Silvia Azar

Role of hypertension in progressive glomerular immune injury.

The relationship between hypertension, ferritin-antiferritin mesangial immune injury (FIC), and progressive glomerular damage was studied in hypertensive (8% NaCl chow) Dahl salt-sensitive rats (DS) and in spontaneously hypertensive rats (SHR). The glomeruli of SHR are protected from the increased perfusion pressure that accompanies systemic hypertension by preglomerular vasoconstriction, while the glomeruli of hypertensive DS are not. Blood pressure, serum creatinine levels, urinary protein excretion, and glomerular injury (assessed by semiquantitative morphometric analysis) were determined in 20-week-old SHR and DS with FIC. In addition, half of a group of 20-week-old SHR with FIC were uninephrectomized and progression of glomerular injury was assessed 12 weeks later. Control rats for each of the groups did not receive FIC. Our studies showed that more extensive mesangial expansion and glomerulosclerosis developed in hypertensive DS with FIC than in rats without FIC. Glomerular injury in DS with FIC affected cortical and deep glomeruli. Similarly, hypertensive SHR with FIC had minimal damage in cortical glomeruli. In deep glomeruli of SHR, mesangial expansion was similar to that of DS, but glomerulosclerosis was absent. In SHR, a 50% reduction in renal mass, a maneuver known to decrease preglomerular vasoconstriction, resulted in mesangial expansion similar to that in DS in cortical glomeruli while deep glomeruli developed mesangial expansion as well as glomerulosclerosis. Our results suggest that when hypertension and mesangial immune injury coexist with renal vasodilatation (as occurs in DS with 2 kidneys and in SHR after uninephrectomy), they act synergistically to induce progressive glomerular damage. Similar mechanisms may be operative in hypertensive humans with glomerulonephritis and may condition the rate of progression to renal insufficiency.

Open-field behavior in two models of genetic hypertension and the behavioral effects of salt excess.

In order to assess the relationship of behavior to blood pressure and salt intake, open-field behavior was studied in 123 rats of the spontaneously hypertensive (SHR), Wistar-Kyoto (WKY), Sprague-Dawley (SD), and Dahl resistant (DR) and sensitive (DS) strains. DS rats become hypertensive upon exposure to either high dietary salt or psychogenic stress, while DR rats remain normotensive. A circular photobeam open field was used under full room illumination. Three 5-min trials were given on consecutive days. Rats were tested with or without 5 days of an 8% NaCl diet. We found that DS rats were less active than DR rats, regardless of diet. In contrast, SHR rats were more active than WKY rats. However, DS and SHR rats were equally active. Thus, behavioral differences between these two models of hypertension are expressed by the normotensive control strains. The relative ranking of activity levels between strains was DR = SD greater than SHR = DS greater than WKY. High-salt-enhanced intertrial habituation, defined as the decrease in activity across trials (DS, 100%; SD, 82%; SHR, 90%; WKY, 1350%; but DR, -50%) as well as intratrial habituation, defined as the decrease from the first to the second half of the trial (14%, all subjects). Defecation was increased with high salt (DS, 975%; SD, 59%; SHR, 267%; WKY, 89%; but DR, 40%). These effects of high salt may reflect an increase in an emotionality factor. DR rats were largely resistant to the behavioral effects of salt. Total activity was positively correlated with blood pressure in hypertensive rats, r(42) = 0.33, p less than .01, but negatively correlated in normotensive rats, r(81) = -0.34, p less than .01. The proportion of total activity occurring in the first half of the trial for the initial test day was correlated with blood pressure in normotensive rats r(81) = 0.44, p less than .01. Dietary salt excess has behavioral as well as cardiovascular consequences.

The role of the anteromedial hypothalamus in Dahl hypertension

Radiofrequency lesions were placed in the anteromedial hypothalamus in Dahl rats to investigate the role of this area in salt-induced hypertension. Lesions of the paraventricular and suprachiasmatic nuclei and intervening tissue (PVN-SCN lesions) prevented the rise in blood pressure (mmHg) in salt-sensitive (DS) rats fed a high-salt (8% NaCl) diet for 15 weeks (controls: 195 +/- 9, lesioned: 128 +/- 11, p less than 0.01). Similar lesions in salt-resistant (DR) rats did not alter long-term blood pressure (controls: 121 +/- 6 mmHg, lesioned: 131 +/- 5). Lesions sparing the PVN had no effect on blood pressure in DS rats, while lesions primarily confined to the PVN delayed the rise of blood pressure in DS fed a high salt diet. Round-the-clock determinations demonstrated that the blood pressure of DS rats with PVN-SCN lesions was reduced relative to controls at all times of the day throughout the study. No differences were observed between the angiotensin-induced drinking and plasma sodium concentrations of rats with PVN-SCN lesions and those of controls. Twenty-four hour mean heart rate was decreased by 10% in DS rats with PVN-SCN lesions. The anteromedial hypothalamus may participate in the initiation of Dahl hypertension.

