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Abnormal norepinephrine release in uremia.

J L Izzo, R H Sterns

    Kidney International. Supplement
    |December 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Uremic patients exhibit sympathetic nervous hyperactivity due to increased norepinephrine release. Impaired negative feedback from circulating norepinephrine may contribute to this condition in uremia.

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    Area of Science:

    • Nephrology
    • Cardiovascular Physiology
    • Neuroendocrinology

    Background:

    • Sympathetic nervous system (SNS) activity is crucial for cardiovascular regulation.
    • Uremia is associated with cardiovascular complications, potentially linked to SNS dysfunction.
    • Norepinephrine (NE) is a key neurotransmitter and hormone reflecting SNS activity.

    Purpose of the Study:

    • To investigate sympathetic nervous activity in uremic patients compared to healthy controls.
    • To determine if NE metabolism and release are altered in uremia.
    • To explore the role of NE in potential feedback mechanisms regulating SNS activity.

    Main Methods:

    • Utilized two-step steady-state cold norepinephrine (NE) infusions in normal men and uremic patients.
    • Measured basal venous NE levels.

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  • Calculated NE metabolic clearance rate (CNE) and NE appearance rate in plasma.
  • Main Results:

    • Uremic patients showed higher basal venous NE and NE metabolic clearance rate (CNE) compared to controls.
    • The calculated NE appearance rate in plasma was significantly higher in uremic patients, indicating increased NE release.
    • Controls exhibited a decrease in CNE and NE appearance rate at higher NE infusion rates, unlike uremic patients.

    Conclusions:

    • Uremic patients demonstrate sympathetic nervous hyperactivity, characterized by increased NE release.
    • Circulating NE may normally exert negative feedback on SNS activity.
    • This negative feedback mechanism appears to be impaired in patients with uremia.