Is cerebral control of plasma [Na] a major determinant for systemic sodium balance?

To evaluate the role of volume expansion for prandial/postprandial natriuresis, we first determined spontaneous daily NaCl, H2O, and diet turnover and Evans blue and inulin spaces in male Wistar rats on various high-salt diets. Second, we measured the time course of Na and water clearance in chloralose/ketamine anesthetized rats over 270 minutes after a single intragastric Na load (0, 290.4, or 581 micromol/100 g body weight). Finally, similar measurements were made during and after a local [NaCl] increase in the left carotid artery supplying the brain for 60 minutes. Daily NaCl, H2O, and diet intake per rat was 2 to 74 mmol, 13 to 223 ml, and 1.5 to 33 g, respectively. Only inulin space and plasma [Na] correlated with daily Na uptake (X; regressions Y = 0.02X + 15.13, N = 99, r2 = 0.0716, P = 0.02; and Y = 141.7 + 0.1005X, N = 179, r2 = 0.104, P < 0.0001, respectively). Under chloralose/ketamine anesthesia, 86% to 102% of the total (i.v. plus i.g.) Na load and some 50% of the unilaterally administered intracarotid Na were excreted. Chloralose/ketamine anesthesia is thus suitable for studies on Na balance mechanisms. Plasma [Na] is under cerebral control. Because of its immediate onset, this mechanism might be the principal determinant of prandial and postprandial natriuresis and hence for the systemic Na balance.

Sodium balance and blood pressure response to salt ingestion in uninephrectomized rats.

The possible role of extracellular volume (ECV) expansion in prandial/postprandial natriuresis was evaluated in control, sham-operated (SO), and uninephrectomized (UNX) male Wistar rats fed a 0.64 (normal salt, NS) or 8 (high salt, HS) g% NaCl diet for seven days after UNX. We thus determined daily NaCl, diet, and water intake and Evans blue and inulin spaces on day 7. Finally, we determined Na and water clearance after a single i.g. Na load (581 micromol/100 g body weight) under chloralose/ketamine anesthesia in UNX and control HS rats. NaCl, diet, and water intakes were comparable beyond day 5. Plasma volume and ECV were similar in all groups. With NS diet, glomerular filtration rate (GFR) in UNX was compensated but lower than that of SO rats (0.55 vs. 0.74 ml/min per 100 g body weight). Blood pressure (BP) was 111 mm Hg in SO controls and 112 mm Hg in the UNX group. After oral Na loading, BP rose in both groups and remained higher in UNX (134 vs. 126 mm Hg at 15 minutes, 130 vs. 118 mm Hg at 225 minutes). Cumulative Na and water excretions were similar (513 and 610 micromol/100 g body weight, 1.97 and 2.35 ml/100 g body weight in SO and UNX, respectively). Chronically salt-loaded UNX rats seem to maintain dietary Na balance by mechanism(s) other than volume expansion.

Suicide related to the assassination of President John F. Kennedy.

In complicated ways depression is related to suicide. If the national climate could be made depressive by mass media coverage of a depressing event (for example, the assassination of President John F. Kennedy), the suicide rate theoretically ought to increase, unless depression were not related to suicide during time of great national focus. This hypothesis was investigated by using a questionnaire survey requesting information concerning suicide rate for the period November 22--30 for the 17 years 1956--1972. Sixty-one cities were randomly selected and contacted; 29 responded. A total of 74 suicides--48 males and 26 females--were reported during the 17 years studied. The hypothesis that more suicides should have occurred during 1963 was not supported. No suicides occurred during November 22--30 in 1963, the year of the Kennedy assassination. The results were significant at the .01 level. The finding that during a time of focused national crisis fewer suicides occur coincides with the findings of Durkheim (1897/1951).