Neurogenic factors in renal hypertension.

Abstract:

:Hypertension is very common in patients with chronic renal failure and contributes to cardiovascular morbidity and mortality. Several mechanisms may contribute to hypertension in these patients, but recently a large body of evidence supports the notion that activation of the sympathetic nervous system (SNS) may play a very important role. In rats with 5/6 nephrectomy, the turnover rate of norepinephrine was increased in brain nuclei involved in the noradrenergic control of blood pressure, and dorsal rhizotomy prevented hypertension. Studies in human subjects with chronic renal failure and hypertension have also shown increased peripheral SNS activity measured my microneurography in the peroneal nerve and normalization with nephrectomy. In all, these studies indicate that renal injuries may activate renal afferent pathways that connect with integrative brain structures in SNS activity and blood pressure. We have also shown that central SNS activity is modulated by local expression of nitric oxide, which, in turn, is regulated by interleukin-1b.

journal_name

Curr Hypertens Rep

authors

Campese VM,Krol E

doi

10.1007/s11906-002-0016-3

keywords:

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

256-60

issue

3

eissn

1522-6417

issn

1534-3111

journal_volume

4

pub_type

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