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抗胸腺细胞血清性肾炎大鼠肾内肾素-血管紧张素系统昼夜节律增强

Augmented circadian rhythm of the intrarenal renin-angiotensin systems in anti-thymocyte serum nephritis rats.

作者信息

Isobe Shinsuke, Ohashi Naro, Ishigaki Sayaka, Tsuji Takayuki, Sakao Yukitoshi, Kato Akihiko, Miyajima Hiroaki, Fujigaki Yoshihide, Nishiyama Akira, Yasuda Hideo

机构信息

Internal Medicine 1, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Blood Purification Unit, Hamamatsu University School of Medicine, Hamamatsu, Japan.

出版信息

Hypertens Res. 2016 May;39(5):312-20. doi: 10.1038/hr.2015.151. Epub 2016 Jan 7.

Abstract

We report that disturbance to the circadian rhythm of urinary angiotensinogen (AGT) excretion may lead to renal damage, hypertension and diurnal blood pressure (BP) variations. We aim to clarify the circadian rhythm of the intrarenal renin-angiotensin system (RAS) and its contribution to renal damage, hypertension and BP variations, and to evaluate whether the administration of RAS blockers influences the circadian rhythms of intrarenal RAS components. Anti-thymocyte serum (ATS) nephritis rats were used as a chronic progressive glomerulonephritis model (group A) and compared with control rats (group C). Other rats with ATS nephritis received olmesartan medoxomil (an angiotensin II (AngII) type 1 receptor (AT1R) blocker; group AO) or hydralazine (a vasodilator; group AH). The levels of intrarenal RAS components were evaluated every 6 h. The expression levels of intrarenal AGT, AngII and AT1R were increased in group A and peaked at the same time as BP and urinary protein excretion during the rest phase. The amplitude of the circadian fluctuation of these proteins was more increased in group A than in group C. The circadian fluctuation of these proteins was reduced in groups AO and AH. However, renal function, proteinuria and augmentation of intrarenal RAS components were reduced only in group AO. Intrarenal RAS components, such as AGT, AngII and AT1R proteins, were increased and the amplitude of the oscillations of these proteins was augmented in ATS nephritis rats. Interestingly, renal damage may be linked to the activation of the intrarenal RAS independent of the amplitude of its oscillations and BP.

摘要

我们报告,尿血管紧张素原(AGT)排泄的昼夜节律紊乱可能导致肾损伤、高血压和昼夜血压(BP)变化。我们旨在阐明肾内肾素-血管紧张素系统(RAS)的昼夜节律及其对肾损伤、高血压和血压变化的作用,并评估RAS阻滞剂的给药是否会影响肾内RAS成分的昼夜节律。抗胸腺细胞血清(ATS)肾炎大鼠被用作慢性进行性肾小球肾炎模型(A组),并与对照大鼠(C组)进行比较。其他患有ATS肾炎的大鼠接受奥美沙坦酯(一种血管紧张素II(AngII)1型受体(AT1R)阻滞剂;AO组)或肼屈嗪(一种血管扩张剂;AH组)。每6小时评估一次肾内RAS成分的水平。A组肾内AGT、AngII和AT1R的表达水平升高,并在休息期与血压和尿蛋白排泄同时达到峰值。这些蛋白质昼夜波动的幅度在A组比C组增加得更多。AO组和AH组这些蛋白质的昼夜波动减少。然而,仅AO组的肾功能、蛋白尿和肾内RAS成分的增加有所减少。在ATS肾炎大鼠中,肾内RAS成分,如AGT、AngII和AT1R蛋白增加,并且这些蛋白质振荡的幅度增大。有趣的是,肾损伤可能与肾内RAS的激活有关,而与其振荡幅度和血压无关。

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