Endogenous bradykinin and the renin and pressor responses to furosemide in humans.

Murphey LJ, Kumar S, Brown NJ
J Pharmacol Exp Ther. 2000 295 (2): 644-8

PMID: 11046100

In humans, bradykinin contributes to the acute renin response after ACE inhibition. To further explore the role of endogenous bradykinin in human renin regulation, we determined the effect of HOE 140, a specific bradykinin B(2) receptor antagonist, on the renin response to 0.5 mg/kg i.v. furosemide in a randomized, single blind, crossover design study of 10 healthy, salt-replete volunteers. HOE 140 did not affect basal plasma renin activity, aldosterone, mean arterial pressure, or heart rate. Furosemide administration increased plasma renin activity from 1.0 +/- 0.2 to 4.5 +/- 1.2 ng of angiotensin I/ml/h and there was no effect of HOE 140 (from 1.1 +/- 0.2 to 3.9 +/- 0.8 ng of angiotensin I/ml/h). Similarly, there was no effect of HOE 140 on the diuretic response to furosemide. Mean arterial pressure increased in response to furosemide after HOE 140 (82 +/- 2 to 94 +/- 2 mm Hg), but not after vehicle (81 +/- 3 to 85 +/- 2 mm Hg), whereas heart rate was unchanged. In conclusion, activation of the B(2) receptor by endogenous bradykinin does not contribute to the renin response to acute furosemide treatment in humans. However, bradykinin may contribute to blood pressure regulation under conditions in which the renin-angiotensin system is stimulated.

MeSH Terms (22)

Adrenergic beta-Antagonists Adult Aldosterone Blood Pressure Bradykinin Creatinine Cross-Over Studies Diuretics Female Furosemide Heart Rate Humans Male Middle Aged Norepinephrine Potassium Pressoreceptors Receptor, Bradykinin B2 Receptors, Bradykinin Renin Single-Blind Method Sodium

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