The renal effects of endothelin-1 were investigated in 16 anesthetized
and mechanically ventilated newborn rabbits. Renal blood flow and glo
merular filtration rate were determined by the clearance of para-amino
hippuric acid and inulin, respectively. Each animal acted as its own c
ontrol. In eight newborn rabbits, a bolus injection of 5 nmol.kg-1 of
endothelin-1 caused an initial fall in mean arterial blood pressure fo
llowed by a gradual, significant increase in mean arterial blood press
ure that lasted for 45 min. The dramatic increase in renal vascular re
sistance (+28 +/- 4%) induced by endothelin led to a fall in glomerula
r filtration rate (-12 +/- 4%) and renal blood flow (-16 +/- 3%). In s
pite of the reduction of glomerular filtration rate and renal blood fl
ow, urine flow and sodium excretion rates increased significantly (+20
+/- 5% and +49 +/-9%, respectively). In eight additional newborn rabb
its, a bolus injection of 1 nmol.kg-1 of endothelin-a dose that usuall
y induces marked renal and systemic vasoconstriction in adult models-d
id not affect systemic or renal hemodynamics. In conclusion, endotheli
n induces renal and systemic vasoconstriction and affects water and so
dium homeostasis during the neonatal period. These effects occur under
higher doses than those used in adult animals. This age difference in
systemic and renal responsiveness is probably mediated by receptor im
maturity and/or interference of high levels of counteracting hormones
present during the neonatal period.