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Published on: May 17, 2024
Renoprotective effect of rosuvastatin in DOCA-salt hypertensive rats
Eun Hui Bae1, In Jin Kim, Jeong Woo Park
1Department of Internal Medicine, Chonnam National University Medical School, Gwangju 501-757, Korea.
Background:
Pleiotropic effects of statins represent potential mechanisms for the treatment of end organ damage in hypertension. This study has investigated the effects of rosuvastatin (10 mg/kg/day) on renal function impairment, glomerulosclerosis and tubulointerstitial fibrosis in deoxycorticosterone acetate (DOCA)-salt hypertensive (DSH) rat.
Methods:
Rats were implanted with DOCA strips (200 mg/kg) on 1 week after unilateral nephrectomy. Rats received a controlled diet with or without rosuvastatin. Three weeks after DOCA implantation, systolic blood pressure (SBP) was measured by tail-cuff method. The glomerulosclerosis and tubulointerstitial fibrosis was determined by Masson's trichrome stain. The tumour necrosis factor (TNF-alpha), interleukin-1beta (IL-1beta), interferon-gamma (IFN-gamma), monocyte chemoattractant protein1 (MCP1), intercellular adhesion molecule-1 (ICAM-1) and endothelin-1 (ET-1) were determined by real-time polymerase chain reaction. The expression of ED-1, transforming growth factor-beta1 (TGF-beta1) and connective tissue growth factor (CTGF) was determined in the kidney by immunoblotting and immunohistochemistry.
Results:
In DSH rats, SBP was increased, which was not affected by rosuvastatin treatment. Creatinine clearance was decreased while urinary albumin excretion ratio was increased in DSH rats compared with controls, which were attenuated by rosuvastatin treatment. Glomerulosclerosis and tubulointerstitial fibrosis in DSH rats were attenuated by rosuvastatin treatment. The messenger RNA expression of TNF-alpha, IL-1beta, IFN-gamma, MCP1, ICAM-1 and ET-1 was increased in DSH, which was attenuated by rosuvastatin treatment. The expression of ED-1, TGF-beta and CTGF was increased in the kidney of DSH, which was counteracted by rosuvastatin treatment.
Conclusion:
Rosuvastatin is effective in preventing progression of renal injury in DSH, the mechanism of which is associated with anti-inflammatory and anti-fibrotic effects.
Insights
Rosuvastatin treatment attenuated renal injury in deoxycorticosterone acetate-salt hypertensive rats by reducing inflammation and fibrosis. This study highlights rosuvastatin
Area of Science:
- Nephrology
- Pharmacology
- Cardiovascular Medicine
Background:
- Hypertension-induced end-organ damage is a significant clinical concern.
- Statins, like rosuvastatin, exhibit pleiotropic effects beyond lipid-lowering.
- Investigating rosuvastatin's impact on renal dysfunction in hypertension models is crucial.
Purpose of the Study:
- To evaluate the renoprotective effects of rosuvastatin in deoxycorticosterone acetate-salt hypertensive (DSH) rats.
- To determine rosuvastatin's influence on renal function, glomerulosclerosis, and tubulointerstitial fibrosis.
Main Methods:
- Deoxycorticosterone acetate-salt hypertension was induced in unilaterally nephrectomized rats.
- Rats received rosuvastatin (10 mg/kg/day) or a control diet.
- Renal function, fibrosis markers, and inflammatory cytokine expression (TNF-α, IL-1β, IFN-γ, MCP1, ICAM-1, ET-1) were assessed.
Main Results:
- Rosuvastatin treatment attenuated increased urinary albumin excretion and decreased creatinine clearance in DSH rats.
- Histological analysis revealed reduced glomerulosclerosis and tubulointerstitial fibrosis with rosuvastatin.
- Rosuvastatin significantly decreased the expression of pro-inflammatory cytokines and fibrotic markers (ED-1, TGF-β1, CTGF).
Conclusions:
- Rosuvastatin effectively prevents the progression of renal injury in a DSH rat model.
- The renoprotective mechanism involves significant anti-inflammatory and anti-fibrotic effects.
- Rosuvastatin holds potential as a therapeutic agent for hypertensive renal damage.
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