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1 Department of Pharmacological
Sciences,
Chronic renal
failure is associated with increased cardiovascular morbidity and
abnormal arterial tone, but the underlying pathophysiological
mechanisms are poorly understood. Therefore, we studied the responses
of isolated mesenteric arterial rings from Wistar-Kyoto rats in
standard organ chambers 6 wk after subtotal (5/6) nephrectomy or sham
operation. Subtotal nephrectomy resulted in a 1.7-fold elevation of
plasma urea nitrogen, whereas blood pressure was not significantly
affected. Endothelium-mediated relaxations of
norepinephrine-precontracted rings to ACh were impaired in renal
failure rats. The nitric oxide (NO) synthase inhibitor
NG-nitro-L-arginine methyl ester
inhibited relaxations to ACh more effectively in the renal failure
group, whereas the cyclooxygenase inhibitor diclofenac did not
significantly affect the response in either group. Inhibition of
Ca2+-activated
K+ channels by charybdotoxin and
apamin attenuated NO synthase- and cyclooxygenase-resistant relaxations
to ACh in control but not renal failure rats and abolished the
difference between these groups. Endothelium-independent relaxations to
isoproterenol and cromakalim, vasodilators acting via
-adrenoceptors
and ATP-sensitive K+ channels,
respectively, were impaired in the renal failure group, whereas
relaxations to the NO donor nitroprusside were similar in both groups.
In conclusion, endothelium-mediated relaxation in renal failure rats
was impaired in the absence and presence of NO synthase and
cyclooxygenase inhibition but not with prevented smooth muscle
hyperpolarization. Endothelium-independent relaxations to isoproterenol
and cromakalim were also attenuated after 5/6 nephrectomy. These
results suggest that impaired vasodilatation in experimental renal
failure could be attributed to reduced relaxation via arterial
K+ channels.
chronic renal failure; arterial smooth muscle; endothelium; hyperpolarization; potassium channels; Wistar-Kyoto rat
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