Cited by 110Nitric Oxide and Endothelin EffectsBlood Pressure and Hypertension StudiesRenin-Angiotensin System Studies

Endothelin-A Receptor Antagonism Attenuates the Hypertension and Renal Injury in Dahl Salt-Sensitive Rats

Kassab, Salah, Miller, M. Todd, Novak, Jacqueline, Reckelhoff, Jane, Clower, Ben, Granger, Joey P.·1998·Hypertension

Abstract

The aim of this study was to examine the role of endothelin-A (ET A) receptors in mediating the hypertension and renal injury associated with high salt intake in Dahl salt-sensitive (DS) rats. To achieve this goal, we examined the effects of chronic selective ET A antagonist (A-127722) treatment at a dose of 10 mg/kg/d on arterial pressure, renal function, and morphology in DS and Dahl salt-resistant (DR) rats placed on a high sodium (8% NaCl) diet (HSD) for 3 weeks. Placement of DS rats (n=13) on HSD for 3 weeks caused a progressive increase in systolic pressure (from 118±3 to 186±15 mm Hg). The increase in systolic pressure was significantly attenuated (from 125±4 to 167±12 mm Hg) in DS rats treated with A-127722 (n=13). Mean arterial pressure (MAP) measured directly at the end of the study was also significantly lower by 18 mm Hg (P<.02) in the DS rats treated with A-127722. The slope of the chronic pressure-natriuresis curve was shifted to the right in DS rats and to the left by chronic ET A receptor blockade in DS rats. The hypertension in DS rats was associated with marked proteinuria (from 4.1±1.1 to 74.3±5.3 mg/24 h/100 g body weight) that was significantly attenuated (from 5.7±1.2 to 55.2±6.5 mg/24 h/100 g body weight) in DS rats treated with A-127722. The percentage of glomeruli displaying fibrosis, hypercellularity, and hyalinization was also significantly reduced after treatment with A-127722 in DS rats. Arterial pressure, protein excretion, renal hemodynamics, and morphologic structure were not significantly changed in response to ET A receptor blockade in DR rats placed on HSD. These data indicate that endothelin-A receptor activation may play a role in the exacerbation of hypertension and development of renal injury in DS rats.

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  • Increased renal sympathetic nerve activity in individuals with obesity contributes to increases in renin secretion, sodium reabsorption and blood pressure.

    “Increased RSNA in individuals with obesity contributes to increases in renin secretion, sodium reabsorption and BP159–161.”
  • In obese dogs fed a high-fat diet, renal denervation greatly attenuated sodium retention and increases in blood pressure.

    “In obese dogs fed an HFD, RDN greatly attenuated sodium retention and increases in BP159.”
  • Bilateral RDN greatly attenuated sodium retention and development of hypertension in obese dogs fed a high fat diet.

    “Bilateral RDN greatly attenuated sodium retention and development of hypertension in obese dogs fed a high fat diet67.”

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Authors
Kassab, S., Miller, M. T., Novak, J., Reckelhoff, J., Clower, B., & Granger, J. P.
Affiliations
University of Mississippi Medical Center (US)
Venue
Hypertension
Published
1998-01
Volume
31
Issue
1
Pages
397-402
ISSN
  • 0194-911X (ISSN-L)
  • 1524-4563
OpenAlex
W2141528467
Cited by
110
References
40
Citations by year
2025: 1 · 2024: 2 · 2022: 1 · 2020: 3 · 2019: 2 · 2018: 7 · 2017: 1 · 2016: 2 · 2015: 6 · 2014: 4 · 2013: 2 · 2012: 5
FWCI
5.11
Type
journal article
Language
en
Open access
closed
Locations
  • Hypertension (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (HL-51971)
  • National Heart, Lung, and Blood Institute (HL-38499, HL‐51971, P01HL051971)
Topics
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
Keywords
endothelin-A receptor antagonism, Dahl salt-sensitive rats, Dahl salt-resistant rats, salt-sensitive hypertension, high-salt diet, kidney injury, proteinuria, pressure natriuresis, glomerular fibrosis, renal hemodynamics, endothelin-1
MeSH terms
Atrasentan, Animals, Blood Pressure, Diet, Sodium-Restricted, Glomerular Filtration Rate, Hemodynamics, Hypertension, Kidney, Male, Natriuresis, Potassium, Proteinuria, Pyrrolidines, Rats, Inbred Strains, Regional Blood Flow, Sodium, Sodium, Dietary, Systole, Receptor, Endothelin A, Rats, Endothelin Receptor Antagonists

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