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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Olmesartan medoxomil reverses glomerulosclerosis in renal tissue induced by myocardial infarction without changes in
Xiao-Mei Lu1, Yu-Nan Jin1, Ling Ma1
1Department of Pathophysiology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning 110001, P.R. China.
Abstract:
The aim of the present study was to investigate the effect of olmesartan medoxomil (OLM) on renal injury in mice with myocardial infarction (MI). A total of 33 male C57/BL/6 mice were divided into a sham surgery group (SHAM group), MI group (MI group) and OLM treatment group (OLM group). Experimental MI models were established in the mice of the MI and OLM groups by coronary artery ligation, and the mice in the OLM group were fed a daily dose of 10 mg/kg OLM for eight weeks. The results showed that MI induced a reduction in cardiac function and an increase in systolic blood pressure. In addition, increased periodic acid-Schiff (PAS) positive staining, combined with increased levels of angiotensin II (Ang II) in the plasma and kidneys, and increased expression levels of renin, angiotensin II type 1 receptor (AT1R) and angiotensinogen (AGT) in the kidney tissues was observed compared with those in the SHAM group. OLM treatment attenuated the injury by reducing the systolic blood pressure and PAS positive staining, and decreasing the expression levels of Ang II, renin, AT1R and AGT in the kidney compared with those in the MI group. It may be concluded that MI activates the intrarenal renin-angiotensin system and leads to glomerulosclerosis, and that OLM protects the kidney by inhibiting the effects of Ang II.
Insights
Myocardial infarction (MI) activates the kidney
Area of Science:
- Cardiovascular Research
- Nephrology
- Pharmacology
Background:
- Myocardial infarction (MI) can lead to secondary organ damage.
- The intrarenal renin-angiotensin system (RAS) plays a role in kidney injury.
- Olmesartan medoxomil (OLM) is an angiotensin II receptor blocker.
Purpose of the Study:
- To investigate the protective effects of olmesartan medoxomil (OLM) against renal injury following myocardial infarction (MI) in a mouse model.
- To elucidate the mechanisms by which OLM influences the intrarenal RAS and renal pathology.
Main Methods:
- Establishment of experimental myocardial infarction (MI) in male C57/BL/6 mice via coronary artery ligation.
- Administration of olmesartan medoxomil (OLM) at 10 mg/kg daily for eight weeks in the treatment group.
- Assessment of cardiac function, systolic blood pressure, renal histology (PAS staining), and intrarenal/plasma levels of angiotensin II (Ang II), renin, angiotensin II type 1 receptor (AT1R), and angiotensinogen (AGT).
Main Results:
- MI induced cardiac dysfunction, increased systolic blood pressure, and significant renal injury evidenced by PAS staining.
- MI elevated plasma and kidney Ang II levels, alongside increased renal expression of renin, AT1R, and AGT.
- OLM treatment significantly reduced systolic blood pressure, attenuated renal injury, and decreased Ang II, renin, AT1R, and AGT levels compared to the MI group.
Conclusions:
- Myocardial infarction (MI) activates the intrarenal renin-angiotensin system (RAS), contributing to glomerulosclerosis.
- Olmesartan medoxomil (OLM) demonstrates renoprotective effects post-MI by inhibiting the intrarenal RAS and mitigating Ang II-mediated damage.
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