Tonic action of endothelin type B and dopamine D3 receptors in spontaneously hypertensive and deoxycorticosterone acetate-salt hypertensive rats: effects of intrarenally applied selective antagonists

Endothelins and renal dopamine contribute to control of renal function and arterial pressure in health and various forms of experimental hypertension, the action is mediated by tonic activity of specific receptors. We determined the action mediated by endothelin type B and by dopamine D3 receptors (ETB-R, D3-R) in anaesthetized spontaneously hypertensive (SHR) and in deoxycorticosterone acetate (DOCA)-salt hypertensive rats. In rats of both hypertension models infused during 60 min into the interstitium of in situ kidney were either ETB-R antagonist, BQ788 (0.67 mg kg-1 BW h-1) or D3-R antagonist, GR103691 (0.2 mg kg-1 BW h-1). Arterial pressure (MAP), renal artery blood flow (RBF, transonic probe) and renal medullary blood flow (MBF, laser-Doppler) were measured along with sodium, water and total solute excretion (UNaV, V, UosmV). Experiments with ETB-R blockade confirmed their tonic vasodilator action in the whole kidney (RBF) and medulla (MBF) in both hypertension models. In SHR only, the first evidence was provided that ETB-R specifically increases transtubular backflux of non-electrolyte solutes. In DOCA-salt rats ETB-R blockade caused an early decrease in water and salt transport whereas an increase was often reported from many previous studies. The most striking effect of D3-R blockade in SHR was a selective increase in MBF, which strongly suggested tonic vasoconstrictor action of these receptors in the renal medulla; this speaks against prevailing opinion that D3 receptors are virtually inactive in SHR. In our model variant of DOCA-salt rats of D3-R blockade clearly caused a rapid major increase in MAP in parallel with depression of renal haemodynamics.

Intrarenal vasodilator systems: NO, prostaglandins and bradykinin. An integrative approach

Intrarenal microcirculation is under hormonal, paracrine and neural control. Of particular interest is circulation in the renal medulla: its perfusion seems critical for long term control of arterial pressure. Exposure of the organism to adverse conditions often leads to activation of vasopressor factors, such as renin/angiotensin, renal sympathetic input or vasopressin; this helps maintain arterial pressure but endangers renal circulation. Fortunately, it is protected by intrarenal vasodilators: nitric oxide, prostaglandins, bradykinin and others. The potency of NO to oppose intrarenal vasoconstrictors may differ between individual factors: it is substantial in the case of renal sympathetic input whereas the constrictor influence of angiotensin II in the medulla seems to be offset mostly by intrarenal prostaglandins. Although these are commonly regarded as intrarenal vasodilators, our new data show that this is so only in the renal medulla. In the cortex they exert modest vasoconstriction, probably mediated by EP3 receptors. The role of bradykinin as intrarenal vasodilator is not yet known in sufficient detail, its effect is most pronounced in the inner medulla. The source of vasoactive kinins is uncertain, they could reach intrarenal microvasculature from the sites of synthesis in tubular cells but the synthesis in the vessels themselves cannot be excluded.