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 TRPV1-mediated diuresis and natriuresis induced by hypertonic saline perfusion of  the renal pelvis Zhu Y; Xie C; Wang DHAm J Nephrol  2007[]; 27 (5): 530-7BACKGROUND: The transient receptor potential vanilloid type 1 (TRPV1) channel is  known to be activated by multiple stimuli, albeit its role in mediating renal  function is largely unknown. This study was designed to test the hypothesis that  TRPV1 mediates diuresis and natriuresis induced by hypertonic saline perfusion  into the pelvis. METHODS: NaCl or KCl was perfused into the left renal pelvis of  rats at a rate without changing renal pelvic pressure. Afferent renal nerve  activity (ARNA), urine flow rate (V) and urinary sodium excretion (UNaV) in the  presence or absence of selective antagonists of TRPV1, capsazepine (CAPZ), or  neurokinin-1 (NK1) receptors, RP67580, were examined. RESULTS: Unilateral renal  pelvis perfusion of NaCl at 600 mM, but not 150 or 300 mM, increased ipsilateral  ARNA and contralateral V and UNaV, which were blocked by ipsilateral  administration of CAPZ or RP67580. In contrast, KCl perfused at 150 or 300 mM,  but not 600 mM, increased ipsilateral ARNA and contralateral V and UNaV, which  were insensitive to CAPZ. CONCLUSION: Unilateral hypertonic saline perfusion  causes contralateral diuresis and natriuresis via TRPV1 or NK1 activation,  indicating that these receptors may play a critical role in sensing  microenvironmental changes in the renal pelvis to modulate renal function in  health and disease.|Afferent Pathways/drug effects/physiology[MESH]|Animals[MESH]|Capsaicin/analogs & derivatives/pharmacology[MESH]|Diuresis/drug effects/*physiology[MESH]|Dose-Response Relationship, Drug[MESH]|In Vitro Techniques[MESH]|Indoles/pharmacology[MESH]|Isoindoles[MESH]|Kidney Pelvis/drug effects/*physiology[MESH]|Kidney/innervation[MESH]|Male[MESH]|Natriuresis/drug effects/*physiology[MESH]|Neurokinin-1 Receptor Antagonists[MESH]|Perfusion[MESH]|Potassium Chloride/administration & dosage/pharmacology[MESH]|Rats[MESH]|Rats, Wistar[MESH]|Saline Solution, Hypertonic/*administration & dosage/pharmacology[MESH]|Solutions[MESH]|TRPV Cation Channels/antagonists & inhibitors/*physiology[MESH]
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