Salt‐Sensitive Hypertension Resulting From Nitric Oxide Synthase Inhibition is Associated with Loss of Regulation of Angiotensin II in the Rat

G Hodge, VZC Ye, KA Duggan - Experimental physiology, 2002 - Wiley Online Library
G Hodge, VZC Ye, KA Duggan
Experimental physiology, 2002Wiley Online Library
In the Dahl salt‐sensitive hypertensive rat, a diet containing L‐arginine, the natural substrate
for nitric oxide synthase, abrogates the hypertension. We postulated that nitric oxide
synthase inhibition might induce a salt‐sensitive form of hypertension and that this salt
sensitivity might be linked to a loss of the regulatory effect of sodium ingestion on
angiotensin II (Ang II) and angiotensinogen. Male Wistar‐Kyoto rats were randomised to a
diet containing 0.008%, 2.2% or 4.4% sodium chloride and to treatment with the NO …
In the Dahl salt‐sensitive hypertensive rat, a diet containing L‐arginine, the natural substrate for nitric oxide synthase, abrogates the hypertension. We postulated that nitric oxide synthase inhibition might induce a salt‐sensitive form of hypertension and that this salt sensitivity might be linked to a loss of the regulatory effect of sodium ingestion on angiotensin II (Ang II) and angiotensinogen. Male Wistar‐Kyoto rats were randomised to a diet containing 0.008%, 2.2% or 4.4% sodium chloride and to treatment with the NO synthase inhibitor L‐NAME (10 mg kg−1 day−1) in the drinking water, or drinking water alone (Controls) for 4 weeks. Blood pressure was measured by tail cuff plethysmography twice weekly. After 4 weeks, the rats were anaesthetised and truncal blood collected for determination of angiotensinogen, renin, angiotensin I (Ang I), Ang II and aldosterone concentrations as well as angiotensin‐converting enzyme (ACE) activity. Systolic blood pressure increased with increasing dietary sodium intake in the L‐NAME‐treated rats (P < 0.05). Plasma renin and aldosterone concentrations decreased with increasing dietary sodium intake in both Control and L‐NAME‐treated rats. Ang I and ACE activity were unchanged by increasing dietary sodium intake. In contrast, the plasma concentration of Ang II and angiotensinogen increased with increasing dietary sodium (P < 0.05 and P < 0.005, respectively). Treatment with the Ang II receptor blocker, losartan, reversed the blood pressure increase. We conclude that treatment with L‐NAME induces an increase in blood pressure that is at least in part salt sensitive. Further, the salt‐sensitive component appears to be Ang II‐dependent, as it was associated with increasing plasma Ang II levels and could be reversed by treatment with an Ang II receptor antagonist.
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