K-ATP-blocking diuretic PNU-37883A reduces plasma renin activity in dogs

SJ Humphrey, JH Ludens - Journal of cardiovascular …, 1998 - journals.lww.com
SJ Humphrey, JH Ludens
Journal of cardiovascular pharmacology, 1998journals.lww.com
We determined the effects of the K-adenosine triphosphate (ATP)-blocking diuretic PNU-
37883A on plasma renin activity (PRA) in conscious and anesthetized dogs. In conscious
dogs, oral PNU-37883A (6-60 mg/kg) was less potent than hydrochlorothiazide (0.15-1.5
mg/kg) and furosemide (FURO; 0.3-3.0 mg/kg) but exhibited high natriuretic efficacy with
little kaliuresis. Unlike the standard diuretics, PNU-37883A reduced PRA by 46-76%, and its
high dose minimally affected 24-h urinary aldosterone excretion. PNU-37883A, 1 mg/kg iv …
Abstract
We determined the effects of the K-adenosine triphosphate (ATP)-blocking diuretic PNU-37883A on plasma renin activity (PRA) in conscious and anesthetized dogs. In conscious dogs, oral PNU-37883A (6-60 mg/kg) was less potent than hydrochlorothiazide (0.15-1.5 mg/kg) and furosemide (FURO; 0.3-3.0 mg/kg) but exhibited high natriuretic efficacy with little kaliuresis. Unlike the standard diuretics, PNU-37883A reduced PRA by 46-76%, and its high dose minimally affected 24-h urinary aldosterone excretion. PNU-37883A, 1 mg/kg iv, also blunted the hyperreninemia induced by 1 mg/kg iv FURO. In cannulated dogs, 10 mg/kg iv PNU-37883A maximally increased fractional Na+ clearance 140% and reduced PRA 76%, but these effects were accompanied by a mean 13 mm Hg pressor effect. In anesthetized dogs, renal artery-infused PNU-37883A (3 mg/kg/h ira) increased Na+ excretion and reduced renal venous PRA independent of hemodynamics, whereas half this dosage selectively reduced renal venous PRA and renin release, independent of hemodynamics and natriuresis. These data demonstrate that the K-ATP blocker diuretic PNU-37883A reduces PRA in dogs after oral, iv, and ira administration and could be a useful pharmacologic agent for exploring the role of K-ATP channels in regulating renin release.
Lippincott Williams & Wilkins