved in the excess excretion observed.