Endothelin B receptors preserve renal blood flow in a normotensive model of endotoxin-induced acute kidney dysfunction

N Nitescu, E Grimberg, SE Ricksten, H Herlitz, G Guron - Shock, 2008 - journals.lww.com
N Nitescu, E Grimberg, SE Ricksten, H Herlitz, G Guron
Shock, 2008journals.lww.com
The aim was to investigate the role of endothelin 1 receptor subtypes in the early renal
response to lipopolysaccharide (LPS) during normotensive endotoxemia with acute kidney
dysfunction. Endotoxemia was induced in thiobutabarbital-anesthetized rats (n= 9 per
group) by infusion of LPS (dosage, 1 mg/kg per hour iv). The study groups (1) sham-
saline,(2) LPS-saline,(3) LPS-BQ123,(4) LPS-BQ788 and (5) LPS-BQ123+ BQ788 received
isotonic saline, the ET A receptor antagonist BQ-123 (dosage, 30 nmol/kg per minute iv) …
Abstract
The aim was to investigate the role of endothelin 1 receptor subtypes in the early renal response to lipopolysaccharide (LPS) during normotensive endotoxemia with acute kidney dysfunction. Endotoxemia was induced in thiobutabarbital-anesthetized rats (n= 9 per group) by infusion of LPS (dosage, 1 mg/kg per hour iv). The study groups (1) sham-saline,(2) LPS-saline,(3) LPS-BQ123,(4) LPS-BQ788 and (5) LPS-BQ123+ BQ788 received isotonic saline, the ET A receptor antagonist BQ-123 (dosage, 30 nmol/kg per minute iv), and/or the ET B receptor antagonist BQ-788 (dosage, 30 nmol/kg per minute iv) before and during 2 h of LPS infusion. Renal clearance measurements, renal blood flow (RBF), and cortical and outer medullary perfusion (laser-Doppler flowmetry) and oxygen tension (Clark-type microelectrodes) were analyzed throughout. Before LPS administration, there were no significant differences between groups in glomerular filtration rate (GFR), RBF, or in cortical (CLDF) and outer medullary perfusion. However, mean arterial pressure (MAP) was elevated in LPS-BQ788 group compared with LPS-BQ123+ BQ788 group (P< 0.05). In saline-treated rats, endotoxin induced an approximate 35% reduction in GFR (P< 0.05), without significant effects on MAP, RBF, or on CLDF and cortical PO 2. In addition, LPS increased outer medullary perfusion and PO 2 (P< 0.05). The fractional urinary excretion rates of sodium, potassium, and water were not significantly different in LPS-saline group compared with sham-saline group. Neither selective nor combined ET A and ET B receptor blockade improved GFR. In BQ-788-infused rats, endotoxin produced marked reductions in RBF (− 18%±4%[P< 0.05]) and CLDF (− 18%±2%[P< 0.05]). Similarly, endotoxin decreased RBF (− 14%±3%[P< 0.05]) and CLDF (− 10%±2%[P< 0.05]) in LPS-BQ123+ BQ788 group. Endotoxin reduced MAP (− 22%±4%[P< 0.05]) in BQ-123-treated rats but did not significantly influence MAP in other groups. We conclude that in early normotensive endotoxemia, ET B receptors exert a renal vasodilator influence and contribute to maintain normal RBF.
Lippincott Williams & Wilkins