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可能的肾脏去神经支配的器官保护作用:基础研究的见解。

Possible organ-protective effects of renal denervation: insights from basic studies.

机构信息

Department of Anesthesiology, Faculty of Medicine, Kagawa University, Kagawa, Japan.

Department of Pharmacology, Faculty of Medicine, Kagawa University, Kagawa, Japan.

出版信息

Hypertens Res. 2023 Dec;46(12):2661-2669. doi: 10.1038/s41440-023-01393-w. Epub 2023 Aug 2.

Abstract

Inappropriate sympathetic nervous activation is the body's response to biological stress and is thought to be involved in the development of various lifestyle-related diseases through an elevation in blood pressure. Experimental studies have shown that surgical renal denervation decreases blood pressure in hypertensive animals. Recently, minimally invasive catheter-based renal denervation has been clinically developed, which results in a reduction in blood pressure in patients with resistant hypertension. Accumulating evidence in basic studies has shown that renal denervation exerts beneficial effects on cardiovascular disease and chronic kidney disease. Interestingly, recent studies have also indicated that renal denervation improves glucose tolerance and inflammatory changes. In this review article, we summarize the evidence from animal studies to provide comprehensive insight into the organ-protective effects of renal denervation beyond changes in blood pressure.

摘要

不适当的交感神经激活是机体对生物应激的反应,被认为通过血压升高而参与各种与生活方式相关疾病的发生。实验研究表明,外科肾去神经支配可降低高血压动物的血压。最近,微创导管肾去神经支配已在临床上得到发展,可使耐药性高血压患者的血压降低。基础研究中的累积证据表明,肾去神经支配对心血管疾病和慢性肾脏病具有有益作用。有趣的是,最近的研究还表明,肾去神经支配可改善葡萄糖耐量和炎症变化。在这篇综述文章中,我们总结了来自动物研究的证据,以全面深入了解肾去神经支配除了对血压的影响之外的器官保护作用。

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