Polichnowski AJ, Lu L, Cowley A Jr. Renal injury in angiotensin IIϩL-NAME-induced hypertensive rats is independent of elevated blood pressure. Am J Physiol Renal Physiol 300: F1008-F1016, 2011. First published January 26, 2011 doi:10.1152/ajprenal.00354.2010.-The balance between angiotensin II (ANG II) and nitric oxide plays an important role in renal function and is thought to contribute to the progression of renal injury in experimental hypertension. In the present study, we investigated the extent of blood pressure (BP)-dependent and BP-independent pathways of renal injury following 2 wk of hypertension produced by intravenous infusion of ANG II (5 ng·kg Ϫ1 ·min
Ϫ1)ϩN -nitro-L-arginine methyl ester (L-NAME; 1.4 g·kg Ϫ1 · min Ϫ1 ) in male Sprague-Dawley rats. An aortic balloon occluder was positioned between the renal arteries to maintain (24 h/day) BP to the left kidney (servo-controlled) at baseline levels, whereas the right kidney (uncontrolled) was chronically exposed to elevated BP. Over the 14-day experimental protocol, the average BP to uncontrolled kidneys (152.7 Ϯ 1.8 mmHg) was significantly elevated compared with servo-controlled (113.0 Ϯ 0.2 mmHg) kidneys and kidneys from sham rats (108.3 Ϯ 0.1 mmHg). ANG IIϩL-NAME infusion led to renal injury that was focal in nature and mainly confined to the outer medulla. Despite the differences in BP between servo-controlled and uncontrolled kidneys, there was a similar ϳ3.5-fold increase in renal outer medullary tubular injury, ϳ2-fold increase in outer medullary interstitial fibrosis, ϳ2-fold increase in outer medullary macrophage infiltration, and a significant increase in renal oxidative stress, all of which are indicative of BP-independent mediated pathways. The results of this study have important implications regarding the pathogenesis of renal injury in various experimental models of hypertension and provide novel insights regarding the variable association observed between hypertension and renal injury in some human populations. hypertension; angiotensin II; nitric oxide; inflammation; oxidative stress THE PROGRESSION OF RENAL DAMAGE varies widely among hypertensive populations (10,17,36,43) as well as in experimental models of hypertension (2, 29). While elevated blood pressure (BP), per se, clearly plays a dominant role in the progression of renal injury in many forms of hypertension (2,25,29), it is also understood that renal injury continues to worsen in some individuals despite optimal BP control (10,17,45). Several such BP-independent mechanisms have been proposed and are thought to directly contribute to renal injury and/or alter the susceptibility to BP-induced renal injury and broadly include genetic-, dietary-, and neurohumoral-related mechanisms. We have recently reported that elevated circulating levels of ANG II increase the susceptibility to both BP-dependent and BPindependent pathways of tubulointerstitial injury and fibrosis compared with equivalent pressor doses of norepinephrine (NE) (29). A better understanding of the mechanisms tha...