Department of Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430030, China.
Am J Transl Res. 2013 Apr 19;5(3):279-90. Print 2013.
Previous studies suggested that β-blockers with adjunctive α1-blocking activities warrant renoprotective function other than the therapeutic effect on hypertension. The current report is designed to dissect the role of TJ0711, a novel β-blocker with a 1:1 ratio for the β1/α1 blocking activities, in renoprotection in SHR rats. It was noted that TJ0711 possesses similar potency for control of blood pressure as that of Carvedilol. However, TJ0711 is much more potent in terms of protecting SHR rats against hypertension induced renal injury. Specifically, SHR rats treated with 20mg/kg/day of TJ0711 manifested significantly lower levels for urine albumin and total protein. In line with these result, TJ0711 treated rats displayed much less severe pathological changes in the kidneys. Mechanistic studies revealed that TJ0711 improves kidney perfusion during the course of hypertensive insult by enhancing eNOS expression through suppressing inflammatory cytokine secretion. TJ0711 also attenuates Vasohibin-1 expression to prevent HIF-1α from signal-induced degradation, and by which it promotes HO-1 expression to protect SHR rats against oxidative stress induced by hypertension in the kidneys. Together, our data suggest that TJ0711 possesses higher potency for renoprotection while manifesting the similar effect on hypertension therapy as Carvedilol.
先前的研究表明,具有附加 α1 阻断作用的β受体阻滞剂除了对高血压的治疗作用外,还具有肾脏保护作用。本报告旨在探讨 TJ0711(一种新型的β受体阻滞剂,β1/α1 阻断活性比为 1:1)在自发性高血压大鼠(SHR)肾脏保护中的作用。研究表明,TJ0711 对血压的控制作用与卡维地洛相似。然而,TJ0711 在保护 SHR 大鼠免受高血压引起的肾脏损伤方面的作用要强得多。具体来说,每天用 20mg/kg TJ0711 治疗的 SHR 大鼠尿液白蛋白和总蛋白水平明显降低。与这些结果一致的是,TJ0711 治疗的大鼠肾脏的病理变化明显较轻。机制研究表明,TJ0711 通过抑制炎症细胞因子的分泌来增强 eNOS 表达,从而改善高血压损伤过程中的肾脏灌注。TJ0711 还可以减轻血管抑素-1 的表达,防止 HIF-1α信号诱导的降解,从而促进 HO-1 的表达,保护 SHR 大鼠免受高血压引起的肾脏氧化应激。总之,我们的数据表明,TJ0711 在具有更高的肾脏保护作用的同时,对高血压治疗的效果与卡维地洛相似。