[Dopamine, catecholamine receptors, and neurohumoral regulation of renal function].

Abstract

Were studied in healthy human subjects under conditions of hydro-saline retention the intrarenal mechanism underlying the hydronatriuretic effect of Dopamine (DA) and the changes in DA renal effects induced by Sulpiride (S). DA was infused i.v. in a subpressor dose (0,1 microgram/kg . min) during induced hypotonic polyuria. In each experiment four clearance periods of 15 min were performed; DA was administered during the second and third clearance periods. The glomerular filtration rate and renal effective plasma flow were estimated as endogenous creatinine and PAH clearances, respectively. Tubular sodium and potassium reabsorptions were also determined. 1) In the state of hydro-saline retention, renal arteriolar (mainly preglomerular) vasodilation was produced by DA. Moreover, both sodium isosmotic reabsorption as a percentage of sodium filtered load and sodium anisosmotic reabsorption as a percentage of sodium distal load were inhibited. These tubular inhibitions were found to be correlated with the haemodynamic effects of DA. 2) Sulpiride treatment (4,4 mg/kg . day given orally for two days prior to the experiment and 100 mg i.m. 40 min before DA infusion) caused (a) an increase in the hydro-natriuretic response to hydration during control clearance and (b) a decrease in DA haemodynamic effects. An interpretation is proposed accounting for these DA effects as well as for dependence of DA renal effects on the extracellular fluid volume.