S. Reddy et al., ACUTE VOLUME EXPANSION AND SALT-LOADING STUDIES IN RATS - THE ROLE OFATRIAL-NATRIURETIC-PEPTIDE AND CATECHOLAMINES, Nephron, 79(2), 1998, pp. 192-200
Differences have been postulated for the mechanism of natriuresis due
to atrial natriuretic peptide (ANP), salt loading with high salt diet
(HS) and acute volume expansion (AcVE), in particular between AcVE and
ANP based on the observed synergism between the two. Therefore the ef
fects of and the interaction between the three were investigated in ra
ts. ANP and AcVE produced the same natriuresis in HS as in normal salt
(NS) rats and, in both, the actions of ANP and AcVe were significantl
y additive showing similarity in mechanisms. Synergism [(AcVE + ANP) -
AcVE] was, however, present only in the NS rats. Proximal tubular sod
ium transport was the same with AcVE and ANP + AcVE suggesting that sy
nergism is a property of more distal nephron segments. In conscious HS
rats, plasma ANP was significantly less but natriuresis was higher th
an in NS rats. ANP therefore probably has some causative role in the n
atriuresis of AcVE but none in that of IIS loading. Urinary dopamine w
as significantly increased by HS and further increased by AcVE in both
NS and HS rats, the relationship between dopamine and natriuresis bei
ng significantly positive (r(2) = 0.328) reaching equivalent levels in
both NS and HS rats. Systemic benserazide prevented the increase in u
rinary dopamine but only attenuated the natriuresis of AcVE. We conclu
de that I-IS does not potentiate the natriuresis of AcVE or ANP, syner
gism between AcVE and ANP is not a proximal tubule event and dopamine
accounts for significant natriuresis of VE in addition to other natriu
retic factors.