European Journal of Pharmacology, 58 (1979) 407--418 407
© Elsevier/North-Holland Biomedical Press
THE RENAL EFFECTS OF CLONIDINE IN UNANESTHETIZED RATS *
JI~ROME BIOLLAZ **, FRAN~OISE ROCH-RAMEL, ERNST J. KIRCHERTZ ***, JEFFREY ATKINSON and
LISE PETERS-HAEFELI ****
Institut de Pharmacologie de l'Universitd de Lausanne, Lausanne, Switzerland
Received 13 March 1979, revised MS received 11 June 1979, accepted 11 July 1979
J. BIOLLAZ, F. ROCH-RAMEL, E.J. KIRCHERTZ, J. ATKINSON and L. PETERS-HAEFELI, The renal effects
of clonidine in unanesthetized rats, European J. Pharmacol. 58 (1979) 407--418.
Clonidine s.c. (0.01-0.3 mg/kg), in unanesthetized rats, caused an initial rise (+ 20 mm Hg), followed by a
continuous fall of BP and a dose-dependent natriuresis and diuresis for up to 2 h. Glomerular filtration rate (GFR)
(CIn) increased during the first 20 min, while effective renal plasma flow (ERPF) (CpAH) remained normal.
Subsequently, between 20 and 60 min after injection, ERPF (CpAH) decreased considerably while GFR had
reverted to its normal value. In saline-infused rats clonidine diuresis was accompanied by an "inappropriate"
positive free water clearance. Pentobarbital anesthesia suppressed the initial BP peak and the diuresis. Phenoxy-
benzamine (1 mg/kg i.v.) was antinatriuretic in saline diuresis; the effect of phenoxybenzamine + clonidine on
diuresis and salt excretion represented the sum of the effects of both drugs, but phenoxybenzamine enhanced
the clonidine-induced increase of GFR. Neither haloperidol (1 mg/kg i.v.) nor bulbocapnine (3 mg/kg i.v.) inter-
fered with the renal effects of clonidine. Clonidine s.c. caused hyperglycemia and glucosuria which did not
account for the natriuresis. Clonidine thus appears to increase the GFR and "filtration fraction" (FF) by a
phenoxybenzamine-insensitive rise of glomerular ultrafiltration, to depress ERPF by a-adrenergic afferent vaso-
constriction, to induce natriuresis by a tubular action not blocked by phenoxybenzamine and to exert an anti-
vasopressin effect, either by depressing pituitary vasopressin secretion or the renal response to vasopressin.
Inappropriate water diuresis
Dopaminergic receptors
a-Adrenergic receptors
Phenoxybenzamine
Bulbocapnine Haloperidol
1. Introduction
Clonidine is an a-adrenergic agent with
short-lasting peripheral effects (Boissier et al.,
1968; Rand and Wilson, 1968). After an initial
rise of blood pressure (BP) which occurs only
in unanesthetized animals (Hoefke and Ko-
binger, 1966) clonidine induces a fall in BP
by stimulating cerebral a-receptors (Boissier
* Supported by the Swiss National Science Founda-
tion, Grant No. 3.028-0.76.
** 'Present address : D~partement de m~decine, CHUV,
CH-1011 Lausanne, Switzerland.
*** Present address: Nephrologische Abteilung der
Medizinischen Klinik der Universit~t, D-3400 GSt-
tingen, F.R.G.
**** To whom correspondence should be sent.
et al., 1968; Rand and Wilson, 1968; Van
Zwieten, 1973; reviews: Peters and Haefeli,
1970; Peters and Peters-Haefeli, 1974),
situated in the caudal part of the brain stem
(Bousquet and Guertzenstein, 1963). The
stimulation of these receptors depresses
central sympathetic activity and sympathetic
outflow into the periphery (Boissier et al.,
1968; Van Zwieten, 1973) and enhances
central vagal activity inducing bradycardia
(Kobinger and WaUand, 1971 ; Scriabine et al.,
1970). Clonidine also exerts a less important
peripheral a-receptor blocking action (Boissier
et al., 1968) and, possibly, induces a minor
depression of peripheral sympathetic nerve
conduction (Scriabine et al., 1970; Armstrong
and Boura, 1973}. The renal effects of