The effect of sodium depletion on plasma norepinephrine kinetics in patients with essential hypertension.
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The effects of sodium depletion on plasma norepinephrine (NE) kinetics were studied in 14 patients with essential hypertension using the steady state NE infusion technique on the theoretical basis of a two-compartmental open model. The calculated half time of rapid removal phase (t 1/2 alpha) of plasma NE was significantly delayed in the hypertensives (1.20 +/- 0.22 min, mean +/- SD) than in normal subjects (0.89 +/- 0.14) (p less than 0.01). The total clearance rates were comparable between the 2 groups (47 +/- 7 vs 48 +/- 11 ml/kg/min). The rates of the endogenous NE outflow into the circulation (RE-NE) were not significantly different between normal (5.29 +/- 1.68 ng/kg/min) and hypertensives (7.69 +/- 5.42), although 5 hypertensive patients (36%) showed an increased RE-NE above the normal range. The prolonged half time (t 1/2 alpha) in the hypertensives tended to be shortened after sodium depletion induced by either low sodium diet or diuretics (1.04 +/- 0.22, p less than 0.001). Both plasma NE and RE-NE were significantly increased after sodium depletion. A close correlation was observed between plasma NE and RE-NE (r = 0.907, p less than 0.001) in these subjects. These results suggest the slowed neuronal uptake of NE at the sympathetic nerve terminals in some patients with essential hypertension, occurring in part as a sodium-mediated consequence.
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In earlier studies, the half-time of the rapid disappearance phase of tritiated NE removal from plasma after infusion was prolonged in some patients with essential hypertension.
“In these earlier studies, the half-time of the rapid disappearance phase of tritiated NE removal from plasma on termination of an intravenous infusion of the tracer, which is primarily, but not exclusively, dependent on neuronal NE uptake was found to be prolonged in some patients with essential hypertension.[5][6][7]”
From Phenotypic Evidence of Faulty Neuronal Norepinephrine Reuptake in Essential Hypertension (2000) · cites this paper as [6]
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Esler, M., Jennings, G., Korner, P., Willett, I., Dudley, F., Hasking, G., Anderson, W., & Lambert, G. (1988) · Hypertension · doi:10.1161/01.hyp.11.1.3 · Cited by 642 · see citing works
Phenotypic Evidence of Faulty Neuronal Norepinephrine Reuptake in Essential Hypertension
Rumantir, M. S., Kaye, D. M., Jennings, G. L., Vaz, M., Hastings, J. A., & Esler, M. D. (2000) · Hypertension · doi:10.1161/01.hyp.36.5.824 · Cited by 95 · see citing works
Esler, M., Lambert, G., Schlaich, M., Dixon, J., Sari, C. I., & Lambert, E. (2018) · Hypertension · doi:10.1161/hypertensionaha.117.09790 · Cited by 60 · see citing works
- Authors
- KIMURA, S., MIURA, Y., ADACHI, M., ADACHA, M., NEZU, M., TORIYABE, S., SUGAWARA, T., ISHIZUKA, Y., NOSHIRO, T., TAKAHASHI, M., OHASHI, H., & YOSHINAGA, K.
- Venue
- Japanese Circulation Journal
- Publisher
- Japanese Circulation Society
- Published
- 1983
- Volume
- 47
- Issue
- 10
- Pages
- 1232-1241
- ISSN
- 0047-1828 (ISSN-L)
- 1347-4839
- OpenAlex
- W2013524904
- Cited by
- 17
- References
- 42
- Citations by year
- 2018: 1 · 2017: 1 · 2016: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Japanese Circulation Journal-english Edition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
- Keywords
- sodium depletion, plasma norepinephrine, norepinephrine kinetics, essential hypertension, norepinephrine clearance, sodium restriction, diuretics, sympathetic nerve terminals
- MeSH terms
- Adolescent, Adult, Blood Pressure, Female, Heart Rate, Humans, Hypertension, Kinetics, Male, Middle Aged, Norepinephrine, Sodium, Vascular Resistance
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