Although an important regulatory role of the adrenergic nervous system in renal function has been suspected for many years, it is only in the past several years that the functional significance of this system has been fully demonstrated experimentally in the regulation of salt and fluid transfer at the glomerular and tubular levels. In this proposal of 5-year research projects, the PI will focus on elucidating the physiological mechanisms which underlie the somewhat puzzling phenomena for solute and fluid patterns observed in animal models of acute ECF volume depletion and congestive heart failure. Whereas these two conditions are characterized by a seemingly similar systemic milieu, particularly, enhanced adrenergic nerve activity, proximal salt and water reabsorption appear to be enhanced only in animals with congestive heart failure. In the proposed projects, the PI intends to characterize the details of proximal tubule transport system in these two cnditions and seek to ascertain the role of the adrenergic nerves in this transport system. Furthermore, attempts will be made to test the hypothetical possibility that the chronicity of activation of the adrenergic system accounts for the observed transport patterns by affecting the underlying mechanisms. Since proximal tubule reabsorption of salt and water involves both transepithelial and transcapillary transfer of substances, the experimental approach includes studies of both of these processes.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
5R29DK039547-02
Application #
3463205
Study Section
Cardiovascular and Pulmonary Research B Study Section (CVB)
Project Start
1988-09-15
Project End
1993-08-31
Budget Start
1989-09-01
Budget End
1990-08-31
Support Year
2
Fiscal Year
1989
Total Cost
Indirect Cost
Name
Vanderbilt University Medical Center
Department
Type
Schools of Medicine
DUNS #
004413456
City
Nashville
State
TN
Country
United States
Zip Code
37203
Kon, V; Fogo, A; Ichikawa, I (1993) Bradykinin causes selective efferent arteriolar dilation during angiotensin I converting enzyme inhibition. Kidney Int 44:545-50
Kon, V; Fogo, A (1993) Endothelin: potential role in development and disease. Pediatr Nephrol 7:876-80
Kon, V; Awazu, M (1992) Endothelin and cyclosporine nephrotoxicity. Ren Fail 14:345-50
Fogo, A; Hellings, S E; Inagami, T et al. (1992) Endothelin receptor antagonism is protective in in vivo acute cyclosporine toxicity. Kidney Int 42:770-4
Awazu, M; Sugiura, M; Inagami, T et al. (1991) Cyclosporine promotes glomerular endothelin binding in vivo. J Am Soc Nephrol 1:1253-8
Kon, V; Badr, K F (1991) Biological actions and pathophysiologic significance of endothelin in the kidney. Kidney Int 40:1-12
Awazu, M; Kon, V; Harris, R C et al. (1991) Renal sympathetic nerves modulate glomerular ANP receptors and filtration. Am J Physiol 261:F29-35
Kon, V; Sugiura, M; Inagami, T et al. (1990) Role of endothelin in cyclosporine-induced glomerular dysfunction. Kidney Int 37:1487-91
Fogo, A; Hakim, R C; Sugiura, M et al. (1990) Severe endothelial injury in a renal transplant patient receiving cyclosporine. Transplantation 49:1190-2
Kon, V; Harris, R C; Ichikawa, I (1990) A regulatory role for large vessels in organ circulation. Endothelial cells of the main renal artery modulate intrarenal hemodynamics in the rat. J Clin Invest 85:1728-33

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