Sympathetic and renin-angiotensin activation during graded hypovolemia in pigs

Impact on mesenteric perfusion and duodenal mucosal function

Anders Åneman*, Anders Pettersson, Graeme Eisenhofer, Peter Friberg, Mathias Holm, Charlotte Von Bothmer, Lars Fändriks

*Corresponding author for this work

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Sympathetic and angiotensinergic activation reduce splanchnic oxygen delivery during hypovolemia, which may lead to failure of the intestinal mucosal barrier and eventually multiple organ dysfunction. This study integrates sympathetic and angiotensinergic responses with splanchnic hemodynamics and duodenal mucosal function during hypovolemia and evaluates pharmacologic blockade of either system to ameliorate the impact of acute hypovolemia. Chloralose-anesthetized pigs subjected to 20 and 40% blood volume reductions were randomized to controls or administered guanethidine or enalaprilate to block sympathetic and angiotensinergic activation, as assessed by plasma norepinephrine spillover and angiotensin II levels, respectively. Mesenteric and hepatic oxygen delivery/consumption as well as duodenal mucosal alkaline secretion and potential difference were determined. Hypovolemia preferentially increased mesenteric sympathetic outflow and caused a vigorous angiotensinergic activation. Guanethidine and enalaprilate blocked effectively the sympathetic and angiotensinergic responses. Treatment with enalaprilate, but not guanethidine, prevented the reduction of mesenteric oxygenation and duodenal mucosal alkaline secretion and potential difference observed in control animals. The down-regulation of mesenteric oxygenation and duodenal mucosal function during hypovolemia can be prevented by administration of enalaprilate, whereas guanethidine is uneffective in this respect. Interference with the reninangiotensin system might be of clinical interest to support mesenteric perfusion and organ function in hypovolemia.

Original languageEnglish
Pages (from-to)378-384
Number of pages7
JournalShock
Volume8
Issue number5
Publication statusPublished - 1997

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    Åneman, A., Pettersson, A., Eisenhofer, G., Friberg, P., Holm, M., Von Bothmer, C., & Fändriks, L. (1997). Sympathetic and renin-angiotensin activation during graded hypovolemia in pigs: Impact on mesenteric perfusion and duodenal mucosal function. Shock, 8(5), 378-384.