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盐诱导的自发性高血压大鼠肾损伤:奈必洛尔的作用。

Salt-induced renal injury in spontaneously hypertensive rats: effects of nebivolol.

机构信息

Hypertension and Vascular Research Center, Wake Forest University, Winston-Salem, NC 27157, USA.

出版信息

Am J Nephrol. 2010;32(6):557-66. doi: 10.1159/000321471. Epub 2010 Nov 2.

Abstract

BACKGROUND

we investigated renal effects of nebivolol, a selective β(1)-receptor blocker with additional antioxidative ability, in spontaneously hypertensive rats (SHR) where increased salt intake induces oxidative stress and worsens renal function as a result of further activation of the renin-angiotensin and sympathetic nervous systems.

METHODS

male SHR were given an 8% salt diet (HS; n = 22) for 5 weeks; their age-matched controls (n = 9) received standard chow. Nebivolol was given at a dose of 10 mg/kg/day for 5 weeks in 11 HS rats.

RESULTS

HS increased blood pressure, plasma renin concentration, urinary protein excretion, and renal nitroxidative stress while decreasing renal blood flow and angiotensin 1-7 receptor (mas) protein expression. There was no change in angiotensin II type 1 receptor expression among the experimental groups. Nebivolol did not alter the salt-induced increase in blood pressure but reduced urinary protein excretion, plasma renin concentration, and nitroxidative stress. Nebivolol also increased neuronal NOS expression while preventing the salt-induced decrease in renal blood flow and mas protein expression.

CONCLUSION

nebivolol prevented salt-induced kidney injury and associated proteinuria in SHR through a blood pressure-independent mechanism. Its protective effects may be related to reduction in oxidative stress, increases in neuronal NOS and restoration of angiotensin II type 1/mas receptor balance.

摘要

背景

我们研究了奈必洛尔(nebivolol)对自发性高血压大鼠(SHR)的肾脏作用。在 SHR 中,增加盐的摄入会引起氧化应激,并且由于肾素-血管紧张素和交感神经系统的进一步激活而使肾功能恶化。奈必洛尔是一种选择性β(1)-受体阻滞剂,具有额外的抗氧化能力。

方法

雄性 SHR 给予 8%盐饮食(HS;n = 22)5 周;其年龄匹配的对照组(n = 9)给予标准饲料。11 只 HS 大鼠给予奈必洛尔 10mg/kg/天,共 5 周。

结果

HS 增加了血压、血浆肾素浓度、尿蛋白排泄和肾脏氧化应激,同时降低了肾血流量和血管紧张素 1-7 受体(mas)蛋白表达。各实验组血管紧张素 II 型 1 受体表达无变化。奈必洛尔不改变盐诱导的血压升高,但减少了尿蛋白排泄、血浆肾素浓度和氧化应激。奈必洛尔还增加了神经元型一氧化氮合酶(nNOS)的表达,同时防止了盐诱导的肾血流量和 mas 蛋白表达下降。

结论

奈必洛尔通过一种与血压无关的机制,预防了 SHR 盐诱导的肾脏损伤和相关的蛋白尿。其保护作用可能与减少氧化应激、增加神经元型一氧化氮合酶和恢复血管紧张素 II 型 1/mas 受体平衡有关。

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