Department of Hypertension, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi China.
Department of Graduate School, Post-doctoral Stations of Guangxi Medical University, Nanning, Guangxi, China.
Clin Exp Hypertens. 2022 Jan 2;44(1):83-92. doi: 10.1080/10641963.2021.1996587. Epub 2021 Nov 25.
This study was conducted to explore the effect of renal denervation (RDN) on the renin-angiotensin-aldosterone system (RAAS) in spontaneously hypertensive rats (SHRs). Our experimental rats were randomly divided into the RDN group conducted by painting 10% phenol on the bilateral renal nerves (RDNX), the shamoperation group simply painting with saline (Sham), and the normotension control group (WKY) following all the animal blood and tissues of kidney, hypothalamus, and adrenal gland collected and examined 2 weeks after RDN operation. We found that the aldosterone (ALD) levels in serum and tissues all decreased in the RDNX group compared with the Sham group ( < .05). Meantime, the expression of angiotensin II type1 receptor (AT1R) mRNA also exhibited significantly reduced by 2.22-fold in the RDNX group compared to the Sham group identical to the expression of AT1R protein in the renal cortex and outer stripe of the outer medulla (OSOM) subjected to denervation surgery, which manifested the lower ATIR protein expression than the Sham group ( < .05). Besides, the expression of angiotensin II (Ang II) protein in the cortex , OSOM, and inner stripe of the outer medulla were all attenuated by RDN in comparison with the Sham group ( < .05). RDN reduced intrarenal RAAS and circulating RAAS to lower blood pressure and repair renal function.
本研究旨在探讨肾去神经支配(RDN)对自发性高血压大鼠(SHR)肾素-血管紧张素-醛固酮系统(RAAS)的影响。我们的实验大鼠随机分为经双侧肾神经涂敷 10%苯酚的 RDN 组(RDNX)、仅涂敷生理盐水的假手术组(Sham)和正常血压对照组(WKY),所有动物血液和肾脏、下丘脑和肾上腺组织收集并检查 2 周后进行 RDN 手术。我们发现,与 Sham 组相比,RDNX 组血清和组织中的醛固酮(ALD)水平均降低( < 0.05)。同时,RDNX 组肾皮质和外髓 OSOM 中血管紧张素 II 型 1 受体(AT1R)mRNA 的表达也显著降低了 2.22 倍,与去神经手术后 AT1R 蛋白的表达相同,表现为 AT1R 蛋白表达低于 Sham 组( < 0.05)。此外,与 Sham 组相比,RDN 还降低了皮质、OSOM 和外髓内带的血管紧张素 II(Ang II)蛋白表达( < 0.05)。RDN 可降低肾内 RAAS 和循环 RAAS,从而降低血压并修复肾功能。