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Combating Combination of Hypertension and Diabetes in Different Rat Models
Talma Rosenthal1, Firas Younis2, Ariela Alter3
1Department of Physiology and Pharmacology, Sackler School of Medicine, Tel Aviv University, Israel. rtalma@post.tau.ac.il.
Pharmaceuticals (Basel, Switzerland)
|October 8, 2016
Summary
Rat models illuminate hypertension and diabetes co-existence, a potent cardiovascular disease risk. Treatments manage key factors but don't prevent renal issues, highlighting the need for clinical translation of mechanisms like oxidative stress.
Area of Science:
- Cardiovascular Physiology
- Endocrinology
- Pharmacology
Background:
- Hypertension and diabetes mellitus are major cardiovascular disease (CVD) risk factors.
- Their co-existence significantly potentiates CVD risk.
- Understanding these combined pathologies is crucial for effective treatment strategies.
Approach:
- Review of five key rat experimental models: Zucker, Goto-Kakizaki, SHROB, SHR/NDmcr-cp, and Cohen Rosenthal diabetic hypertensive (CRDH) rats.
- Detailed examination of pharmacological (ACE inhibitors, ARBs, CCBs) and non-pharmacological interventions.
- Analysis of mechanisms including hypertension, hyperglycemia, hyperinsulinemia, and hyperlipidemia.
Key Points:
- Classical factors in combined hypertension and diabetes are treatable, but renal complications persist.
- Mechanisms like hypoxia, oxidative stress, and advanced glycation require further clinical translation.
- Identification of novel target molecules for integrated treatment modalities is ongoing.
Conclusions:
- Rat models provide valuable insights into the complex interplay of hypertension and diabetes.
- Current treatments show efficacy in managing contributing factors but not fully preventing renal damage.
- Bridging the gap between animal study findings and human clinical application remains a significant challenge.

