Neuropeptide Y (NPY) and ATP are cotransmitters of norepinephrine (NE). Mod
ulation of ATP-mediated purinergic neurotransmission by NPY was investigate
d in rat perfused kidney. beta,gamma-Methylene-L-ATP (beta,gamma-mATP; 1.0
to 1.5 mu M, n = 8), NE (0.1 mu M, n = 8), and NPY (0.1 mu M, n = 14) incre
ased perfusion pressure by maximally 12 +/- 1, 17 +/- 2, and 9 +/- 1 mmHg,
respectively. In the presence of NPY, responses to ATP and NE were dramatic
ally enhanced. Renal nerve stimulation in the presence of the alpha-adrenoc
eptor antagonist phentolamine (1 mu M) induced presser responses of 54 +/-
5 mmHg (n = 6). alpha-Blockade-resistant responses were abolished by the P2
-purinoceptor blocker suramin (300 mu M) and thus mediated by ATP. Purinerg
ic responses were also reduced significantly (50%) by the NPY-YI receptor b
locker BIBP 3226 (1 mu M). NPY (0.1 mu M) potentiated purinergic presser re
sponses and enhanced ATP release from 0.7 +/- 0.2 to 4.1 +/- 0.9 pmol (n =
4) associated with a significant increase of soluble ATPase activity. All N
PY effects were prevented by BIBP 3226. Presser responses to renal nerve st
imulation delivered at short time intervals, mimicking enhanced sympathetic
drive to the kidney, were not constant but showed a progressive rise, whic
h was prevented by BIBP 3226. In this study, it is suggested that purinergi
c vasoconstriction in rat kidney depends on concomitantly released NPY. NPY
by itself is only a weak vasoconstrictor but acts as a modulator of renal
vascular resistance by enhancing the effects of its sympathetic cotransmitt
ers, especially during sympathetic overactivity.