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Acute renal effects of AT1-receptor blockade after exogenous angiotensin II infusion in healthy subjects.
Schmitt, F; Martinez, F; Brillet, G; Nguyen-Khoa, T; Brouard, R; Sissmann, J; Lacour, B; Grunfeld, J P.
Afiliação
  • Schmitt F; Department of Biochemistry, Hôpital Necker, Paris, France.
J Cardiovasc Pharmacol ; 31(2): 314-21, 1998 Feb.
Article em En | MEDLINE | ID: mdl-9475275
ABSTRACT
In 10 healthy normotensive volunteers on a normal sodium diet, we evaluated the renal effects of a single oral dose of 50 mg of irbesartan (SR 47436, BMS 186295), an angiotensin II AT1-receptor antagonist, in baseline conditions and during an exogenous angiotensin II infusion (2.5 ng/kg/min). We used a double-blind, placebo-controlled, crossover design. Hormones, blood pressure, renal hemodynamics, and urinary electrolytes were measured during each phase. To examine further the determinants of glomerular filtration at the microcirculation level, fractional clearance of neutral dextran was performed, and sieving curves were applied on a hydrodynamic model of ultrafiltration. Irbesartan administration was followed by an increase in active renin and plasma angiotensin II concentrations and renal plasma flow without change of systemic blood pressure, glomerular filtration rate, or plasma aldosterone concentration. Irbesartan did not affect either sieving curves or glomerular ultrafiltration determinants. Angiotensin II infusion at 2.5 ng/kg/min elicited a slight pressor response accompanied by a decrease in glomerular filtration rate and renal plasma flow and an enhancement of fractional dextran clearance over the radius range explored (3.4-5.4 nm). The transcapillary glomerular pressure gradient deltaP and the ultrafiltration coefficient kf were computed to increase by 9% and to decrease by 23%, respectively, without change in intrinsic membrane properties. Pretreatment with irbesartan prevented all these effects of angiotensin II.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tetrazóis / Compostos de Bifenilo / Angiotensina II / Antagonistas de Receptores de Angiotensina / Rim / Anti-Hipertensivos Tipo de estudo: Clinical_trials Limite: Adult / Humans / Male Idioma: En Revista: J Cardiovasc Pharmacol Ano de publicação: 1998 Tipo de documento: Article País de afiliação: França
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tetrazóis / Compostos de Bifenilo / Angiotensina II / Antagonistas de Receptores de Angiotensina / Rim / Anti-Hipertensivos Tipo de estudo: Clinical_trials Limite: Adult / Humans / Male Idioma: En Revista: J Cardiovasc Pharmacol Ano de publicação: 1998 Tipo de documento: Article País de afiliação: França