Department of Cardiology, The Second Hospital of Hebei Medical University , Shijiazhuang, China.
Clin Exp Hypertens. 2021 Feb 17;43(2):142-150. doi: 10.1080/10641963.2020.1833022. Epub 2020 Oct 18.
To explore the effect of renal sympathetic denervation (RSD) on left ventricle hypertrophy and the Raf/MEK/ERK signaling pathway in spontaneously hypertensive rats (SHRs).
SHRs were divided into SHR, SHR + Sham, SHR + RSD and SHR + U0126 groups, with WKY rats as the baseline controls. The blood pressure of rats was observed, while myocardial fibrosis was evaluated through Masson staining. Thereafter, real-time quantitative polymerase chain reaction (qRT-PCR) was carried out to determine the levels of myocardial-hypertrophy-related markers, and Western blotting was used to measure the activity of the Raf/MEK/ERK signaling pathway.
In comparison with the WKY group, significant increases were observed in the systolic pressure and diastolic pressure of rats from the other four groups at different time points after surgery. In addition, rats in these groups had obvious increases in LVMI, renal NE and IVSd and decreases in LVEDd, LVEF and LVFS. In addition, the CVF of myocardial tissues was increased, with the upregulation of ANP, BNP and β-MHC and the downregulation of α-MHC. For the activity of the Raf/MEK/ERK signaling pathway, the levels of -Raf/Raf, -MEK/MEK and -ERK1/2/ERK1/2 were all remarkably elevated (all .05). Further comparison with the SHR group showed that the above indexes in the rats were significantly improved in the RSD group and SHR + U0126 group (all .05).
RSD may decrease blood pressure, mitigate hypertension-induced left ventricle hypertrophy and improve cardiac function efficiently in SHRs via the suppression of the Raf/MEK/ERK signaling pathway.
探讨肾交感神经去神经支配(RSD)对自发性高血压大鼠(SHR)左心室肥厚及 Raf/MEK/ERK 信号通路的影响。
将 SHR 分为 SHR、SHR+假手术(Sham)、SHR+RSD 和 SHR+U0126 组,以 WKY 大鼠作为基础对照组。观察大鼠血压,通过 Masson 染色评估心肌纤维化。然后,通过实时定量聚合酶链反应(qRT-PCR)测定心肌肥厚相关标志物的水平,通过 Western blot 测定 Raf/MEK/ERK 信号通路的活性。
与 WKY 组相比,术后不同时间点,其他四组大鼠的收缩压和舒张压均显著升高。此外,这些组的大鼠 LVMI、肾去甲肾上腺素(NE)和室间隔厚度(IVSd)增加,左心室舒张末期直径(LVEDd)、左心室射血分数(LVEF)和左心室短轴缩短率(LVFS)降低。此外,心肌组织的 CVF 增加,ANP、BNP 和 β-MHC 上调,α-MHC 下调。Raf/MEK/ERK 信号通路的活性方面,-Raf/Raf、-MEK/MEK 和 -ERK1/2/ERK1/2 的水平均显著升高(均.05)。与 SHR 组进一步比较显示,RSD 组和 SHR+U0126 组大鼠的上述指标均明显改善(均.05)。
RSD 可能通过抑制 Raf/MEK/ERK 信号通路,有效降低 SHR 血压,减轻高血压引起的左心室肥厚,改善心功能。