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Published on: May 17, 2024
Rosuvastatin attenuates hypertension-induced cardiovascular remodeling without affecting blood pressure in DOCA-salt
David Loch1, Scott Levick, Andrew Hoey
1Department of Physiology and Pharmacology, School of Biomedical Sciences, The University of Queensland, Australia.
Insights
Rosuvastatin reduced cardiovascular remodeling, inflammation, and fibrosis in hypertensive rats. However, it did not affect blood pressure or vascular dysfunction, suggesting targeted benefits beyond blood pressure control.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Hypertension Studies
Background:
- Hypertension often leads to end-organ damage, including cardiovascular remodeling.
- Statins possess pleiotropic effects with potential therapeutic applications beyond lipid-lowering.
- The DOCA-salt rat model mimics key features of human hypertension and associated complications.
Purpose of the Study:
- To investigate the effects of rosuvastatin on cardiovascular remodeling in a DOCA-salt hypertensive rat model.
- To determine if rosuvastatin can mitigate hypertension-induced cardiac hypertrophy, inflammation, fibrosis, and endothelial dysfunction.
- To assess the impact of rosuvastatin on ventricular action potential duration in this hypertensive model.
Main Methods:
- Male Wistar rats underwent uninephrectomy (UNX) and received DOCA (25 mg) with 1% NaCl in drinking water to induce hypertension.
- Rosuvastatin (20 mg/kg/d) or vehicle was administered orally for 32 days, starting before UNX.
- Cardiovascular parameters including hypertrophy, inflammation, fibrosis, endothelial function, and action potential duration were assessed at 28 days.
Main Results:
- DOCA-salt rats exhibited hypertension, cardiac hypertrophy, inflammation, fibrosis, and prolonged action potential duration compared to controls.
- Rosuvastatin treatment attenuated cardiac hypertrophy, inflammation, fibrosis, and action potential prolongation.
- Rosuvastatin did not significantly alter systolic blood pressure or vascular dysfunction in the DOCA-salt rats.
Conclusions:
- Rosuvastatin demonstrates pleiotropic effects by attenuating cardiovascular remodeling in the DOCA-salt hypertensive rat model.
- The beneficial effects of rosuvastatin in this model are independent of its impact on blood pressure.
- These findings suggest rosuvastatin may offer protective benefits against hypertension-related cardiac damage through mechanisms other than blood pressure reduction.
Abstract:
The pleiotropic effects of statins represent potential mechanisms for the treatment of end-organ damage in hypertension. This study has investigated the effects of rosuvastatin in a model of cardiovascular remodeling, the DOCA-salt hypertensive rat. Male Wistar rats weighing 300 to 330 g were uninephrectomized (UNX) or UNX and treated with DOCA (25 mg subcutaneously every fourth day) and 1% NaCl in the drinking water. Compared with UNX controls, DOCA-salt rats developed hypertension, cardiovascular hypertrophy, inflammation with perivascular and interstitial cardiac fibrosis, endothelial dysfunction, and prolongation of ventricular action potential duration at 28 days. Rosuvastatin-treated rats received 20 mg/kg/d of the drug in 10% Tween 20 by oral gavage for 32 days commencing 4 days before uninephrectomy. UNX and DOCA-salt controls received vehicle only. Rosuvastatin therapy attenuated the development of cardiovascular hypertrophy, inflammation, fibrosis, and ventricular action potential prolongation, but did not modify hypertension or vascular dysfunction. We conclude that the pleiotropic effects of rosuvastatin include attenuation of aspects of cardiovascular remodeling in the DOCA-salt model of hypertension in rats without altering systolic blood pressure.
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