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      Erythrocyte Na +-K + ATPase Activity in the Genesis of Reducing Renal Mass in Hypertensive Rats

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          Abstract

          To study the relationship between natriuretic factor and experimental low renin hypertension, the erythrocyte Na +-K + ATPase activities in the genesis of reducing renal mass in hypertensive rats were measured. The results were as follows :

          1. The fractional excretion of Na in hypertensive, reduced renal mass rats (saline-drinking) was higher than that of normotensive, reduced renal mass rats (water-drinking) (p<.001). The plasma renin activities in the hypertensive group were markedly lower than those of the normotensive group (p<.001).

          2. The total ATPase activities of rat erythrocyte membrane in the hypertensive group were lower than in those of the normal and the normotensive groups (p<.001, p<.02).

          3. The Mg ++-ATPase activities of rat erythrocyte membrane in the normotensive group tended to decrease significantly (p<.001), but the differences between the normotensive and hypertensive group were not significant.

          4. The Na +-K + ATPase activities of rat erythrocyte membrane in the hypertensive group were lower than those of the normal and the normotensive group (p<.001). However, the difference between the normal and the normotensive groups was not significant.

          5. When erythrocyte membrane taken from normal rats was incubated with supernates of boiled plasma from normotensive rats, the total ATPase activities of erythrocyte membrane were not different from those of hypertensive rats.

          6. When erythrocyte membrane taken from normal rats was incubated with supernates of boiled plasma from normotensive rats, the Mg ++ ATPase activities of erythrocyte membrane were lower than those of hypertensive rats (p<.01).

          7. When erythrocyte membrane taken from normal rats was incubated with supernates of boiled plasma from hypertensive rats, the Na +-K + ATPase activities of erythrocyte membrane were lower than those of normotensive rats (p<.01).

          Based on the above findings, it is suggested that the pathogenesis of low renin, reduced renal mass hypertension is primarily mediated by a natriuretic factor (or an ouabain-like factor, inhibitor of Na +-K + ATPase) produced by extracellular fluid volume expansion.

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          Most cited references43

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          Sodium ions, calcium ions, blood pressure regulation, and hypertension: a reassessment and a hypothesis.

          An attempt is made to elucidate the cellular mechanisms which may account for the well-documented correlation between sodium metabolism and peripheral vascular resistance. As a starting point, the evidence that the Na electrochemical gradient across the vascular smooth muscle cell plasma membrane (sarcolemma) plays an important role in cell calcium regulation is reviewed. Because there is significant resting tension ("tone") in most resistance vessels, the ionized Ca2+ level ([Ca2+]1) in the smooth muscle fibers in these vessels must be maintained above the contraction threshold. Consequently, the Ca transport system in the sarcolemma, presumably an Na-Ca exchange mechanism, must be set so as to hold [Ca2+]1 at this suprathreshold level. Any change in the Na gradient will then be reflected as a change in [Ca2+]1 and, therefore, in steady vessel wall tension and peripheral resistance. The correlation between Na metabolism and hypertension could then be accounted for if a circulating agent, perhaps the "natriuretic hormone," affects the Na gradient (across the sarcolemma) and, therefore, [Ca2+]1 and tension.
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            Endogenous digitalis-like substance in plasma of volume-expanded dogs.

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              The heart and the atrial natriuretic factor.

              The search for natriuretic hormones or factors by studies of negative pressure breathing, atrial distension experiments, head-out water immersion, expansion of blood volume, Na+/K+-ATPase inhibitors and parabiosis experiments in Dahl rats has led to the finding that the atria are a peptide-secreting endocrine gland. This new natriuretic hormone has now been purified, sequenced and synthetized, and its cDNA and gene have been cloned. The native and synthetic hormones exert identical wide ranging effects (possibly through particulate guanylate cyclase stimulation and adenylate cyclase inhibition) on the kidney, blood vessels, adrenal cortex, and pituitary. Physiopathologic implications of the hormone in experimental hypertension, congestive heart failure, and expansion of blood volume are beginning to emerge.
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                Author and article information

                Journal
                Korean J Intern Med
                Korean J. Intern. Med
                KJIM
                The Korean Journal of Internal Medicine
                Korean Association of Internal Medicine
                1226-3303
                2005-6648
                July 1986
                : 1
                : 2
                : 185-193
                Affiliations
                Department of Internal Medicine, Catholic Medical College, Seoul, Korea
                Author notes
                Address reprint requests: Young Suk Yoon, M.D., Department of Internal Medicine, Catholic Medical College, 505 Banpodong Kang Nam Gu, Seoul, Korea.
                [*]

                A prelimnary report of this work was presented at the 37th Annual Meeting of the Korean Association of Internal Medicine in Seoul, Korea, October 1985. This work was supported in pary by Catholic Medical Center clinical research funds.

                Article
                kjim-1-2-185-9
                10.3904/kjim.1986.1.2.185
                4536719
                2856466
                87ba6404-7f0a-4fdf-bbd5-f4fb78daa693
                Copyright © 1986 The Korean Association of Internal Medicine

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Categories
                Original Article

                Internal medicine
                erythrocyte na+-k+ atpase,ouabain-like factor,reduced renal mass hypertension

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