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Atrial receptors and renal function.

K L Goetz, G C Bond, D D Bloxham

    Physiological Reviews
    |April 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Cardiopulmonary receptors influence urine flow via antidiuretic hormone (ADH) secretion. Studies suggest left atrial receptors play a role, but evidence is limited due to indirect methods.

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    Area of Science:

    • Physiology
    • Renal Function
    • Cardiovascular Reflexes

    Background:

    • Mechanical ventilation affects renal function, influencing urine flow.
    • Cardiopulmonary receptors were hypothesized to initiate reflexes impacting urine flow.
    • Previous studies suggested left atrial receptors are involved in volume regulation.

    Purpose of the Study:

    • To investigate the role of cardiopulmonary receptors in regulating urine flow.
    • To evaluate the influence of mechanical ventilation on renal function and urine output.
    • To clarify the specific contribution of left atrial receptors to observed reflexes.

    Main Methods:

    • Experiments evaluating the effect of positive- and negative-pressure breathing on urine flow.
    • Indirect techniques altering systemic and pulmonary hemodynamics to study atrial receptor function.

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  • Analysis of changes in circulating antidiuretic hormone (ADH) and urine flow.

    • Main Results:

    • Urine flow typically decreases during positive-pressure breathing and increases during negative-pressure breathing.
    • Many studies interpreted data as supporting the left atrial volume-receptor hypothesis.
    • Limited data specifically addressed the function of left atrial receptors directly.

    Conclusions:

    • A reflex initiated by cardiopulmonary receptors likely influences urine flow through ADH modulation.
    • While left atrial receptors are implicated, previous research often used indirect methods with confounding factors.
    • Further studies are needed to specifically elucidate the role of left atrial receptors in renal regulation.