Renal denervation significantly attenuates cardiorenal fibrosis in rats with sustained pressure overload

Copyright © 2016 American Society of Hypertension. Published by Elsevier Inc. All rights reserved..

To investigate the effects of renal denervation (RDN) on comprehensive cardiac and renal fibrosis in cardiomyopathy. Five weeks after successful transverse aortic constriction (TAC)-induced cardiomyopathy model building, Sprague-Dawley rats were randomly assigned to three groups: (1) RDN, (2) sham, and (3) losartan. Sham TAC rats served as control group. Compared with control, TAC groups showed a significant decrease in left ventricle ejection fraction and increase in ventricular septum thickness and left atrium diameter on echocardiography after 5 weeks. At 10 weeks post-TAC, venous blood samples were collected for fibrosis biochemical assay. Heart and kidney samples were also harvested for fibrosis pathophysiological detection. Cardiac and renal fibrosis quantity results showed that, compared with sham group, collagen volume fraction was significantly decreased in RDN group more than in losartan group. Biochemical parameters such as tumor necrosis factor α, aldosterone, and B-type natriuretic peptide levels as well as biomarkers for fibrosis such as procollagen type I N-terminal propeptide and procollagen type III N-terminal propeptide concentrations were significantly decreased in RDN group in comparison with sham. In addition, compared with sham group, left ventricle tissue protein expression of transforming growth factor-β1 and angiotensin II type I receptor was downregulated, and angiotensin-converting enzyme 2 was upregulated in RDN but not in losartan group. RDN significantly attenuates cardiac and renal fibrosis in cardiomyopathy. Differing from losartan, which only has angiotensin II type I receptor inhibition effects, RDN comprehensively suppresses cardiac and renal fibrogenesis through multiple pathways.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Journal of the American Society of Hypertension : JASH - 10(2016), 7 vom: 01. Juli, Seite 587-596.e4

Sprache:

Englisch

Beteiligte Personen:

Liu, Qian [VerfasserIn]
Lu, Dasheng [VerfasserIn]
Wang, Shengchan [VerfasserIn]
Wang, Kai [VerfasserIn]
Zhang, Qi [VerfasserIn]
Wang, Ying [VerfasserIn]
Fang, Ping [VerfasserIn]
Li, Zhenzhen [VerfasserIn]
Geng, Jie [VerfasserIn]
Shan, Qijun [VerfasserIn]

Links:

Volltext

Themen:

11128-99-7
114471-18-0
4964P6T9RB
Aldosterone
Angiotensin II
Angiotensin II Type 1 Receptor Blockers
Biomarkers
Cardiac remodeling
Cardiomyopathy
Comparative Study
JMS50MPO89
Journal Article
Losartan
Natriuretic Peptide, Brain
Peptide Fragments
Pressure overload
Procollagen
Procollagen Type I N-terminal peptide
Renal sympathetic denervation
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 11.12.2017

Date Revised 20.09.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jash.2016.05.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM261287540