Renal Denervation Improves the Baroreflex and GABA System in Chronic Kidney Disease-induced Hypertension
Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA) receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to...
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Published in | Scientific reports Vol. 6; no. 1; p. 38447 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Abstract | Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA)
receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to the NTS. The objective of the present study was to investigate how RD improves CKD-induced hypertension. Rats underwent 5/6 nephrectomy for 8 weeks, which induced CKD and hypertension. RD was induced by applying phenol to surround the renal artery in CKD. RD improved blood pressure (BP) by lowering sympathetic nerve activity and markedly restored the baroreflex response in CKD. The GABA
receptor expression was increased in the NTS of CKD; moreover, the central GABA levels were reduced in the cerebrospinal fluid, and the peripheral GABA levels were increased in the serum. RD restored the glutamic acid decarboxylase activity in the NTS in CKD, similar to the effect observed for central treatment with baclofen, and the systemic administration of gabapentin reduced BP. RD slightly improved renal function and cardiac load in CKD. RD may improve CKD-induced hypertension by modulating the baroreflex response, improving GABA system dysfunction and preventing the development and reducing the severity of cardiorenal syndrome type 4 in CKD rats. |
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AbstractList | Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA)B receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to the NTS. The objective of the present study was to investigate how RD improves CKD-induced hypertension. Rats underwent 5/6 nephrectomy for 8 weeks, which induced CKD and hypertension. RD was induced by applying phenol to surround the renal artery in CKD. RD improved blood pressure (BP) by lowering sympathetic nerve activity and markedly restored the baroreflex response in CKD. The GABAB receptor expression was increased in the NTS of CKD; moreover, the central GABA levels were reduced in the cerebrospinal fluid, and the peripheral GABA levels were increased in the serum. RD restored the glutamic acid decarboxylase activity in the NTS in CKD, similar to the effect observed for central treatment with baclofen, and the systemic administration of gabapentin reduced BP. RD slightly improved renal function and cardiac load in CKD. RD may improve CKD-induced hypertension by modulating the baroreflex response, improving GABA system dysfunction and preventing the development and reducing the severity of cardiorenal syndrome type 4 in CKD rats. Abstract Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA) B receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to the NTS. The objective of the present study was to investigate how RD improves CKD-induced hypertension. Rats underwent 5/6 nephrectomy for 8 weeks, which induced CKD and hypertension. RD was induced by applying phenol to surround the renal artery in CKD. RD improved blood pressure (BP) by lowering sympathetic nerve activity and markedly restored the baroreflex response in CKD. The GABA B receptor expression was increased in the NTS of CKD; moreover, the central GABA levels were reduced in the cerebrospinal fluid, and the peripheral GABA levels were increased in the serum. RD restored the glutamic acid decarboxylase activity in the NTS in CKD, similar to the effect observed for central treatment with baclofen, and the systemic administration of gabapentin reduced BP. RD slightly improved renal function and cardiac load in CKD. RD may improve CKD-induced hypertension by modulating the baroreflex response, improving GABA system dysfunction and preventing the development and reducing the severity of cardiorenal syndrome type 4 in CKD rats. Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA) B receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to the NTS. The objective of the present study was to investigate how RD improves CKD-induced hypertension. Rats underwent 5/6 nephrectomy for 8 weeks, which induced CKD and hypertension. RD was induced by applying phenol to surround the renal artery in CKD. RD improved blood pressure (BP) by lowering sympathetic nerve activity and markedly restored the baroreflex response in CKD. The GABA B receptor expression was increased in the NTS of CKD; moreover, the central GABA levels were reduced in the cerebrospinal fluid, and the peripheral GABA levels were increased in the serum. RD restored the glutamic acid decarboxylase activity in the NTS in CKD, similar to the effect observed for central treatment with baclofen, and the systemic administration of gabapentin reduced BP. RD slightly improved renal function and cardiac load in CKD. RD may improve CKD-induced hypertension by modulating the baroreflex response, improving GABA system dysfunction and preventing the development and reducing the severity of cardiorenal syndrome type 4 in CKD rats. Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA) receptor function and regulation within the nucleus tractus solitarii (NTS). For CKD with hypertension, renal denervation (RD) interrupts the afferent renal sympathetic nerves, which are connecting to the NTS. The objective of the present study was to investigate how RD improves CKD-induced hypertension. Rats underwent 5/6 nephrectomy for 8 weeks, which induced CKD and hypertension. RD was induced by applying phenol to surround the renal artery in CKD. RD improved blood pressure (BP) by lowering sympathetic nerve activity and markedly restored the baroreflex response in CKD. The GABA receptor expression was increased in the NTS of CKD; moreover, the central GABA levels were reduced in the cerebrospinal fluid, and the peripheral GABA levels were increased in the serum. RD restored the glutamic acid decarboxylase activity in the NTS in CKD, similar to the effect observed for central treatment with baclofen, and the systemic administration of gabapentin reduced BP. RD slightly improved renal function and cardiac load in CKD. RD may improve CKD-induced hypertension by modulating the baroreflex response, improving GABA system dysfunction and preventing the development and reducing the severity of cardiorenal syndrome type 4 in CKD rats. |
ArticleNumber | 38447 |
Author | Chen, Hsin-Hung Ho, Wen-Yu Tseng, Yang-Ming Hsiao, Michael Liu, Chun-Peng Lu, Pei-Jung Tseng, Ching-Jiunn Cheng, Pei-Wen Lai, Chi-Cheng Sun, Gwo-Ching Fang, Hua-Chang |
Author_xml | – sequence: 1 givenname: Hsin-Hung surname: Chen fullname: Chen, Hsin-Hung organization: Yuh-Ing Junior College of Health Care &Management, Kaohsiung, Taiwan – sequence: 2 givenname: Pei-Wen surname: Cheng fullname: Cheng, Pei-Wen organization: Yuh-Ing Junior College of Health Care &Management, Kaohsiung, Taiwan – sequence: 3 givenname: Wen-Yu surname: Ho fullname: Ho, Wen-Yu organization: Division of General Internal Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan – sequence: 4 givenname: Pei-Jung surname: Lu fullname: Lu, Pei-Jung organization: Graduate Institute of Clinical Medicine, National Cheng-Kung University, Tainan, Taiwan – sequence: 5 givenname: Chi-Cheng surname: Lai fullname: Lai, Chi-Cheng organization: Cardiovascular Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan – sequence: 6 givenname: Yang-Ming surname: Tseng fullname: Tseng, Yang-Ming organization: Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan – sequence: 7 givenname: Hua-Chang surname: Fang fullname: Fang, Hua-Chang organization: Division of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan – sequence: 8 givenname: Gwo-Ching surname: Sun fullname: Sun, Gwo-Ching organization: Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan – sequence: 9 givenname: Michael surname: Hsiao fullname: Hsiao, Michael organization: Genomics Research Center, Academia Sinica, Taipei, Taiwan – sequence: 10 givenname: Chun-Peng surname: Liu fullname: Liu, Chun-Peng organization: Section of Cardiology, Department of Medcine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan – sequence: 11 givenname: Ching-Jiunn surname: Tseng fullname: Tseng, Ching-Jiunn organization: Institute of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung, Taiwan |
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Snippet | Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA)
receptor function and regulation within the nucleus tractus... Abstract Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA) B receptor function and regulation within the... Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA)B receptor function and regulation within the nucleus... Hypertensive rats with chronic kidney disease (CKD) exhibit enhanced gamma-aminobutyric acid (GABA) B receptor function and regulation within the nucleus... |
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SubjectTerms | Ablation Animals Baclofen Baroreceptors Baroreflex - drug effects Baroreflex - physiology Blood pressure Blood Pressure - drug effects Cerebrospinal fluid Denervation Denervation - methods Gabapentin Glutamate decarboxylase Glutamic acid Heart diseases Humans Hypertension Hypertension - complications Hypertension - metabolism Hypertension - physiopathology Hypertension - therapy Hypertension, Renal - metabolism Hypertension, Renal - physiopathology Hypertension, Renal - therapy Kidney - drug effects Kidney - innervation Kidney - physiopathology Kidney diseases Kidneys Nephrectomy Nephrectomy - adverse effects Nephritis - metabolism Nephritis - physiopathology Nephritis - therapy Neurons, Afferent - drug effects Phenol - adverse effects Rats Receptors, GABA-B - metabolism Reflexes Renal artery Renal function Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - metabolism Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - therapy Rodents Sensory neurons Solitary Nucleus - metabolism Solitary Nucleus - physiopathology Solitary tract nucleus Sympathetic nerves γ-Aminobutyric acid B receptors |
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Title | Renal Denervation Improves the Baroreflex and GABA System in Chronic Kidney Disease-induced Hypertension |
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