Aldosterone Essay

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Many studies have correlated dietary salt intake to hypertension and harmful cardiovascular effects. Individuals that develop hypertension from a high-salt intake have kidneys with limited ability to excrete that daily uptake and tend to retain the salt in skin and other extracellular compartments (Titze et al, 2003). Aldosterone plays an important role in regulating the body’s salt and water balance by controlling the activity of epithelial sodium channels in the renal collecting duct and may cause swelling and stiffening of the vessel while also altering its nitric oxide output, which affects the vessel’s ability to vasodilate (Nagata, 2006). Salt consumption leads to a transient increase in plasma volume and a subsequent rise in arterial blood pressure as extracellular volume shifts back to normal (Hamlyn et al, 1986). Recently, plasma sodium has been claimed to play a primary role in the control of blood pressure due to the discovered increase of it (23-69 mg) in individuals with hypertension (He et al, 2004). From this finding, an idea was triggered that vascular endothelium could participate in a sodium-mediated blood vessel function through the response of endothelial cells to aldosterone.
To support the claim that endothelial stiffness is influenced by changes in plasma concentration, an atomic force microscopy that measures stiffness of endothelial cells was used to see what occurs in the absence of aldosterone. Endothelial cell samples were kept in two different environments: an eplerenone infusion, which created an aldosterone-free culture medium and another medium that contained aldosterone. Results showed that the stiffness and deformability of the endothelial cells were unchanged in the aldosterone-free environment ...

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... that sodium ingestion (especially high contents) passes through extracellular compartments including the vascular system before getting eliminated by the kidneys. An acute increase of plasma sodium concentration can alter the mechanical properties of vascular endothelium, as long as aldosterone is present. Aldosterone not only plays a major role in adjusting sodium and potassium transport in kidneys but also on the cardiovascular system. Sodium accumulates in extracellular space when the kidneys cannot adequately adjust salt excretion to salt uptake and/or when the concentration of aldosterone is raised, leading to an increase in plasma sodium concentration. An important finding in these studies was the observed effects of amiloride, which acted to block sodium channels and prevented an increase in stiffness by reversing the increasing in cell volume and pressure.

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