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Acta Physiologica Congress

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Acta Physiologica 2009; Volume 196, Supplement 671
Scandinavian Physiological Society’s Annual Meeting
8/14/2009-8/16/2009
Uppsala, Sweden


ROLE OF NEURONAL NITRIC OXIDE SYNTHASE FOR MAINTAINING GLOMERULAR FILTRATION RATE, BLOOD FLOW AND OXYGEN CONSUMPTION IN THE DIABETIC KIDNEY.
Abstract number: O20

Palm1 F, Fasching1 F, Hansell1 P, Kallskog1 Ö

1Department of Medical Cell Biology, Division of Integrative Physiology, Uppsala University, Uppsala, Sweden. Department of Medicine, Division of Nephrology and Hypertension, Georgetown University, Washington, DC, USA. [email protected]

Nitric oxide (NO) is a potent regulator of both vascular tone and oxygen consumption (QO2). Diabetic kidneys have reduced NO availability and increased QO2. However, the exact nitric oxide synthase (NOS) isoform regulating hemodynamics, QO2 and excretory function in the diabetic kidney remains unclear. We therefore investigated the effects of both specific neuronal (n)NOS inhibition and non-specific NOS inhibition. Renal blood flow (RBF), glomerular filtration rate (GFR), QO2, and electrolyte handling were measured in vivo in control and streptozotocin-diabetic rats before and after administration of the specific nNOS inhibitor S- methyl-L-thiocitrulline (1 mg/kg bw/h) or the non- specific NOS inhibitor NG-nitro-L-arginine methylester (10 mg/kg bw/h). Baseline RBF and electrolyte transport efficiency (TNa/QO2) were similar in both groups. Diabetic rats had higher GFR and QO2 compared to control. SMTC increased mean arterial pressure (MAP) and decreased RBF in both groups, whereas QO2 and TNa/QO2 only decreased in diabetic animals. GFR was unaffected by nNOS inhibition. General NOS inhibition increased MAP and QO2 and decreased RBF and GFR in both groups, whereas TNa/QO2 only decreased in the diabetic animals. In conclusion, NO regulates RBF, renal vascular resistance and GFR similarly in both control and diabetic rats. However, RBF is regulated by NO released from nNOS, whereas both NOS blockades affected QO2 and TNa/QO2 selectively in the diabetic kidney, indicating a pivotal role for NO in maintaining control of QO2. These findings provide mechanistic insights into regulation of the hemodynamics, GFR and QO2 in the diabetic kidney, which may contribute to the development of diabetic nephropathy.

To cite this abstract, please use the following information:
Acta Physiologica 2009; Volume 196, Supplement 671 :O20

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