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Recent Advances in the Role of the Renal Nervous System and Renin in Hypertension

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Contemporary Nephrology

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Abstract

Considerable evidence indicates that the kidneys play an important role in blood pressure regulation under a variety of physiologic conditions and in several forms of experimental, as well as human, hypertension. The kidneys can influence blood pressure homeostasis through a variety of afferent neurogenic as well as hormonal mechanisms, which include the renin-angiotensin system, prostaglandins, and the kallikrein-kinin system. The renal mechanisms, on the other hand, are under the influence of and, therefore, are regulated by arterial baroreceptors, cardiopulmonary mechanoreceptors, chemoreceptors, and the central nervous system. The purpose of this chapter is to critically analyze the most current views concerning the role of the renal neurogenic and the renin-angiotensin system under physiologic conditions and in the pathogenesis of hypertension.

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  1. Divisions of Nephrology and Endocrinology, Department of Medicine, University of Southern California School of Medicine, Los Angeles, California, 90033, USA

    Vito M. Campese & Willa Hsueh

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    Saulo Klahr M.D.

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    Shaul G. Massry M.D.

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Campese, V.M., Hsueh, W. (1987). Recent Advances in the Role of the Renal Nervous System and Renin in Hypertension. In: Klahr, S., Massry, S.G. (eds) Contemporary Nephrology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1859-0_7

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