K. Hayashi et al., DIRECT EVIDENCE THAT THROMBOXANE MIMETIC U44069 PREFERENTIALLY CONSTRICTS THE AFFERENT ARTERIOLE, Journal of the American Society of Nephrology, 8(1), 1997, pp. 25-31
The thromboxane A(2) (TXA(2)) mimetic U44069 has been demonstrated to
reduce the GFR and filtration fraction of the normal isolated perfused
rat kidney markedly, suggesting a predominant constriction of preglom
erular vessels. To assess this possibility directly, effects of U44069
on the renal microvessels of the isolated perfused hydronephrotic kid
ney were examined. At 10(-6) mol/L, U44069 elicited a 27 +/- 2% decrea
se in afferent arteriolar (AA) diameter (from 18.8 +/- 0.3 to 13.7 +/-
0.3 mu m, P < 0.001). In contrast, efferent arteriolar (EA) diameter
decreased by only 9 +/- 1% (from 16.4 +/- 0.5 to 15.0 +/- 0.5 mu m, P
< 0.001). These effects on both AA and EA were completely reversed by
the TXA(2) receptor antagonist S429548. The calcium antagonist diltiaz
em reversed U44069-induced AA constriction by 83 +/- 5%. The U44069-in
duced EA constriction was insensitive to the vasodilator action of dil
tiazem at concentrations from 10(-8) to 10(-6) mol/L, but at 10(-5) mo
l/L, diltiazem increased the EA diameter significantly, albeit modestl
y. Nifedipine also reversed the U44069-induced AA constriction (81 +/-
7%), but failed to inhibit the EA constriction at concentrations from
10(-9) to 10(-6) mol/L. These findings constitute the first direct ev
idence that a TXA(2) agonist preferentially constricts the afferent ar
teriole. Furthermore, the ability of both the calcium antagonist and S
Q29548 to reverse the renal microvascular actions of TXA(2) agonists s
uggests a potential utility of these agents in ameliorating TXA(2)-ind
uced renal hemodynamic abnormalities.