Effects of olmesartan on arterial stiffness in rats with chronic renal failure

Yao-Chen Chuang1, Ming-Shiou Wu, Yi-Kai Su

  • 1Institute of Physiology, College of Medicine, National Taiwan University, Taipei City, Taiwan. d93441002@ntu.edu.tw

Abstract

Insights

Olmesartan (OLM) treatment improved arterial stiffness and renal function in chronic renal failure (CRF) rats. OLM reduced oxidative stress markers like malondialdehyde (MDA) and advanced glycation end products (AGEs).

Area of Science:

  • Nephrology
  • Cardiology
  • Pharmacology

Background:

  • Antioxidant properties of olmesartan (OLM), an angiotensin II type 1 receptor (AT(1)R) blocker, may offer renal protection beyond blood pressure reduction.
  • Chronic renal failure (CRF) is linked to hypertension and renal artery disease, suggesting a role for oxidative stress.

Purpose of the Study:

  • To investigate the correlation between OLM's antioxidative activities and arterial stiffness, reactive oxygen species, and advanced glycation end products (AGEs) in rats with CRF.
  • To assess OLM's impact on hemodynamic parameters, renal function, and oxidative stress markers in CRF rats.

Main Methods:

  • CRF was induced in rats via 5/6 nephrectomy.
  • Rats were randomly assigned to receive OLM (10 mg/day) or a control treatment for 8 weeks.
  • Measurements included hemodynamic states, oxidative stress markers (MDA), AGEs, and renal function (BUN, SCr).

Main Results:

  • OLM treatment abrogated hemodynamic derangements, normalized cardiac output, and reduced mean aortic pressure and total peripheral resistance in CRF rats.
  • OLM improved aortic compliance and wave transit time, indicating reduced arterial stiffness and attenuated left ventricular systolic load.
  • OLM significantly increased BUN and SCr clearance, reduced MDA levels in aorta and serum, and decreased AGEs in the aortic wall.

Conclusions:

  • Olmesartan (OLM) ameliorates arterial stiffness in chronic renal failure (CRF) rats.
  • OLM treatment inhibits malondialdehyde (MDA) and advanced glycation end products (AGEs) levels.
  • The beneficial effects of OLM are attributed to the reduction of oxidative stress in the aortic wall.

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