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Updated: Sep 20, 2025

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Nobiletin resolves left ventricular and renal changes in 2K-1C hypertensive rats
Metee Iampanichakul1, Anuson Poasakate1, Prapassorn Potue1
1Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Abstract:
This study investigated the effects of nobiletin on cardiorenal changes and the underlying mechanisms involved in two-kidney, one-clip (2K-1C) hypertension. 2K-1C rats were treated with nobiletin (15 or 30 mg/kg/day) or losartan (10 mg/kg/day) for 4 weeks (n = 8/group). Nobiletin (30 mg/kg) reduced high levels of blood pressure and circulating angiotensin II and angiotensin-converting enzyme activity in 2K-1C rats. Left ventricular (LV) dysfunction and remodelling in 2K-1C rats were alleviated in the nobiletin-treated group (P < 0.05). Nobiletin reduced the upregulation of Ang II type I receptor (AT1R)/JAK (Janus kinase)/STAT (signal transducer and activator of transcription) protein expression in cardiac tissue of 2K-1C rats (P < 0.05). The reduction in kidney function, and accumulation of renal fibrosis in 2K-1C rats were alleviated by nobiletin (P < 0.05). Overexpression of AT1R and NADPH oxidase 4 (Nox4) protein in nonclipped kidney tissue was suppressed in the nobiletin-treated group (P < 0.05). The elevations in oxidative stress parameters and the reductions in antioxidant enzymes were attenuated in 2K-1C rats treated with nobiletin (P < 0.05). In summary, nobiletin had renin-angiotensin system inhibitory and antioxidant effects and attenuated LV dysfunction and remodelling via restoration of the AT1R/JAK/STAT pathway. Nobiletin also resolved renal damage that was related to modulation of the AT1R/Nox4 cascade in 2K-1C hypertension.
Insights
Nobiletin effectively lowers blood pressure and improves heart and kidney function in hypertensive rats by inhibiting the renin-angiotensin system and reducing oxidative stress. It also mitigates cardiac and renal damage through specific molecular pathways.
Area of Science:
- Cardiovascular Research
- Nephrology
- Pharmacology
Background:
- Two-kidney, one-clip (2K-1C) hypertension is a model of renovascular hypertension characterized by elevated blood pressure and cardiorenal complications.
- The renin-angiotensin system (RAS) plays a critical role in the pathogenesis of 2K-1C hypertension.
- Nobiletin, a citrus flavonoid, has demonstrated potential therapeutic properties, but its effects on cardiorenal changes in hypertension require further investigation.
Purpose of the Study:
- To investigate the therapeutic effects of nobiletin on cardiorenal alterations in a 2K-1C rat model of hypertension.
- To elucidate the underlying molecular mechanisms, including RAS modulation, oxidative stress, and specific signaling pathways, involved in nobiletin's actions.
Main Methods:
- 2K-1C hypertensive rats were treated with nobiletin (15 or 30 mg/kg/day) or losartan for four weeks.
- Hemodynamic parameters, including blood pressure, were monitored.
- Cardiac and renal tissues were analyzed for molecular changes, including protein expression of Angiotensin II type 1 receptor (AT1R), Janus kinase (JAK), signal transducer and activator of transcription (STAT), and NADPH oxidase 4 (Nox4).
- Oxidative stress markers and antioxidant enzyme activity were assessed.
Main Results:
- Nobiletin treatment significantly reduced blood pressure, circulating angiotensin II, and angiotensin-converting enzyme activity in 2K-1C rats.
- Nobiletin alleviated left ventricular dysfunction and cardiac remodeling by restoring the AT1R/JAK/STAT pathway.
- Renal function was improved, and renal fibrosis was reduced by nobiletin, associated with the suppression of AT1R and Nox4 in kidney tissue.
- Nobiletin attenuated oxidative stress and enhanced antioxidant capacity in hypertensive rats.
Conclusions:
- Nobiletin exhibits significant antihypertensive effects in the 2K-1C rat model.
- Nobiletin exerts cardiorenal protective effects through inhibition of the renin-angiotensin system and reduction of oxidative stress.
- The therapeutic actions of nobiletin involve the modulation of the AT1R/JAK/STAT and AT1R/Nox4 signaling pathways, highlighting its potential as a novel therapeutic agent for hypertension-related cardiorenal complications.
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