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Nephrology Dialysis Transplantation, Vol 13, Issue 4 893-899, Copyright © 1998 by Oxford University Press


ORIGINAL ARTICLES

Tubuloglomerular feedback and prolonged ACE-inhibitor treatment in the hypertensive fawn-hooded rat

G Verseput, B Braam, A Provoost and H Koomans
Department of Nephrology and Hypertension, Room F03. 226, University Hospital Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands; Department of Pediatric Surgery, Erasmus University, Rotterdam, The Netherlands; Corresponding author

Background: The spontaneously hypertensive fawn-hooded (FHH) rat develops severe glomerulosclerosis with ageing. The afferent arteriolar resistance is low, resulting in a strongly elevated glomerular capillary pressure (PGC). Methods: Afferent arteriolar resistance is under the control of the tubuloglomerular feedback (TGF) system, and we studied whether young FHH rats, i.e. at a stage when only mild glomerulosclerosis was present, have diminished TGF responsiveness. Results: Maximum TGF-mediated decreases in stop-flow pressure in response to late proximal perfusion with artificial tubular fluid were 9.0±1.0 mmHg, a value not different or even slightly lower than observed in normal rats. PGC was 59.9±1.2 mmHg and the estimated PGC was 59.9±1.2 mmHg and the estimated PGC at half-maximal activation of the TGF system (operating PGC) was 54.5±0.8 mmHg at 11 weeks of age (n=11), a value higher than observed in normal rats. The second question of the present study concerns the effect of chronic angiotensin-I-converting enzyme inhibitor (ACE-I) administration on PGC-ACE-I, by reducing angiotensin II (Ang II) availability, diminishes TGF responsiveness, which would offset the beneficial effect on PGC under normal flow conditions to the macula densa. Maximum TGF responses were 8.9±1.0 and 17.5±1.5 mm Hg in 11- and 26-week-old rats that had been treated with the ACE-I lisinopril in the drinking water started when the animals were 7 weeks of age. PGC was 44.3±1.2 (n=9) and operating PGC was 40.1±1.6 mmHg (n=9) at 11, values significantly lower than in untreated rats. Values remained lower in the 26-week-old treated animals and were 40.9±0.8 and 32.6±1.1 mm Hg. Conclusions: 91) the TGF system in this model of spontaneous hypertension and glomerulosclerosis is intact, despite the fact that the FHH rat has a characteristically low afferent arteriolar resistance as compared to other hypertensive rats; (2) the rat displays a normal or even enhanced function of the TGF system following prolonged administration of the ACE-I lisinopril. The latter finding indicates that the reduction of PGC achieved by the ACE-I is not offset by a concomitant attenuation of TGF function.
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