Enhancement of Sodium Excretion by Substance P During Saline Loading in the Canine Puppy
Total Page:16
File Type:pdf, Size:1020Kb
SODIUM EXCRETION 737 14. Hodgkinson. A.: Biochemical aspects of primary hyperparathyroidism: an anal- glucose. sodium and water by the normal human jejunum. Clin. Sci., 36: 119 ysis of 50 cases. Clin. Sci., 25: 231 (1963). (1%9). 15. King, R. G. and Stanbury, S. W.: Magnesium metabolism in primary hyperpara- 30. Spencer, R. P.: Intestinal Absorption of Aminoacids. Am. J. Clin. Nutr., 22: 292 thyroidism. Ann. Intern. Med., 62: 1223 (1%5). (1%9). 16. Kramer, H. J., Backer, A., and Kruck, F.: Inhibition of Intestinal Na-K-ATPase 31. Suhadohik, R. I.: Nucleoside Antibiotics p. 43. (Wiley Interscience. New York in experimental uremia. Clin. Chirn. Acta, 50: 13 (1974). 1970). 17. Lifshitz, F., Hawkiis, R. L., Diaz-Bensussen, S., and Wapnir, R. A,: Absorption 32. wapni;, R. A. and Lifshitz, F.: Absorption of amino acids in malnourished rats. of carbohydrates in malnourished rats. J. Nutr., 102: 1303 (1972). J. Nutr., 104: 843 (1974). 18. Longnecker, D. S.: Organ distribution of puromycin in rats. A possible basis for 33. Wilkinson, G. N.: Statistical Estimations in Enzyme Kinetics. Biochem. J., 80: selective cytotoxicity. Lab. Invest., 22: 400 (1970). 324 (1961). 19. Lowry, 0. H., Rosebrough, N. L., Farr, A. L., and Randall, R. J.: Protein 34. Wiseman, G.: Absorption of amino acids in "Handbook of Physiology" Code C. measurements with the Folin phenol reagent. J. Biol. Chem., 193: 265 (1951). F., edit, Section 6, Vol. 3, p. 1277, (Amer Physiol Soc., Washington, D.C., 20. Luft, J. M.: Improvements in Epoxy Resin Embedding Methods. 3 J. Biophys. --1968). --,. Biochem. Cytol., 2: 409 (1961). 35. Yarmolinsky, R. D. and Haba de La, G. L.: Inhibition by puromycin of 21. Malawar, S. J. and Powell, D. W.: An Improved Turbidometric Analysis of amhaacid incorporation into protein. Proc. Nat. Acad. Sci., 45: 172 1 (1 959). Polyethylene Glycol utilizing an Emulsifier. Gastroenterology, 53: 250 (1967). 36. Yssing, M., Jensen, H., and Jarnum, S.: Albumin metabolism and gastrointestinal 22. Nagle, R. B., Bulger, R. E., Stricker, G. E., and Benditt, E. P.: Renal tubular protein loss in children with nephrotic syndrome. Acta Paediatr. Scand., 58: effects of the aminonucleoside of puromycin. Lab. Invest., 26: 558 (1972). 109 (1969). 23. Phang, I. M., Valle, D. L., Fisher, L., and Granger, A,: Puromycin effect on 37. Charles River, Wilmington, Mass. amino acid transport: differential rates of carrier protein turnover. Am. J. 38. Purina Lab Chow, Ralston-Puria Co., St. Louis, Mo. Physiol., 228: 23 (1975). 39. Sigma Chemical Corp., St. Louis. Mo. 24. Sabatini, D. D., Bensch, K., and Barnett, R. J.: Cytochemistry and Electron 40. Harvard Instruments, MiIls, Mo. Microscopy: The preservation of cellular ultrastructure and enzymatic activity 41. New England Nuclear, Coston, Mass. by aldehyde fixation. J. Cell Biol., 171: 19 (1963). 42. J. T. Barker Co., Phillipsburgh, N.J. 25. Salazan de Sousa, J., Guerreiro, 0.. Cunha, A., and Aranjo, J.: The Association 43. Instrumentation Laboratory, Boston, Mass. of Nephrotic Syndrome with Intestinal Lymphangicctasia. Archs. Dis. Child., 44. BUN-TEL, Pfmr, Inc. New York, New York. 43: 245 (1%8). 45. We gratefully acknowledge the assistance of Kristina Mrozinska, Lori Strand and 26. Saunders, S. J. and Isselbacher, K. J.: Intestinal absorption of arninoacids. Rosemary Kemey in the preparation of this manuscript. Gastroenterology, 50: 586 (1966). 46. This investigationwas supported in part by a grant from The Shubert Foundation 27. Schneider, W. C.: Phosphorus compounds in animal tissues. 1. Extraction and and USPHS - Grant 1 SO 8 RR 09128-01A1. estimation of deoxypentose nucleic acid and of pentose nucleic acid. J. Biol. 47. Requests for reprints should be addressed to: Dr. Melinda McVicar, Department Chem., 161: 293 (1945). of Pediatrics, North Shore University Hospital, 300 Community Dr., Manhas- 28. Short, E. M., Elsas, L. J., and Rosenberg. L. E.: Effect of parathyroid hormone set, N.Y. 11030. on renal tubular reabsorption of amino acids. Metabolism, 23: 715 (1974). 48. Received for publication February 11, 1981. 29. Sladen, G. E. and Dawson, A. M.: Interrelationships between the absorption of 49. Accepted for publication December 14, 1982. 