Ma. Clark et al., THE NATRIURETIC ACTIVITY OF THE K-37883A DISPLAYS AN ADH-DEPENDENCE( CHANNEL BLOCKER U), Methods and findings in experimental and clinical pharmacology, 20(2), 1998, pp. 115-123
We reported previously that K+ channel blockers induce diuresis and na
triuresis in conscious and anesthetized rats. Free-water clearance stu
dies suggested that K+ channel blockers inhibit NaCl reabsorption in t
he thick ascending limb (TAL) by blocking K+ recycling through a low-c
onductance, usually open, apical ATP-sensitive K+ channel. In the pres
ent study, we measured the effect of U-37883A (15 mg/kg, i.v.) on Nareabsorption in rats preconditioned to alter ADH levels. In water-load
ed animals with suppressed ADH levels, U-37883A was 50% less natriuret
ic than in saline-loaded rats. Infusion of ADH to water-loaded rats re
stored the natriuretic response to a level comparable to saline-loaded
rats. Loss of natriuretic efficacy was for secondary to changes in GF
R or renal perfusion pressure since GFRs did not vary before or after
drug administration in any of the respective groups. Decreases in bloo
d pressure were not significantly different in saline-loaded, water-lo
aded and water-loaded/ADH rats. The natriuretic response of U-37883A a
s varied by ADH levels may be the first observation, in vivo, to suppo
rt the observation that the cotransporter in TAL can exist in two mode
s as previously observed in vitro by Hebert and colleagues. (C) 1998 P
ious Science. All rights reserved.