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Published on: May 26, 2022
Effects of tempol and candesartan on neural control of the kidney
Gabriela A Eppel1, Geoffrey A Head, Kate M Denton
1Department of Physiology, Monash University, Melbourne, Australia.
Insights
Tempol did not affect renal nerve stimulation responses, unlike candesartan. Superoxide plays a minor role in angiotensin II
Area of Science:
- Nephrology
- Pharmacology
- Physiology
Background:
- The role of superoxide and angiotensin II in renal function and nerve responses is not fully understood.
- Investigating the differential effects of antioxidants and AT1 receptor antagonists on renal hemodynamics is crucial.
Purpose of the Study:
- To compare the effects of tempol (antioxidant) and candesartan (AT1 receptor antagonist) on renal hemodynamics, excretory function, and renal nerve stimulation (RNS) responses.
- To determine the contribution of superoxide to angiotensin II's actions on renal function and RNS responses in lean and obese rabbits.
Main Methods:
- Comparison of tempol and candesartan administration in lean and obese rabbits under anesthesia.
- Assessment of renal blood flow (RBF), glomerular filtration rate (GFR), and sodium excretion (U(Na)V).
- Evaluation of responses to electrical stimulation of the renal nerves (RNS) and effects of drugs on these responses.
Main Results:
- Candesartan increased RBF, while tempol reduced GFR and sodium excretion. Both drugs had similar depressor effects.
- RNS reduced RBF, GFR, and U(Na)V. Candesartan blunted these RNS-induced reductions, while tempol only blunted the U(Na)V response.
- Tempol did not alter RBF or GFR responses to RNS, unlike candesartan. Effects were similar in lean and obese rabbits.
Conclusions:
- Tempol does not blunt RNS effects on renal hemodynamics, unlike candesartan, suggesting superoxide has a limited role in angiotensin II's actions on baseline renal function and RNS responses.
- The study highlights distinct mechanisms of action for tempol and candesartan on renal hemodynamics and nerve responses.
- Superoxide's contribution to endogenous angiotensin II's effects on renal hemodynamics and excretory function appears minimal under these experimental conditions.
Abstract:
We compared the effects of tempol (300 μmol kg(-1) plus 300 μmol kg(-1) h(-1), n=14) and candesartan (10 μg kg(-1) plus 10 μg kg(-1) h(-1), n=14) on renal haemodynamics, excretory function, and responses to electrical stimulation of the renal nerves (RNS) in lean and obese rabbits under pentobarbitone anaesthesia. Depressor responses to tempol (-16 ± 2 mmHg) and candesartan (-12 ± 1 mmHg) were similar. Candesartan, but not tempol, significantly increased basal renal blood flow (RBF; +36 ± 7%). Tempol, but not candesartan, significantly reduced glomerular filtration rate (GFR; -30 ± 10%) and sodium excretion (U(Na)V; -44 ± 14%). RNS induced frequency-dependent reductions in RBF (-20 ± 3% at 1 Hz), GFR (-28 ± 6% at 1 Hz) and U(Na)V (-55 ± 6% at 1 Hz). Candesartan blunted these responses. Tempol did not significantly alter RBF and GFR responses to RNS but blunted the U(Na)V response. Responses to RNS, and the effects of tempol and candesartan, were similar in lean compared with obese rabbits. Unlike candesartan, tempol did not induce renal vasodilatation, maintain GFR and U(Na)V during reductions in arterial pressure, or blunt neurally-mediated vasoconstriction. In conclusion, unlike the AT(1)-receptor antagonist candesartan, tempol does not blunt the effects of RNS on renal haemodynamic function. Furthermore, under the current experimental conditions superoxide appears to make little contribution to the actions of endogenous angiotensin II on baseline renal haemodynamics or excretory function, or their responses to RNS.
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