The contribution of prostaglandins to renal blood flow maintenance is determined by the level of activity of the renin-angiotensin system

A growing body of experimental and clinical evidence has led to the formation of the hypothesis that the contribution of intrarenal prostaglandins to the determination of renal blood flow is a function of the level of activity of renin-angiotensin system. The following is a brief review of a portion of the pertinent literature. The focus of this review is the effect of inhibition of prostaglandin synthesis on renal blood flow in diverse conditions characterized by increased activity of the renin-angiotensin system, including reduction of renal arterial pressure, ureteral obstruction, hemorrhage, the hepatorenal syndrome, and sodium depletion. Under these conditions, in contrast to the lack of effect in non-stress conditions, the renin-angiotensin system activity is high, and prostaglandin synthesis inhibition is associated with reductions in renal blood flow.