Vasopressin and the pathogenesis of chronic renal failure

Abstract

1. Partial (5/6) renal ablation was performed in Long Evans rats treated with vehicle or a vasopressin V1-receptor antagonist, in control Long Evans rats, and in homozygous Brattleboro rats which lack endogenous vasopressin. 2. In control and vasopressin-blocked Long Evans rats, 3 weeks following partial renal ablation, systolic blood pressure was 215±5 and 199±9 mmHg and, urinary protein excretion was 54±4 and 50±3 mg day-1, respectively. 3. The pressor response to exogenous vasopressin was significantly (P<0.05) reduced in rats treated with the V1-receptor antagonist (ED(50mmHg) 5.0±1.6 vs. 0.09±0.01 μg kg-1). 4. In control Long Evans and in Brattleboro rats, 3 weeks following renal ablation, systolic blood pressure was 204±10 and 191±7 mmHg, and urinary protein excretion was 97±27 and 71±5 mg day-1, respectively. 5. Histological examination of the remaining kidney tissue demonstrated significant glomerular hyalinization following renal ablation but no differences between any of the groups. 6. The data indicate that neither vasopressin nor the urinary concentrating mechanism is likely to be involved in the hypertension and proteinuria associated with partial renal ablation.