Objective A dietary combination of high salt and tow potassium (HS-LK) exac
erbates hypertension in Dahl salt-sensitive (DS) rats and renders Dahl salt
-resistant (DR) rats hypertensive. In both strains, the hypertension is acc
ompanied by remodelling of the renal resistance vasculature, and is attenua
ted by peripheral chemical sympathectomy. In the current study, we sought t
o determine whether the sympathetic nervous system is causally involved in
mediating the renal vascular and haemodynamic alterations associated with H
S-LK feeding in Dahl rats.
Design Two groups each of DS and DR rats were maintained on HS-LK diet (8%
NaCl, 0.2% KCl) for 8 weeks. One group of DS (n = 9) and DR (n = 8) were tr
eated with 6-hydroxydopamine (6-OHDA) in 0.001 N HCl vehicle to chemically
ablate peripheral sympathetic nerve terminals. The two remaining groups (n
= 8 each) received equivalent injections of vehicle.
Methods At the end of the dietary regimen, arterial blood pressure (ABP), g
lomerular filtration rate (GFR) and renal blood flow (RBF) were measured, a
nd the structure of intra-renal resistance vessels was examined by planar m
orphometric analysis of coronal sections prepared from perfusion-fixed kidn
eys.
Results Both 6-OHDA-treated and untreated DS rats presented a greater degre
e of intrarenal vessel remodelling characterized by reduced lumen diameter
in the absence (eutrophic) or presence (hypertrophic) of cross-sectionaIare
aexpansion, higher renal vascular resistance (RVR) and lower GFR and RBF th
an DR rats. Chemical sympathectomy increased lumen diameters and reduced va
scular wall expansion, resulting in a decrease in RVR and a concomitant inc
rease in RBF and GFR in both strains; however, the effect was more prominen
t in the DS rats. Conclusions We conclude that HS-LK-induced changes in int
ra-renal vessel structure and renal haemodynamic function in Dahl rats are,
at least in part, dependent on the activity of the sympathetic nervous sys
tem. J Hypertens 2000, 18:783-793 (C) Lippincott Williams & Wilkins.