Summary
In this study we have investigated the effect of co-dergocrine, a selective DA2-agonist, on plasma aldosterone concentrations (PAC) in twelve patients with essential hypertension both in basal conditions and during sodium depletion.
Sodium depletion resulted in an increase of PAC from 38 (13) pg/ml to 297 (21) pg/ml. The PAC response to sodium depletion was reduced to 155 (29) pg/ml by co-dergocrine.
No significant PAC changes were found in patients maintained on a normal sodium intake. In addition the drug did not significantly modify plasma renin activity (PRA) in either experimental group.
These results suggest that the dopaminergic inhibition of aldosterone secretion in man is mediated by DA2-receptors in the adrenal cortex.
References
Carey RM (1982) Neuroendocrine regulation of the renin-angiotensin-aldosterone system. In: Muller EE, MacLeod RM (eds) Neuroendocrine perspectives, vol 1. Elsevier Biomedical Press, pp 213–285
Edwards CRW, Al-Dujouli EAS, Boscaro E, Quyyumi S, Miall PA, Rees LM (1980) In vivo and in vitro studies on the effect of metoclopramide on aldosterone secretion. Clin Endocrinol (Oxf) 13: 45–50
Sowers JR, Tuck ML, Golub MS, Sollars E (1980) Dopaminergic modulation of aldosterone secretion is independent of alterations in renin secretion. Endocrinology 107: 937–941
Carey RM, Drake CR Jr (1986) Dopamine selectively inhibits aldosterone responses to angiotensin II in humans. Hypertension 8: 399–406
Malchoff CD, Hughes J, Sen S, Jackson S, Carey RM (1986) Dopamine inhibits the aldosterone response to upright posture. J Clin Endocrinol Metab 63: 197–201
Sequeira SJ, McKenna TJ (1985) Examination of the effects of epinephrine, norepinephrine and dopamine on aldosterone production in bovine glomerulosa cells in vitro. Endocrinology 117: 1947–1952
Stern N, Tuck M, Ozaki L, Krall JF (1986) Dopaminergic binding and inhibitory effect in the bovine adrenal zona glomerulosa. Hypertension 8: 203–210
Missale C, Liberini P, Memo M, Carruba MO, Spano PF (1986) Characterization of dopamine receptors associated with aldosterone secretion in rat adrenal glomerulosa. Endocrinology 119: 2227–2232
Bevilacqua M, Vago T, Sorza D, Norbiato G (1982) Characterization of dopamine receptors by3H-ADTN binding in calf adrenal zona glomerulosa. Biochem Biophys Res Commun 108: 1661–1669
Missale C, Liberini P, Memo M, Carruba MO, Spano PF (1985) Identification of D-2 dopaminergic receptors in bovine adrenal cortex. Life Sci 37: 2539–2548
Clark BJ, Bucher T, Waite R (1985) Analysis of the cardiovascular effects of co-dergocrine (Hydergine). J Pharmacol (Paris) 16 [Suppl III]: 101–111
Memo M, Sagheddu G, Carruba MO, Spano PF (1985) Dihydroergotoxine decreases blood pressure in spontaneously hypertensive rats by interacting with peripheral dopamine receptors. Life Sci 36: 1515–1522
Mercuro G, Rossetti ZL, Rivano CA, Ruscazio M, Tocco L, Gessa GL, Cherchi A (1987) Peripheral dopamine receptors in the antihypertensive action of dihydroergotoxine in human. Hypertension 9: 35–40
Lombardi C, De Cotiis R, Spedini C, Missale C, Memo M, Spano PF (1987) Reversal by the selective D2-dopamine receptor blocker sulpiride of the hypotensive effect of co-dergocrine in elderly hypertensive patients. Eur J Clin Pharmacol 33: 519–521
Hollenberg NK, Cherutz WR, Adams DF, Williams GH (1974) Reciprocal influence of salt intake on adrenal glomerulosa and renal vascular responses to angiotensin II in normal man. J Clin Invest 54: 34–39
Carey RM, Vaughan ED Jr, Peach MJ, Ayers CR (1978) Activity of (des-aspartyl)-angiotensin II and angiotensin II in man: Differences in blood pressure and adrenocortical responses during normal and low sodium-intake. J Clin Invest 61: 20–25
Carey RM (1982) Acute dopaminergic inhibition of aldosterone secretion is independent of angiotensin II and adrenocorticotropin. J Clin Endocrinol Metab 54: 463–469
Carey RM, Stote RM, Dubb JW, Townsend LH, Rose CE, Kaiser DL (1984) Selective peripheral dopamine-1 receptor stimulation with fenoldopam in human essential hypertension. J Clin Invest 74: 2178–2207
Murphy MB, McCoye CE, Weber RR, Frederickson ED, Douglas FL, Goldberg LI (1987) Augmentation of renal blood flow and sodium excretion in hypertensive patients during blood pressure reduction by intravenous administration of the dopamine1-agonist fenoldopam. Circulation 76: 1912–1318
Dupont AG, Vanderniepen P, Volckaert A, Smitz J, Vansteirteghem AC, Six RO (1986) Effect of fenoldopam on the aldosterone response to metoclopramide in man. Clin Endocrinol 24: 203–208
Gerber A, Weidmann P, Laederach K (1986) Cardiovascular regulation during administration of co-dergocrine to normal subjects. Eur J Clin Pharmacol 29: 565–572
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Lombardi, C., Missale, C., De Cotiis, R. et al. Inhibition of the aldosterone response to sodium depletion in man by stimulation of dopamine DA2 receptors. Eur J Clin Pharmacol 35, 323–326 (1988). https://doi.org/10.1007/BF00558273
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DOI: https://doi.org/10.1007/BF00558273