Chronic renal failure leads to reduced flow-dependent dilation in isolated rat skeletal muscle arterioles due to lack of NO mediation

Zsolt Bagi, Peter Hamar, Balazs Antus, Laszlo Rosivall, Akos Koller

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Chronic renal failure (CRF) is frequently accompanied by systemic vascular alterations which further increase the morbidity and mortality of these patients. However, the nature and the underlying mechanisms of vascular dysfunction are not completely understood. We hypothesized that - in addition to other factors - CRF alters local vasomotor mechanisms that are intrinsic to the vascular wall. Methods: Changes in the diameter of isolated, pressurized (at 80 mm Hg) gracilis skeletal muscle arterioles (diameter approximately 150 μm) of female Wistar rats were investigated by videomicroscopy. Arteriolar responses to an increase in flow and vasoactive agents in partially nephrectomized (NX) and sham-operated (control) rats were compared. Results: In NX rats, serum creatinine and urine protein excretion were increased. Compared to controls, increases in intraluminal flow (from 0 to 40 μl/min) resulted in significantly reduced dilation in arterioles of NX rats (maximum: 32 ± 4 vs. 15 ± 4 μm, p < 0.05). Inhibition of nitric oxide (NO) synthesis with L-NAME reduced the dilation of control arterioles but did not affect responses of NX arterioles. Also, dilations in response to histamine were significantly reduced in arterioles from NX rats as compared to control rats. L-NAME significantly decreased histamine-induced dilations of control arterioles, but it did not affect responses of NX arterioles. Dilations in response to the NO donor sodium nitroprusside were also significantly decreased in NX arterioles as compared to responses of control vessels, whereas responses to adenosine and norepinephrine were not significantly different in the two groups. Conclusions: We conclude that in rat skeletal muscle arterioles, CRF induced by renal mass reduction alters the mechanosensitive and agonist-induced responses of peripheral arterioles, in part by interfering with NO-signaling mechanisms. These alterations could contribute to increased peripheral vascular resistance and further aggravate the cardiovascular complications in CRF.

Original languageEnglish (US)
Pages (from-to)19-26
Number of pages8
JournalKidney and Blood Pressure Research
Volume26
Issue number1
DOIs
StatePublished - Apr 25 2003

Fingerprint

Arterioles
Chronic Kidney Failure
Dilatation
Nitric Oxide
Skeletal Muscle
Blood Vessels
NG-Nitroarginine Methyl Ester
Vascular Resistance
Histamine
Video Microscopy
Nitric Oxide Donors
Nitroprusside
Adenosine
Wistar Rats
Creatinine
Norepinephrine
Urine
Morbidity
Kidney
Mortality

Keywords

  • Arteriole
  • Chronic renal failure
  • Flow-dependent dilation
  • Nitric oxide
  • Partial nephrectomy

ASJC Scopus subject areas

  • Nephrology
  • Cardiology and Cardiovascular Medicine

Cite this

Chronic renal failure leads to reduced flow-dependent dilation in isolated rat skeletal muscle arterioles due to lack of NO mediation. / Bagi, Zsolt; Hamar, Peter; Antus, Balazs; Rosivall, Laszlo; Koller, Akos.

In: Kidney and Blood Pressure Research, Vol. 26, No. 1, 25.04.2003, p. 19-26.

Research output: Contribution to journalArticle

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AU - Hamar, Peter

AU - Antus, Balazs

AU - Rosivall, Laszlo

AU - Koller, Akos

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AB - Background: Chronic renal failure (CRF) is frequently accompanied by systemic vascular alterations which further increase the morbidity and mortality of these patients. However, the nature and the underlying mechanisms of vascular dysfunction are not completely understood. We hypothesized that - in addition to other factors - CRF alters local vasomotor mechanisms that are intrinsic to the vascular wall. Methods: Changes in the diameter of isolated, pressurized (at 80 mm Hg) gracilis skeletal muscle arterioles (diameter approximately 150 μm) of female Wistar rats were investigated by videomicroscopy. Arteriolar responses to an increase in flow and vasoactive agents in partially nephrectomized (NX) and sham-operated (control) rats were compared. Results: In NX rats, serum creatinine and urine protein excretion were increased. Compared to controls, increases in intraluminal flow (from 0 to 40 μl/min) resulted in significantly reduced dilation in arterioles of NX rats (maximum: 32 ± 4 vs. 15 ± 4 μm, p < 0.05). Inhibition of nitric oxide (NO) synthesis with L-NAME reduced the dilation of control arterioles but did not affect responses of NX arterioles. Also, dilations in response to histamine were significantly reduced in arterioles from NX rats as compared to control rats. L-NAME significantly decreased histamine-induced dilations of control arterioles, but it did not affect responses of NX arterioles. Dilations in response to the NO donor sodium nitroprusside were also significantly decreased in NX arterioles as compared to responses of control vessels, whereas responses to adenosine and norepinephrine were not significantly different in the two groups. Conclusions: We conclude that in rat skeletal muscle arterioles, CRF induced by renal mass reduction alters the mechanosensitive and agonist-induced responses of peripheral arterioles, in part by interfering with NO-signaling mechanisms. These alterations could contribute to increased peripheral vascular resistance and further aggravate the cardiovascular complications in CRF.

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KW - Partial nephrectomy

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