Effects of preoptic - suprachiasmatic lesions on renal excretion of electrolytes.

Abstract Rats sustaining lesions of the posteroventral portion of the medial preoptic nucleus and the anterior portion of the suprachiasmatic nucleus exhibited decreased cumulative urine volumes, as well as lower sodium and potassium excretion following hypertonic saline injections. Circadian rhythms and mean levels of these variables during the steady state were unchanged. The lesioned area may participate in central regulation of water and electrolyte balance.

The effects of normalization of dietary protein intake and carotid artery ligation on the renal autoregulatory abnormalities of streptozotocin diabetic rats

We studied renal autoregulation in nondiabetic and streptozotocin diabetic Münich-Wistar rats 6 weeks after diabetes induction. We had previously shown that diabetic rats had greater preservation of renal blood flow (RBF) at reduced renal perfusion pressures (RPP) than control rats and speculated that this could be due to higher protein intake in the diabetic rats. Because of hyperphagia, the diabetic rats in the present study on a 24% protein diet (D-24) had 70% or greater increase in dietary protein intake compared to controls on the same diet (C-24). Diabetic rats on a 14% protein diet (D-14) had a dietary protein intake similar to C-24 and less than that of D-24 animals. Baseline glomerular filtration rate (GFR) and renal blood flow were lower and renal vascular resistance (RVR) was higher in the D-14 compared to the C-24 or D-24 rats. Nonetheless, at markedly reduced RPP both diabetic groups had better sustained RBFs and lower RVRs than the controls. Thus, increased dietary protein intake cannot explain the autoregulatory abnormalities in diabetes. Bilateral carotid artery ligation increased systemic blood pressure similarly in the C-24, D-24, and D-14 rats. All three groups responded with increased RVR to carotid artery ligation. Following carotid artery ligation, differences were no longer seen between diabetic and control rats for RBF at reduced RPPs. These studies indicate that diabetic rats are capable of generating increased RVR, ruling out impaired vascular constrictive capacity as an explanation of these hemodynamic abnormalities.(ABSTRACT TRUNCATED AT 250 WORDS)

Kinetics of administered aggregated IgG in rats with passive Heymann's nephritis

The kinetics of radiolabeled heat-aggregated human IgG (AHIgG125I) were studied in rats with passive Heymanns nephritis (PHN) induced 72 hr previously with decomplemented rabbit antiserum to rat FX1A. Control rats were injected with decomplemented normal rabbit serum (NRS). Following administration of AHIgG125I (40 mg per 100 g of body wt) control and FX1A animals were sacrificed in groups of five each at 2, 4, 8, 16, and 24 hr and kidney, liver, spleen, lung, plasma, and blood cells obtained. 131I-Labeled human serum albumin (HSA131I) was administered prior to sacrifice as a plasma marker. In FX1A rats the following observations were made in comparison with control rats: (1) A decrease in the concentration of AHIgG125I in glomeruli was observed at 2, 4, and 8 hr after administration; (2) a significant increase in clearance reflected by a decrease in the concentration of plasma trichloroacetic acid (TCA)-precipitable radioactivity, and AHIgG125I (greater than 7 S) was present; (3) a significant increase in non-TCA-precipitable radioactivity in plasma and blood cells at most time periods; and (4) decreased concentrations of AHIgG125I in liver and spleen but not lung. The specificity of these observations was supported in separate experiments by the lack of any difference in the plasma levels of TCA-precipitable radioactivity after administration of radiolabeled albumin to FX1A and control rats. Studies in FX1A and control rats revealed no differences in body weight, kidney weight, hematocrit, blood volume, urine output, glomerular filtration rate, renal blood flow, or renal vascular resistance. A slight increase in urinary rat albumin excretion was observed in FX1A rats. The lower values of AHIgG125I observed in plasma, liver, and spleen associated with increased levels of non-TCA-precipitable radioactivity in plasma and blood cells suggest enhanced catabolism of AHIgG125I in FX1A rats, leading to decreased localization within the mesangium.