Tubuloglomerular Feedback Response after Hypotensive Hemorrhage

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Abstract
The tubuloglomerular feedback (TGF) response was studied in control rats and after either hypotensive hemorrhage or aortic clamping (AC). TGF was assessed both by differences in proximally and distally determined single nephron glomerular filtration rate (SNGFR) and by proximally determined SNGFR responses to orthograde microperfusion at 0 or 36 nl/min. Hypotensive hemorrhage was induced by the removal of blood equivalent to 0.5–1% of body weight. In control rats, proximal SNGFR was 29.74 ± SE 0.87 nl/min and distal SNGFR was 28.64 + 0.82 nl/min, values not significantly different from each other. After moderate hemorrhagic hypotension (MH; BP=86 ± 1 mm Hg) or AC (BP=70 ± 4 mm Hg), both proximal and distal SNGFR decreased, with no significant differences between the values in either group. After severe hemorrhagic hypotension (SH; BP=70 ± lmm Hg), proximal SNGFR was 25.23 + 2.07 nl/min and distal SNGFR was 19.69 + 1.50 nl/min, values significantly different from each other and consistent with an enhanced feedback response. Using orthograde microperfusion, a significant reduction in SNGFR at a perfusion rate of 36 nl/min was observed under all circumstances. However, with SH hypotension the percent change in SNGFR at the two perfusion rates was significantly increased to 35.0+5.5%, compared to 21.6 + 6.6% in controls. In contrast, AC with reduction in renal perfusion pressure to a degree comparable to SH hypotension did not augment the relative decrease in SNGFR, the percentage change being 22.2 + 7.2%. Neither was TGF enhanced after MH hypotension when similar volumes of blood were removed but a similar decrease in BP was not obtained. These results suggest that some factor related to severe systemic hypotension enhanced the TGF response.