(ET-1) plays an important role in the regulation of salt and water excretion in the kidney. Considerable in vitro evidence suggests that the renal medullary ET B receptor mediates ET-1-induced inhibition of electrolyte reabsorption by stimulating nitric oxide (NO) production. The present study was conducted to test the hypothesis that NO synthase 1 (NOS1) and protein kinase G (PKG) mediate the diuretic and natriuretic effects of ETB receptor stimulation in vivo. Infusion of the ETB receptor agonist sarafotoxin S6c (S6c: 0.45 g â
kg ÏȘ1 â
h ÏȘ1 ) in the renal medulla of anesthetized, male Sprague-Dawley rats markedly increased the urine flow (UV) and urinary sodium excretion (UNaV) by 67 and 120%, respectively. This was associated with an increase in medullary cGMP content but did not affect blood pressure. In addition, S6c-induced diuretic and natriuretic responses were absent in ETB receptor-deficient rats.), a selective NOS1 inhibitor, suppressed S6c-induced increases in UV, UNaV, and medullary cGMP concentrations. Rp-8-, a PKG inhibitor, also inhibited S6c-induced increases in UV and UNaV. These results demonstrate that renal medullary ET B receptor activation induces diuretic and natriuretic responses through a NOS1, cGMP, and PKG pathway. sodium excretion; nitric oxide synthase 1; guanosine 3Đ,5Đ-cyclic monophosphate; protein kinase G ENDOTHELIN-1 (ET-1), originally described as being released from vascular endothelial cells (46), is now known to be produced by many cell types and exerts a variety of biological effects in various organ systems (27). The renal medulla is a major site of ET-1 synthesis in the body (14,42). Considerable evidence has accumulated in recent years to demonstrate the physiological importance of renal medullary ET-1 in the control of arterial pressure and salt sensitivity. In inner medullary collecting duct (IMCD) cells, ET-1 reduced ouabain-sensitive Na-K-ATPase (47) and amiloride-sensitive sodium channel (6) activities. Furthermore, ET-1 inhibits chloride flux in isolated thick ascending limbs, an effect blocked by an ET B , but not ET A , antagonist (22). These in vitro studies suggest that activation of the renal medullary ET B receptors by ET-1 could play an important role in the regulation of salt and water excretion. Indeed, rats or mice lacking functional ET B receptors display salt-sensitive hypertension (2, 7). Early studies showed that low-dose infusion of ET-1 could produce a direct natriuretic and diuretic effect in vivo without any associated changes in blood pressure (28). A more definitive study demonstrating the physiological significance of renal ET-1 in control of sodium excretion comes from the observation that mice lacking specific expression of ET-1 within the renal collecting duct develop hypertension that is salt dependent (1).Nitric oxide (NO) is thought to act as the downstream mediator of renal ET B receptor activation, because total NO synthase (NOS) inhibition can inhibit ET B receptor-dependent responses both in vivo (17) and in vitro (22). However, which...