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Published on: October 26, 2020
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
Background:
It has been suggested that the antioxidant properties of olmesartan (OLM), an angiotensin II type 1 receptor (AT(1)R) blocker, contribute to renal protection rather than blood pressure lowering effects despite the fact that causal relationships between hypertension and renal artery disease exist. This study aimed to examine the hypothesis whether the antioxidative activities of OLM were correlated to arterial stiffness, reactive oxygen species and advanced glycation end products (AGEs) formation in rats with chronic renal failure (CRF).
Methods:
CRF rats were induced by 5/6 nephrectomy and randomly assigned to an OLM (10 mg/day) group or a control group. Hemodynamic states, oxidative stress, renal function and AGEs were measured after 8 weeks of OLM treatment.
Results:
All the hemodynamic derangements associated with renal and cardiovascular dysfunctions were abrogated in CRF rats receiving OLM. Decreased cardiac output was normalized compared to control (p <0.05). Mean aortic pressure, total peripheral resistance and left ventricular weight/body weight ratio were reduced by 21.6% (p <0.05), 28.2% (p <0.05) and 27.2% ((p <0.05). OLM also showed beneficial effects on the oscillatory components of the ventricular after-load, including 39% reduction in aortic characteristic impedance (p < 0.05), 75.3% increase in aortic compliance (p <0.05) and 50.3% increase in wave transit time (p < 0.05). These results implied that OLM attenuated the increased systolic load of the left ventricle and prevented cardiac hypertrophy in CRF rats. Improved renal function was also reflected by increases in the clearances of BUN (28.7%) and serum creatinine (SCr, 38.8%). In addition to these functional improvements, OLM specifically reduced the levels of malondialdehyde (MDA) equivalents in aorta and serum by 14.3% and 25.1%, as well as the amount of AGEs in the aortic wall by 32% (p < 0.05) of CRF rats.
Conclusion:
OLM treatment could ameliorate arterial stiffness in CRF rats with concomitant inhibition of MDA and AGEs levels through the reduction of oxidative stress in aortic wall.
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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