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Updated: Apr 15, 2026

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Blood pressure decrease in spontaneously hypertensive rats folowing renal denervation or dopamine β-hydroxylase
Nuno Miguel Pires1, Bruno Igreja1, Eduardo Moura1
1Department of Research & Development, BIAL-Portela & Ca, S.A., S. Mamede do Coronado, Portugal.
Renal denervation provided temporary blood pressure reduction in rats, while inhibiting dopamine β-hydroxylase (DβH) with etamicastat offered sustained blood pressure control by reducing noradrenaline levels.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Nephrology
Background:
- Sympathetic nervous system overactivity contributes to arterial hypertension.
- Renal denervation (RDN) is a new treatment for drug-resistant hypertension.
- Inhibiting dopamine β-hydroxylase (DβH) offers an alternative to modulate sympathetic nerve function.
Purpose of the Study:
- To compare the effects of RDN and DβH inhibition on blood pressure and sympathetic nerve activity.
- To evaluate the long-term efficacy of etamicastat, a DβH inhibitor, versus RDN in hypertensive rats.
Main Methods:
- Spontaneously hypertensive rats (SHR) underwent RDN or received etamicastat (30 mg/kg/day).
- Blood pressure, renal function, and noradrenaline (NA) levels were monitored over 28 days.
- Water balance, renal function, and urinary electrolytes were assessed.
Main Results:
- Both RDN and etamicastat did not affect renal function.
- RDN temporarily reduced systolic blood pressure (SBP) and diastolic blood pressure (DBP).
- Etamicastat significantly decreased SBP and DBP throughout the study period.
- NA levels decreased in renal tissue for both groups; only etamicastat reduced left ventricle NA.
Conclusions:
- RDN provides transient blood pressure reduction.
- Sustained sympathetic inhibition via DβH inhibition with etamicastat leads to prolonged blood pressure lowering.
- Etamicastat presents a promising therapeutic strategy for sustained hypertension management.
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