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summarize ” Neural Regulation of Renal Blood Flow The blood vessels of the kidney are innervated by sympathetic nerve fibers located primarily on afferent arterioles. When systemic arterial pressure decreases, increased renal sympathetic nerve activity is mediated reflexively through the carotid sinus and the baroreceptors of the aortic arch. The sympathetic nerves release catecholamines. This stimulates afferent renal arteriolar vasoconstriction and decreases RBF and GFR, increases renal tubular sodium and water reabsorption, and increases blood pressure. Decreased afferent renal sympathetic nerve activity produces the opposite effects. The integrated response regulates water and sodium balance. Renalase is a hormone released by the kidney and heart that may promote the metabolism of catecholamines and in this way participate in blood pressure regulation.6 The sympathetic nervous system also participates in hormonal (i.e., angiotensin II) regulation of renal blood flow. There is no significant parasympathetic innervation. The innervation of the kidney arises primarily from the celiac ganglion and greater splanchnic nerve

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