ABSTRACT. The renal hemodynamic response to renal arterial infusions of norepinephrine was compared to epinephrine infusions during renal a-adrenoceptor blockade in chronically instrumented and unanesthetized fetal (127-141 days gestation; term 145 days), newborn (6-10 days old), and nonpregnant adult sheep. Infusions of either catecholamines produced renal vasodilation which was of greater magnitude in fetal compared to newborn and adult sheep. Maximal increases in renal blood flow velocity during norepinephrine infusion were 64 f 5% in fetal, 23 f 4% in newborn, and 24 f 7% in adult sheep ( p < 0.001). Extremely high catecholamine levels are observed during fetal stress (1) and during birth (2,3), with the predominant circulating catecholamine being norepinephrine. In contrast, the sympathoadrenal response to stress in adults is associated with significantly lower plasma catecholamine values where epinephrine is the major circulating catecholamine (4). Because the sympathoadrenal system plays an important role in modulating renal hemodynamics ( 3 , knowledge about differences in sympathoadrenal activity during development and its functional role in determining RBF is of interest in perinatal medicine. Little is known about the ontogeny of sympathoadrenal stimulated renal vasodilation. Buckley et al. (6,7) have examined the postnatal development of renal vasodilatory mechanisms in anesthetized piglets (6, 7). Their studies have shown that the Padrenergic vasodilatory mechanism in the renal vascular bed of swine is absent at birth and appears postnatally at 2 wk. However, in chronically instrumented sheep, we have demonstrated during a-adrenoceptor blockade, enhanced renal P-adrenoceptor mediated vasodilator response to renal nerve stimulation (8) and to intrarenal infusions of epinephrine (unpublished observations) in fetal compared to newborn and adult sheep. In contrast, these results differ from dopamine-mediated vasodilator responses which are of considerably smaller magnitude in fetal, newborn, and adult sheep (9).Since levels of plasma catecholamines and of norepinephrine, the predominant circulating catecholamine found during stress, are age dependent, and because norepinephrine and epinephrine differ in their ability to stimulate the vascular P-adrenergic receptor (lo), the present protocol was designed to compare the renal hemodynamic response to renal arterial norepinephrine and epinephrine infusions during renal a-adrenoceptor blockade in chronically instrumented fetal, newborn, and adult sheep.
METHODSAnimal preparation and surgical procedures. Fetuses of seven pregnant sheep of Dorset and Suffolk mixed breeding were studied between 127 and 141 days gestation (term was 145 days). Gestational ages were based on the induced ovulation technique as previously described (I 1).Ewes were fasted for 48 h prior to surgery. General anesthesia of the ewe and fetal surgery were performed as previously described (1 1). Briefly, when the ewe was receiving a mixture of 1% halothane. 33% oxvgen. and 66% nitrous oxi...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.