Zhang, Zhong, and Thomas L. Pallone. Response of descending vasa recta to luminal pressure. Am J Physiol Renal Physiol 287: F535-F542, 2004. First published May 4, 2004 10.1152/ajprenal. 00394.2003.-We tested whether luminal perfusion and pressurization induce an endothelial cytoplasmic Ca 2ϩ ([Ca 2ϩ ]CYT) response in descending vasa recta (DVR). DVR isolated from the rat outer medulla were cannulated and subjected to free-flow microperfusion (5 nl/min); the onset of which increased [Ca 2ϩ ]CYT from a baseline of 76 Ϯ 13 to 221 Ϯ 65 nM. A graded increase in luminal pressure from 0 to 45 mmHg in stopped-flow experiments induced a parallel increase in [Ca 2ϩ ]CYT from a baseline of 74 Ϯ 24 to 194 Ϯ 33 nM at 45 mmHg, with a tendency for [Ca 2ϩ ]CYT to plateau at pressures Ͼ25 mmHg. The removal of extracellular Ca 2ϩ and blockade by either La 3ϩ (10 M) or SKF-96365 (100 M) eliminated the response. Luminal pressurization to 25 mmHg increased nitric oxide (NO) generation, a response blocked by NO synthase inhibition or removal of extracellular Ca 2ϩ . The NO generation was not affected by the superoxide dismutase mimetic tempol. We conclude that DVR endothelia are mechanosensitive and respond to luminal pressure by elevating [Ca 2ϩ ]CYT and generating NO. That response might augment medullary perfusion and saliuresis. medulla; kidney; microcirculation; shear; fura 2; 4,5-diaminofluoroscein DESCENDING VASA RECTA (DVR) are small generation resistance vessels that carry blood flow from the cortex to the medulla of the kidney. They originate as branches of the juxtamedullary efferent arteriole and traverse the outer medulla in vascular bundles to supply the inner and outer medulla. Their radial distribution within vascular bundles implies that they distribute and regulate regional blood flow within the medulla (34). DVR are lined with a continuous endothelium and enveloped by smooth muscle/pericytes that impart contractility (30,33). The importance of endothelial secretion of paracrine mediators to modulate adjacent smooth muscle is well established. Motivated by the importance of nitric oxide (NO) secretion in the maintenance of renal medullary perfusion and blood pressure (7,22,23,28) we employed microperfusion and fluorescence microscopy to test whether DVR endothelial cytoplasmic Ca 2ϩ ([Ca 2ϩ ] CYT ) is affected by the transmural pressure gradient imposed across the DVR wall. We exploited the property of the Ca 2ϩ -sensitive probe, fura 2, to preferentially load into DVR endothelia (while sparing pericytes) to quantify the effect of raising intraluminal pressure on [Ca 2ϩ ] CYT . In addition, the probe 4,5-diaminofluorescein (DAF-2), which increases fluorescence when covalently modified by NO, was used to monitor NO generation. The results verify that an increase in luminal pressure is accompanied by a parallel rise in DVR endothelial [Ca 2ϩ ] CYT and a robust increase in NO synthesis.NO functions as a vasodilator and "endogenous diuretic" (23, 28). We hypothesize that the vasa recta endothelium might serve a...