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Published ahead of print on April 13, 2005
J Am Soc Nephrol 16: 2081-2087, 2005
© 2005 American Society of Nephrology
doi: 10.1681/ASN.2004100830

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Pathophysiology of Renal Disease and Progression

Impaired Autofeedback Regulation of Hypothalamic Norepinephrine Release in Experimental Uremia

Katrin Klein*, Markus Daschner*, Marcel Vogel*, Jun Oh*, Thomas J. Feuerstein{dagger} and Franz Schaefer*

* Division of Pediatric Nephrology, University Children’s Hospital, University of Heidelberg, Heidelberg, and {dagger} Section of Clinical Neuropharmacology, University Hospital of Freiburg, Freiburg, Germany

Address correspondence to: Dr. Franz Schaefer, University Children’s Hospital, Im Neuenheimer Feld 150, Heidelberg 69120, Germany. Phone: +49-6221-563-2396; Fax: +49-6221-56-4203; E-mail: franz_schaefer{at}med.uni-heidelberg.de

Received for publication October 8, 2004. Accepted for publication March 4, 2005.

Chronic renal failure (CRF) is associated with multiple hypothalamic dysfunctions, including reduced secretion of gonadotropin-releasing hormone (GnRH). Because GnRH release is tightly controlled by sympathetic neuronal input, a possible alteration of local noradrenergic neurotransmission in experimental CRF was evaluated. Basal, stimulated, and autoinhibited norepinephrine (NE) release was assessed in hypothalamic and hippocampal tissue slices obtained from 5/6-nephrectomized and control rats. Autoinhibition-free NE release from brain slices, prelabeled with [3H]NE and superfused with physiologic buffer, was stimulated by six electrical pulses, 100 Hz (pseudo-one-pulse stimulation). Autoinhibited NE release was induced by 90 pulses at 3 Hz. The release of tritiated NE was measured upon addition of increasing concentrations of unlabeled NE to exogenously activate the inhibitory {alpha}2-autoreceptor. Although neither basal nor stimulated NE release differed between the groups, significantly lower pIC50 and Imax estimates of the concentration-response curves of exogenous NE on [3H]NE release were observed in CRF rats, suggesting a diminished autoinhibition of hypothalamic noradrenergic terminals in CRF. Western blotting of tissue homogenates disclosed a significantly reduced abundance of {alpha}2-autoreceptor protein in hypothalamic tissue from CRF rats. These abnormalities were selectively observed in the hypothalamus, whereas noradrenergic autoinhibition seemed unaltered in the hippocampus. The results suggest a diminished autoinhibition of hypothalamic NE release in CRF. Although impaired hypothalamic NE autoinhibition does not explain reduced GnRH secretion in CRF, it may be involved in the pathogenesis of sympathetic hyperactivity associated with this condition.




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