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 Segmental regulation of sodium and water excretion by TRPV1 activation in the  kidney Zhu Y; Wang DHJ Cardiovasc Pharmacol  2008[May]; 51 (5): 437-42Our previous studies show that activation of the transient receptor potential  vanilloid type 1 (TRPV1) channels by a selective agonist, capsaicin (CAP), given  unilaterally into the renal pelvis leads to increases in urine flow rate (Uflow)  and urinary sodium excretion (UNa) bilaterally, although the mechanisms  underlying enhanced renal excretory function are unknown. The present study was  designed to determine the contribution of each of the renal segments to enhanced  renal excretory function when TRPV1 expressed in sensory nerve fibers innervating  the renal pelvis is activated. To accomplish the goal, LiCl was given  intravenously to male Wistar rats while the left renal pelvis (LRP) was perfused  with vehicle or CAP with or without a selective TRPV1 antagonist, capsazepine  (CAPZ). Uflow and clearance of creatinine, lithium, sodium, and water, either  filtered or fractionally, were determined in both kidneys. LRP perfusion of CAP  at 2.4 nmol increased Uflow (microL.ming; ipsilaterally from 6.6 +/- 0.6 to 14.6  +/- 2.2 and contralaterally from 7.4 +/- 0.7 to 13.9 +/- 1.8, P < 0.05) and UNa  (micromol.ming; ipsilaterally from 0.6 +/- 0.2 to 1.8 +/- 0.3 and contralaterally  from 0.7 +/- 0.2 to 1.9 +/- 0.4, P < 0.05). Ipsilateral blockade of the TRPV1  with CAPZ at 24 nmol prevented CAP-induced increases in Uflow and UNa  bilaterally. Creatinine, lithium, sodium, and free water clearance (ml.min) were  increased in CAP (1.47 +/- 0.27, 0.44 +/- 0.05, 0.026 +/- 0.004, 0.41 +/- 0.05,  respectively) compared to vehicle (0.72 +/- 0.12, 0.25 +/- 0.05, 0.010 +/- 0.001,  0.24 +/- 0.05), CAPZ+CAP (0.83 +/- 0.13, 0.24 +/- 0.03, 0.014 +/- 0.002, 0.23 +/-  0.03), and CAPZ (0.88 +/- 0.05, 0.21 +/- 0.01, 0.010 +/- 0.001, 0.20 +/- 0.01)  groups (P |Animals[MESH]|Blood Pressure/drug effects[MESH]|Body Water/*metabolism[MESH]|Capsaicin/analogs & derivatives/pharmacology[MESH]|Cations, Monovalent[MESH]|Creatinine/blood/urine[MESH]|Glomerular Filtration Rate[MESH]|Kidney/*drug effects/innervation/metabolism[MESH]|Lithium Chloride/pharmacology[MESH]|Lithium/blood/urine[MESH]|Male[MESH]|Natriuresis/drug effects/physiology[MESH]|Nerve Fibers/metabolism[MESH]|Rats[MESH]|Rats, Wistar[MESH]|Renal Circulation/drug effects[MESH]|Sodium/blood/*urine[MESH]|TRPV Cation Channels/*agonists/antagonists & inhibitors/*metabolism[MESH]
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