Proper renal blood flow (RBF) and glomerular filtration rate (GFR)
are critical for maintaining normal blood pressure, kidney
function and water and electrolyte homeostasis. The renal
microvasculature expresses a multitude of receptors mediating
vasodilation and vasoconstriction, which can influence glomerular
blood flow and capillary pressure. Despite this, RBF and GFR
remain quite stable when arterial pressure fluctuates because of
the autoregulatory mechanism. ATP and adenosine participate in
autoregulatory control of RBF and GFR via activation of two
different purinoceptor families (P1 and P2). Purinoceptors are
widely expressed in renal microvasculature and tubules.
Emerging data show altered purinoceptor signaling in
hypertension-associated kidney injury, diabetic nephropathy,
sepsis, ischemia-reperfusion induced acute kidney injury and
polycystic kidney disease. In this brief review, we highlight recent
studies and new insights on purinoceptors regulating renal
microvascular function and renal hemodynamics. We also
address the mechanisms underlying renal microvascular injury
and impaired renal autoregulation, focusing on purinoceptor
signaling and hypertension-induced renal microvascular
dysfunction. Interested readers are directed to several excellent
and comprehensive reviews that recently covered the topics of
renal autoregulation, and nucleotides in kidney function under
physiological and pathophysiological conditions (Inscho 2009,
Navar et al. 2008, Carlstrom et al. 2015, Vallon et al. 2020).