SummaryPlasma renin (PRC) and aldosterone concentrations are known to be high during early postnatal life. Whether this is related to the low rates of renal blood flow or to sodium homeostasis remains unknown. Measurements of PRC, renal Mood flow, and its intrarenal distribution were performed in 1-to Iwk-dd puppies subjected to maneuvers known to stimulate or inhibit renin release. In the awake state, PRC was observed to be higher in t w k d puppies than in older or younger dogs, (P < 0.0001). Signincant differences in PRC were also found between Utters (P < 0.0001), but they did w t account for the age-related changes. Anesthesia resulted in a 3-to 5-fold rise in PRC, whereas saline expansion suppressed PRC at all ages, the fall tending to become progressively greater with age (P < 0.09). There was no significant correlation between the age-related changes in PRC and those in renal blood flow or its intrarenal distribution. The results of these experiments demonstrate that in the newborn from a aualitative poht of view, PRC changes appropriately in response io various stimuli. However, quantitative age-related differences exist in this regard, reflecting an initial immaturity of the feedback system.
SpeculationThe lack of correlation between plasma renin concentration and the intrarenal distribution of blood flow, corroborated with the existence of a relationship between plasma renin and the state of the extracellular fluid volume, suggest that during development the renin-Pogiotensin-aldosteme system is geared toward the maintenance of the positive sodium balance intrinsic to the process of growth.The renin-angiotensin-aldosterone system is known to play an important role in the regulation of blood pressure and in sodium homeostasis in the adult animal and human (4,13,19,20,23,31). It also has been implicated in the phenomenon of autoregulation of renal blood flow, single nephron glomerular filtration rate, and intrarenal distribution of blood flow (1,21,22,28). In the newborn period, plasma renin levels are higher by about one order of magnitude than they are later in life (5,9, 11,18). This may relate to the low rates of total renal blood flow (2, 14) and outer cortical blood flow (2) observed at this age. It is known that the rcninangiotensin system can be stimulated in the newborn by peritoneal dialysis or by administration of diuretics (9, 11,29), but there is a relative paucity of information regarding its responsiveness to agents known to suppress it in adults (1 1, 15, 27), and the results of these studies conflict with each other. Another asDect that needs to be investigated is the relationship between the ienin-angiotensin-aldosterone system and sodium homeostasis. The limited natriuretic response of the newborn following volume expansion might be related to the high plasma concentration of aldosterone. In the present study, normal values of immunoassayable plasma renin concentrations (PRC) were established, the developmental pattern was assessed, and the effect of acute volume expansion on PRC was...