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Similar renoprotection after renin-angiotensin-dependent and -independent antihypertensive therapy in 5/6-nephrectomized Ren-2 transgenic rats: are there blood pressure-independent effects?
Petr Kujal, Věra Čertíková Chábová, Zdenka Vernerová, Agnieszka Walkowska, Elzbieta Kompanowska-Jezierska, Janusz Sadowski, Zdeňka Vaňourková, Zuzana Husková, Martin Opočenský, Petra Škaroupková, Stanislava Schejbalová, Herbert J Kramer, Dan...
Language English Country Australia
Document type Journal Article, Research Support, Non-U.S. Gov't
Grant support
NS10500
MZ0
CEP Register
NS9703
MZ0
CEP Register
NS10499
MZ0
CEP Register
Digital library NLK
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Full text - Article
Full text - Article
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Medline Complete (EBSCOhost)
from 1998-01-01 to 1 year ago
Wiley Online Library (archiv)
from 1997-01-01 to 2012-12-31
- MeSH
- Aldosterone urine MeSH
- Angiotensin II blood metabolism MeSH
- Antihypertensive Agents pharmacology MeSH
- Angiotensin II Type 1 Receptor Blockers pharmacology MeSH
- Kidney Failure, Chronic drug therapy metabolism prevention & control MeSH
- Chymosin metabolism MeSH
- Diabetic Nephropathies drug therapy prevention & control MeSH
- Diuretics pharmacology MeSH
- Furosemide pharmacology MeSH
- Hydrochlorothiazide pharmacology MeSH
- Hypertension drug therapy metabolism MeSH
- Indoles pharmacology MeSH
- Angiotensin-Converting Enzyme Inhibitors pharmacology MeSH
- Cardiomegaly drug therapy prevention & control MeSH
- Drug Therapy, Combination MeSH
- Creatinine blood metabolism urine MeSH
- Blood Pressure drug effects MeSH
- Rats MeSH
- Labetalol pharmacology MeSH
- Losartan pharmacology MeSH
- Rats, Sprague-Dawley MeSH
- Rats, Transgenic MeSH
- Proteinuria blood metabolism urine MeSH
- Renin-Angiotensin System drug effects MeSH
- Animals MeSH
- Check Tag
- Rats MeSH
- Animals MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
1. Hypertension plays a critical role in the progression of chronic kidney disease (CKD) to end-stage renal disease (ESRD), but it has also been postulated that antihypertensive drugs that block the renin-angiotensin system (RAS) show class-specific renoprotective actions beyond their blood pressure (BP)-lowering effects. 2. Because this notion has recently been questioned, in the present study we compared the effects of a RAS-dependent antihypertensive therapy (a combination of trandolapril, an angiotensin-converting enzyme inhibitor (ACEI) and losartan, an angiotensin-II (AngII) receptor subtype 1A receptor antagonist) with a 'RAS-independent' antihypertensive therapy (a combination of labetalol, an alfa- and beta-adrenoreceptor antagonist with the diuretics, hydrochlorothiazide and furosemide) on the progression of CKD after 5/6 renal ablation (5/6 NX) in Ren-2 renin transgenic rats (TGR), a model of AngII-dependent hypertension. Normotensive transgene-negative Hannover Sprague-Dawley (HanSD) rats after 5/6 NX served as controls. 3. RAS-dependent and -independent antihypertensive therapies normalized BP and survival rate, and prevented the development of cardiac hypertrophy and glomerulosclerosis to the same degree in 5/6 NX HanSD rats and in 5/6 NX TGR. The present findings show that renoprotection, at least in rats after 5/6 NX, is predominantly BP-dependent. When equal lowering of BP was achieved, leading to normotension, cardio- and renoprotective effects were equivalent irrespective of the type of antihypertensive therapy. 4. These findings should be taken into consideration in attempts to develop new therapeutic approaches and strategies aimed to prevent the progression of CKD and to lower the incidence of ESRD.
Center for Cardiovascular Research Prague Czech Republic
Department of Nephrology 1st Faculty of Medicine Charles University Prague Czech Republic
Department of Pathology 3rd Faculty of Medicine Charles University Prague Czech Republic
Department of Physiology 2nd Faculty of Medicine Charles University Prague Czech Republic
Section of Nephrology Medical Policlinic Department of Medicine University of Bonn Bonn Germany
References provided by Crossref.org
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