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Protective effects of AT1-receptor blocker and CA antagonist combination on renal function in salt loaded
K Gjorgjievska1, D Zafirov1, M Jurhar-Pavlova2
1Institute of Preclinical and Clinical Pharmacology with Toxicology, Medical Faculty, Skopje, R. Macedonia.
Abstract:
Salt sensitive hypertension is known to be a contributing factor for the progression of kidney disease. This study was undertaken to investigate the role of excessive dietary salt on renal function and to evaluate the effect of valsartan and amlodipin given as a combination therapy on blood pressure and parameters specific to the renal function in salt loaded SHR rats. 48 male SHR rats at age of 20 weeks and body weight ranging between 270-350 g were used. SHR rats were divided into 3 groups: control group of rats -SHRC (n = 16) given tab water ad libitum and two salt treated groups in which tab water was replaced with a solution of NaCl (1%) from age of 8 weeks given ad libitum: SHRVAL+AMLO group (n = 16) where investigated drugs were administered at a dose of 10 mg/kg/ b.w. (valsartan) and 5 mg/kg/ b.w. (amlodipin) by gavage and SHR NaCl group (n = 16) that received saline in the same volume and the same time intervals as the SHRVAL+AMLO group. For a period of 12 weeks we have investigated the effect of the VAL+AMLO drug combination on systolic blood pressure (SBP), body weight and renal function tests. Salt loading with 1% solution in the SHR NaCl group has lead to significant increase of blood pressure, proteinuria and decrease in creatinine clearance. Combined treatment with AT1 receptor blocker and calcium antagonist has managed to control blood pressure and ameliorated renal damage.
Insights
Excessive salt intake worsens kidney disease. Combination therapy with valsartan and amlodipine effectively controlled blood pressure and reduced kidney damage in salt-loaded rats.
Area of Science:
- Nephrology
- Cardiovascular Research
- Pharmacology
Background:
- Salt-sensitive hypertension is a key factor in chronic kidney disease progression.
- Dietary salt intake significantly impacts renal function and blood pressure regulation.
Purpose of the Study:
- To investigate the impact of excessive dietary salt on renal function in spontaneously hypertensive rats (SHR).
- To evaluate the efficacy of combined valsartan and amlodipine therapy in managing blood pressure and renal parameters in salt-loaded SHR rats.
Main Methods:
- 48 male SHR rats were divided into three groups: control, salt-loaded (1% NaCl solution), and salt-loaded treated with valsartan (10 mg/kg) and amlodipine (5 mg/kg).
- Treatment duration was 12 weeks, monitoring systolic blood pressure, body weight, and renal function tests.
Main Results:
- Salt loading significantly increased blood pressure, proteinuria, and decreased creatinine clearance in the SHR NaCl group.
- The combined valsartan and amlodipine treatment effectively controlled systolic blood pressure and ameliorated renal damage compared to the salt-loaded group.
Conclusions:
- Excessive dietary salt exacerbates hypertension and renal dysfunction in SHR rats.
- Combination therapy with valsartan and amlodipine demonstrates a protective effect on renal function in salt-loaded hypertensive rats.
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