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肾去神经术在幼年起病型多囊肾病的啮齿动物模型中不影响高血压或肾素-血管紧张素系统:临床意义。

Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications.

机构信息

Department of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie University, Sydney, NSW, 2109, Australia.

Discipline of Physiology, School of Medical Sciences, University of Sydney, Sydney, Australia.

出版信息

Sci Rep. 2021 Jul 12;11(1):14286. doi: 10.1038/s41598-021-93575-0.

Abstract

We examined the effect of total and afferent renal denervation (RDN) on hypertension and the renin-angiotensin system (RAS) in a rodent model of juvenile-onset polycystic kidney disease (PKD). Lewis Polycystic Kidney (LPK) and control rats received total, afferent or sham RDN by periaxonal application of phenol, capsaicin or normal saline, respectively, and were monitored for 4-weeks. Afferent RDN did not affect systolic blood pressure (SBP) determined by radiotelemetry in either strain (n = 19) while total RDN significantly reduced SBP in Lewis rats 4-weeks post-denervation (total vs. sham, 122 ± 1 vs. 130 ± 2 mmHg, P = 0.002, n = 25). Plasma and kidney renin content determined by radioimmunoassay were significantly lower in LPK vs. Lewis (plasma: 278.2 ± 6.7 vs. 376.5 ± 11.9 ng Ang I/ml/h; kidney: 260.1 ± 6.3 vs. 753.2 ± 37.9 ng Ang I/mg/h, P < 0.001, n = 26). These parameters were not affected by RDN. Intrarenal mRNA expression levels of renin, angiotensinogen, angiotensin-converting enzyme (ACE)2, and angiotensin II receptor type 1a were significantly lower, whereas ACE1 expression was significantly higher in the LPK vs. Lewis (all P < 0.05, n = 26). This pattern of intrarenal RAS expression was not changed by RDN. In conclusion, RDN does not affect hypertension or the RAS in the LPK model and indicates RDN might not be a suitable antihypertensive strategy for individuals with juvenile-onset PKD.

摘要

我们研究了在青少年多囊肾病(PKD)的啮齿动物模型中,总肾和入球小动脉肾去神经(RDN)对高血压和肾素-血管紧张素系统(RAS)的影响。Lewis 多囊肾病(LPK)和对照大鼠分别通过酚、辣椒素或生理盐水的轴周应用接受总肾、入球小动脉肾去神经或假手术,并在 4 周内进行监测。入球小动脉肾去神经术并未影响通过无线电遥测术测定的两种品系的收缩压(SBP)(n = 19),而总肾去神经术在去神经后 4 周显著降低了 Lewis 大鼠的 SBP(总肾 vs. 假手术,122 ± 1 对 130 ± 2 mmHg,P = 0.002,n = 25)。通过放射免疫测定法测定的血浆和肾脏肾素含量在 LPK 与 Lewis 之间显著降低(血浆:278.2 ± 6.7 对 376.5 ± 11.9 ng Ang I/ml/h;肾脏:260.1 ± 6.3 对 753.2 ± 37.9 ng Ang I/mg/h,P < 0.001,n = 26)。这些参数不受 RDN 的影响。肾内肾素、血管紧张素原、血管紧张素转换酶(ACE)2 和血管紧张素 II 受体 1a 的 mRNA 表达水平显著降低,而 LPK 与 Lewis 相比,ACE1 表达水平显著升高(所有 P < 0.05,n = 26)。这种肾内 RAS 表达模式不受 RDN 的影响。总之,RDN 对 LPK 模型中的高血压或 RAS 没有影响,表明 RDN 可能不是青少年 PKD 患者的一种合适的降压策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f68/8275789/a40a29c6efbd/41598_2021_93575_Fig1_HTML.jpg

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