T. Savage et al., Flow induces dilatation in the femoral artery of uraemic rats but constriction in control rats, NEPH DIAL T, 16(6), 2001, pp. 1156-1162
Background. Pressure and flow are recognized as important modulators of vas
cular tone. In mildly uraemic rats, myogenic tone is increased in the femor
al artery in the absence of hypertension compared with healthy control rats
, but the effect of flow in the same experimental model remains unknown.
Subjects and methods, Twelve male Wistar rats were rendered uraemic (U) by
5/6th nephrectomy or were concurrently sham operated as controls (C). After
8 weeks, isolated femoral arteries were mounted on a flow myograph, pressu
rized at 80 mmHg, and constricted by 40-50% of the lumen internal diameter
(i.d.) by L-phenylephrine (1-10 mu mol/l). Flow was initiated (0-207 mul/mi
n) in six steps every 5 min and changes in i.d. recorded. N-nitro-L-arginin
e methyl ester hydrochloride (L-NAME) (0.1 mmol/l) and 1H-[1,2,4] oxadiazol
o-[4,3-a]quinoxalin-1-one (ODQ) (1 mu mol/l) were applied extraluminally an
d the how protocol repeated.
Results, The baseline pre-constricted at 80 mmHg i.d. was significantly sma
ller in the U (U 255 +/- 21 mum Its C 365 +/- 36 mum, P < 0.03). At all ste
ps, flow elicited a dilatation in the U and a constriction in the C (U+ 24
+/- 8% vs C-17+/-5%. P<0.01). When L-NAME and ODQ were applied, a significa
nt basal reduction in i.d. was observed in the C only (C 365 +/- 36 mum vs
C + L-NAME & ODQ 182 +/- 18 mum, P < 0.01; U 255 +/- 21 <mu>m vs U + L-NAME
& ODQ 240 +/- 11 mum, P = n.s.). Furthermore, in the U there was no signif
icant blunting to dilatation during flow (+9+4%).
Conclusions, Flow elicited a constriction in controls, but a marked dilatat
ion in uraemic roots which was not entirely nitric oxide dependent. These r
esults suggest that other mediators such as prostacyclin or endothelium-dep
endent hyperpolarizing factor, or changes in the vascular smooth muscle may
contribute to flow-induced dilatation in mild experimental uraemia.