“…a decrease in colloid oncotic and increase in hydrostatic pressures within peritubular cap illaries [2,3], as well as to the release of natri uretic substances [4], Exogenous dopamine (DA) raises renal blood flow and GFR as well as renal Na excre tion. Since the natriuresis during ECFV ex pansion is accompanied by a rise in urinary DA excretion [5][6][7][8][9], it is argued that renal DA acts as a natriuretic factor [10], possibly in a paracrine fashion [11], In fact, Pelayo et al [12] showed in the rat that m-flupenthixol, a predominant DA-1 receptor antagonist, blunts the natriuresis of acute Ringer infu sion, and Krishna et al [13] demonstrated in man that metoclopramide (MCP), a predomi nant DA-2 receptor antagonist, attenuates the natriuresis that follows head-out water im mersion. Moreover, it was claimed that in the rat DA mediates the renal effects of atrial natriuretic peptide (ANP) [14] released from the heart atria in response to an acute fluid load [15], Both, DA-1 and DA-2 receptor subtypes have been identified in the kidney [16,17] and may thus play a role in renal hemody namic and functional adaptations to changes in Na balance.…”