0031-3998/83/1709-0737$02.00/0 Vol. 17, No. 9, 1983 PEDIATRIC RESEARCH Printed in U.S.A. Copyright O 1983 International Pediatric Research Foundation, Inc. Enhancement of Sodium Excretion by Substance P during Saline Loading in the Canine Puppy ROBERT D. FILDES,'~' MICHAEL SOLHAUG, NICK TAVANI, JR., GILBERT EISNER, PHILIP CALCAGNO, AND PEDRO A. JOSE Department of Pediatrics, Georgetown University Medical Center, 3800 Reservoir Road, N. W., Washington, D. C. 20007, USA Summary stance P infusion were significantly greater than those observed Saline loading in puppies results in an attenuated natriuresis during saline loading alone. No significant effect on GFR was when compared to the normal response by adult animals to the observed during either saline loading alone or low dose substance same degree of volume expansion. To characterize an eventual P during saline loading. In Protocol 11, the infusion of low dose role for kinins in the diuretic response by puppies to saline loading, substance P during an ongoing saline load enhanced diuresis and two experimental protocols were constructed to evaluate the effect natriuresis to a greater extent than those receiving only a he of substance P infusion during baseline hydration and acute saline load without affecting GFR. The high dose infusion of substance loading. Low dose (10 ngokg-'emin-') infusion of substance P P (100 ng*kg-'-mio-') during baseline hydration resulted in a during basal conditions did not affect urine flow, sodium excretion natriuresis and diuresis that persisted during the addition of saline or glomerular ffltration rate (GFR). The addition of saline loading despite a sigaiflcnat fall in GFR. Saline loading alone resulted in to the ongoing low dose infusion of substance P produced an increased urinary kallikreio activity and the infusion of substance increase in urine flow from 3.73 to 12 @omin-'*g-' kidney weight P (10 ng*kg-'omin-') increased urinary kallikrein activity even and resulted in a marked increase in urinary sodium excretion further. A significant positive correlation between urinary sodium from 110 to 851 CrEq-min-log-' kidney weight. These increases excretion and urine kallikrein activity was found (r = 0.91, P < in urine flow and urinary sodium excretion during low dose sub- 0.01). 738 FILDES ET AL. Abbreviations All animals were infused with a standard electrolyte solution (D~ElgTravenol)at 0.06 ml .min-' .kg-' body weight. A priming GFR, glomenrlar Ntration rate injection of [3H]labeled inulin, 3-5 pCi/kg body weight, was T, tosyl-arginlae followed by a constant infusion of [3H]labeled inulin at a rate of UN.V, absolute urinary excretion sodium 0.06 pCi-min-' . kg-' body weight. Surgical losses were replaced before equilibration and arterial blood gases were monitored The neonate in many species has a characteristic inability to throughout the experiment, with adjustments made in the assisted excrete a saline load as rapidly and efficiently as its adult coun- ventilation to maintain the arterial pH at 7.4, Po2 at 60-90 mmHg terpart (2, 3, 4, 14, 18). Among the factors considered to be and Pcoz at 35 with bicarbonate at 16-22 mEq/liter. Blood important contributors to this phenomenon are a lower basal samples were obtained as midpoint specimen during timed urine GFR, the pattern of intrarenal ditribution of blood flow with a collections and were used for measurement of hematocrit, serum predominance of the juxtamedullary nephrons, and particularly, protein, and plasma sodium as well as inulin concentration. After a greater distal avidity for sodium reabsorption (5, 18, 19,31). The a 1-h equilibration period, three timed urine collections of ap- latter has been demonstrated in both human neonates and puppies proximately 5 min each were obtained before any fluid or drug and it has been suggested that there is a heterogenous development manipulations (baseline Period I) for inulin clearances and frac- of the nephron with a relative structural and hnctional predomi- tional excretion of sodium. Subsequently, the manipulations of nance of the distal tubule in early life, which would respond to the animals depended upon the experimental protocol followed. the high aldosterone levels characteristic of the neonate (5, 15,31, Protocol I (Baseline-test inftrsion-saline load). The purpose of 32, 34, 37). this protocol was to measure the renal response to an infusion of There are several hormones locally formed and released that substance P or placebo (vehicle-D6Ea) before (Period 11) and have been thought to modify sodium excretion by the kidney. In subsequently during saline loading (Period 111). In three separate particular, the role of the renal kallikrein system in the regulation groups of puppies, after the baseline clearance period, the animal of sodium and water excretion by the kidney has evoked great received either D5& alone (control group, n = 7), Dab8 with interest (8, 20, 23, 25). Kallidin and/or bradykinin may facilitate substance P at 10 ng. kg-' emin-' (experimental rou A, n = 7) sodium excretion during periods of natriuresis (23, 35). Urinary or Dab with substance P at 100 ng. kg-' min4 (E;perimental kallikrein levels are low in infants, and it is therefore plausible group B, n = 7). The overall rate of delivery of baseline fluids was that decreased activity of the kallikrein/kinin system in the new- maintained at 0.06 ml. kg-'.min-' throughout the remainder of born may contribute to the neonate's lesser ability to excrete a salt the experiment. The test solutions were coded so that the experi- load (36). The purpose of our study was to evaluate the effect of menter was unaware of their identities. Urinary losses were not substance P, an undecapeptide known to increase the release or replaced.