Effects of azosemide on urinary volume, urinary and plasma electrolyte levels and plasma urea nitrogen (PUN) and creatinine (PCr) levels were studied in rats with HgCl
2-induced acute renal failure pretreated with SA-446, an angiotensin I converting enzyme inhibitor, or propranolol, a β-blocker which is known to inhibit reninangiotensin (R-A) system; and the effects were compared with those of furosemide. At 3 hr after a single s.c. injection of 2 mg/kg of HgCl
2, plasma renin activity (PRA) showed a 1.8 fold increase which was significantly different as compared with that before treatment with HgCl
2. Although the PRA thereafter reduced and reverted to the normal level by 24 hr, PUN and PCr levels still continued to increase later. At 24 hr after the injection of 2 mg/kg of HgCl
2, azosemide and furosemide even at the large dose of 320 mg/kg p.o. had little or no effect on diuresis. At 2, 9 and 23 hr after the injection of 2 mg/kg of HgCl
2, the animals were orally treated with SA-446 at 50 mg/kg once or propranolol at 80 mg/kg once. When azosemide at 320 mg/kg was orally administered at 1 hr after the last treatment with SA-446 or propranolol, it resulted in 4.4 and 3.8, 2.2 and 4.5 fold increases in urinary volume and urinary Na
+, K
+ and Cl
- excretions, respectively, in the case of pretreatment with SA-446; while 2.5 and 3.4, 1.8 and 3.1 fold increases in urinary volume and urinary Na
+, K
+ and Cl
- excretions, respectively, were observed in the case of propranolol. Although this drug alone had little effect on PUN and PCr levels, it caused a potent reducing action of both parameters by pretreatment with SA-446 and a tendency of a reducing action by that with propranolol. The potentiation of the diuretic action of azosemide by pretreatment with the blocker of the R-A system was somewhat greater than that of furosemide. It is suggested from these results that the R-A system may partly participate in the development of HgCl
2-induced acute renal failure of rats and the combination of azosemide with SA-446 or propranolol in the phase of elevated PRA may be beneficial for potentiating the diuretic action of this drug.
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