Karimi Farzaneh, Nematbakhsh Mehdi
Water and Electrolytes Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Physiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Nephrol. 2021 Apr 20;2021:6618061. doi: 10.1155/2021/6618061. eCollection 2021.
Partial kidney ischemia-reperfusion (IR) injury is the principal cause of acute kidney injury. The renin-angiotensin system (RAS) and hypertension also may be influenced by renal IR injury. In two models of partial renal IR with and without ischemia preconditioning (IPC) and using Mas receptor (MasR) blockade, A779 or its vehicle, the renal vascular responses to angiotensin II (Ang II) administration in two-kidney-one-clip (2K1C) hypertensive rats were determined.
Thirty-seven 2K1C male Wistar rats with systolic blood pressure ≥150 mmHg were randomly divided into three groups; sham, IR, and IPC + IR. The animals in the sham group underwent surgical procedures except partial IR. The rats in the IR group underwent 45 min partial kidney ischemia, and the animals in the IPC + IR group underwent two 5 min cycles of partial kidney ischemia followed by 10 min reperfusion and partial kidney ischemia for 45 min. The renal vascular responses to graded Ang II (30, 100, 300, and 1000 ng kg.min) infusion using A779 or its vehicle were measured at constant renal perfusion pressure.
Four weeks after 2K1C implementation, the intravenous infusion of graded Ang II resulted in dose-related increases in mean arterial pressure (MAP) ( < 0.0001) that was not different significantly between the groups. No significant differences were detected between the groups in renal blood flow (RBF) or renal vascular resistance (RVR) responses to Ang II infusion when MasR was not blocked. However, by MasR blockade, these responses were increased in IR and IPC + IR groups that were significantly different from the sham group ( < 0.05). For example, infusion of Ang II at dose 1000 ng kg.min resulted in decreased RBF percentage change (RBF%) from the baseline to 17.5 ± 1.9%, 39.7 ± 3.8%, and 31.0 ± 3.4% in sham, IR, and IPC + IR, respectively.
These data revealed the important role of MasR after partial kidney IR in the responses of RBF and RVR to Ang II administration in 2K1C hypertensive rats.
部分肾脏缺血再灌注(IR)损伤是急性肾损伤的主要原因。肾素 - 血管紧张素系统(RAS)和高血压也可能受肾脏IR损伤的影响。在两种部分肾脏IR模型中,一种有缺血预处理(IPC),另一种没有,使用Mas受体(MasR)阻滞剂A779或其载体,测定两肾一夹(2K1C)高血压大鼠中给予血管紧张素II(Ang II)后的肾血管反应。
37只收缩压≥150 mmHg的2K1C雄性Wistar大鼠随机分为三组;假手术组、IR组和IPC + IR组。假手术组动物接受除部分IR之外的手术操作。IR组大鼠经历45分钟部分肾脏缺血,IPC + IR组动物经历两个5分钟的部分肾脏缺血周期,随后是10分钟再灌注,然后再进行45分钟部分肾脏缺血。在恒定肾灌注压力下,使用A779或其载体测量对分级Ang II(30、100、300和1000 ng·kg·min)输注的肾血管反应。
实施2K1C四周后,静脉输注分级Ang II导致平均动脉压(MAP)呈剂量相关增加(<0.0001),各组之间无显著差异。当MasR未被阻断时,各组在对Ang II输注的肾血流量(RBF)或肾血管阻力(RVR)反应方面未检测到显著差异。然而,通过MasR阻断,IR组和IPC + IR组的这些反应增加,与假手术组有显著差异(<0.05)。例如,以1000 ng·kg·min的剂量输注Ang II导致假手术组、IR组和IPC + IR组从基线开始的RBF百分比变化(RBF%)分别降至17.5±1.9%、39.7±3.8%和31.0±3.4%。
这些数据揭示了部分肾脏IR后MasR在2K1C高血压大鼠中RBF和RVR对Ang II给药反应中的重要作用。