Perfusion pressure dependency of in vivo renal tubular dynamics

Martin Rodriguez-Porcel, Lilach O. Lerman, Patrick F. Sheedy, J. Carlos Romero

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

To examine whether changes in renal perfusion pressure (RPP) within the range of autoregulation induce detectable changes in tubular dynamics in an entire nephron population of the intact kidney, we measured, using electron beam computed tomography (EBCT), transit; times (TT, s) and intratubular concentration (%) of filterable contrast media in various nephron segments simultaneously with renal regional perfusion. In seven dogs (group A) this was performed at the upper and lower limits of autoregulation (RPP = 130 and 95 mmHg, respectively) while group B (n = 5) served as control. In group A alone, a decrease in RPP led to an increase in TT by 40%, 68%, and 32% in the proximal tubules, ascending limb of Henle's loop, and distal tubules, respectively, in association with an increase in intratubular concentration (+50%, 80%, and 42%, respectively). Papillary perfusion decreased, whereas perfusion of the adjacent, outlying inner medulla increased. The decrease in papillary perfusion correlated positively with the concurrent change in sodium excretion (R = 0.81). This study demonstrates that changes in RPP within the autoregulatory range elicit changes of tubular sodium reabsorption mainly in proximal, distal, and ascending tubules, in which most of the nephrons participate. These tubular changes are associated with an alteration of perfusion circumscribed to two areas of the inner renal medulla.

Original languageEnglish (US)
Pages (from-to)F667-F673
JournalAmerican Journal of Physiology - Renal Physiology
Volume273
Issue number5 42-5
DOIs
StatePublished - 1997

Keywords

  • Contrast media
  • Electron beam computed tomography
  • Renal circulation
  • Renal function
  • Tubular function

ASJC Scopus subject areas

  • Physiology
  • Urology

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