SUMMARY Angiotensin II (ANG II)Portions of this work were presented at the American Society of Nephrology, December 1982 and 1984, and published in abstract form (Kidney Int 1983;23:277 and 1985;27:256).Address for reprints: Dr. Janice Green Douglas, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH 44106. tration coefficient (K f ) through this action. 6 -7 In certain experimental models of kidney disease, the observed decreases in K { and nephron filtration rate have been postulated to occur in part secondary to increased circulating ANG II. A pathogenetic role for ANG II has been substantiated by the observation that a decrease in the intrarenal concentration of ANG II significantly minimizes the alterations in glomerular function.8 "
10Although pharmacological concentrations of ANG II decrease glomerular ANG II receptor density, it is not clear whether there is an accompanying decrease in the ^-lowering effect of ANG I I . " 1 2 It is also unclear whether a more modest elevation of ANG II has the same effect on binding or function. For example, mercuric chloride-induced renal failure associated with a twofold increase in circulating ANG II produces no decrement in glomerular ANG II receptor density.