Renal medullary interstitial infusion of A^'-nitro-L-arginine (120 fig/hr, n=7) decreased papillary blood flow to 71 ±5% of control without altering outer cortical flow. Before A' G -nitro-L-arginine infusion, interstitial acetylcholine administration (200 jtg/hr) increased cortical and papillary blood flow to 134±6% and 113±2% of control, respectively. After JV G -nitro-L-arginine administration, the vasodilator response to acetylcholine was abolished. In clearance experiments, renal medullary infusion of A' G -nitro-L-arginine (120 /tg/hr, n=l) significantly decreased total renal blood flow by 10%, renal interstitial fluid pressure by 23%, sodium excretion by 34%, and urine flow by 39% without altering glomerular filtration rate, fractional sodium and water excretion, blood pressure, or urine osmolality. These data indicate that selective inhibition of nitric oxide in the renal medullary vasculature reduces papillary blood flow, which is associated with decreased sodium and water excretion. We conclude that nitric oxide exerts a tonic influence on the renal medullary circulation. 7 These data suggest that the renal medulla produces NO, which may exert a paracrine influence on tubular or vascular function in this portion of the kidney.In the present studies, a nonpressor dose of the NO inhibitor JV G -nitro-L-arginine (L-NA) was infused directly into the renal medullary interstitium of anesthetized rats to determine if NO inhibition in the renal medulla would selectively reduce inner medullary blood flow. The effects of a selective reduction of inner medullary blood flow on renal interstitial fluid pressure and sodium and water excretion were then examined.
Methods
Surgical PreparationExperiments were performed on 24 male SpragueDawley rats purchased from SASCO, Inc., Madison, Wis.