Inhibition of PDE5 Restores Depressed Baroreflex Sensitivity in Renovascular Hypertensive Rats

作者: Clênia de Oliveira Cavalcanti , Rafael R. Alves , Alessandro L. de Oliveira , Josiane de Campos Cruz , Maria do Socorro de França-Silva

DOI: 10.3389/FPHYS.2016.00015

关键词:

摘要: Renal artery stenosis is frequently associated with resistant hypertension, which defined as failure to normalize blood pressure (BP) even when combined drugs are used. Inhibition of PDE5 by sildenafil has been shown increase endothelial function and decrease in experimental models. However, no available study evaluated the baroreflex sensitivity nor autonomic balance renovascular hypertensive rats treated sildenafil. In a translational medicine perspective, our hypothesis that could improve imbalance sensitivity, contributing lower pressure. Renovascular 2-kidney-1-clip (2K1C) sham were (45 mg/Kg/day) during 7 days. At end treatment, BP heart rate (HR) recorded conscious after 24-hour-recovery period. Spontaneous drug-induced tone evaluated; addition, lipid peroxidation was measured plasma samples. Treatment efficient increasing both spontaneous induced animals. also capable ameliorating 2K1C decreasing systemic oxidative stress. Taken together, these beneficial effects resulted significant reductions without affecting HR. We suggest be considered promising alternative treat hypertension.

参考文章(56)
Jackie D. Corbin, Stephen R. Rannels, Sharron H. Francis, Phosphodiesterase-5 Inhibition Humana Press, Totowa, NJ. pp. 117- 130 ,(2004) , 10.1007/978-1-59259-748-2_7
G Rossoni, B Manfredi, V De Gennaro Colonna, M Berti, M Guazzi, F Berti, Sildenafil reduces L-NAME-induced severe hypertension and worsening of myocardial ischaemia–reperfusion damage in the rat British Journal of Pharmacology. ,vol. 150, pp. 567- 576 ,(2007) , 10.1038/SJ.BJP.0707131
A Schäfer, D Fraccarollo, S Pförtsch, U Flierl, C Vogt, J Pfrang, A Kobsar, T Renné, M Eigenthaler, G Ertl, J Bauersachs, Improvement of vascular function by acute and chronic treatment with the PDE‐5 inhibitor sildenafil in experimental diabetes mellitus British Journal of Pharmacology. ,vol. 153, pp. 886- 893 ,(2008) , 10.1038/SJ.BJP.0707459
Ruy R Campos, Elizabeth B Oliveira-Sales, Érika E Nishi, Mirian A Boim, Miriam S Dolnikoff, Cássia T Bergamaschi, The role of oxidative stress in renovascular hypertension Clinical and Experimental Pharmacology and Physiology. ,vol. 38, pp. 144- 152 ,(2011) , 10.1111/J.1440-1681.2010.05437.X
E. E. Nishi, E. B. Oliveira-Sales, C. T. Bergamaschi, T. G. C. Oliveira, M. A. Boim, R. R. Campos, Chronic antioxidant treatment improves arterial renovascular hypertension and oxidative stress markers in the kidney in Wistar rats. American Journal of Hypertension. ,vol. 23, pp. 473- 480 ,(2010) , 10.1038/AJH.2010.11
Charles Faselis, Michael Doumas, Vasilios Papademetriou, Common Secondary Causes of Resistant Hypertension and Rational for Treatment International Journal of Hypertension. ,vol. 2011, pp. 236239- 236239 ,(2011) , 10.4061/2011/236239
DD Guimarães, CC Carvalho, VA Braga, Scavenging of NADPH oxidase-derived superoxide anions improves depressed baroreflex sensitivity in spontaneously hypertensive rats. Clinical and Experimental Pharmacology and Physiology. ,vol. 39, pp. 373- 378 ,(2012) , 10.1111/J.1440-1681.2012.05679.X
Thyago M Queiroz, Drielle D Guimarães, Leônidas G Mendes-Junior, Valdir A Braga, α-lipoic acid reduces hypertension and increases baroreflex sensitivity in renovascular hypertensive rats. Molecules. ,vol. 17, pp. 13357- 13367 ,(2012) , 10.3390/MOLECULES171113357
Marcos Leal, Camille Balarini, Ananda Dias, Marcella Porto, Agata Gava, Thiago Pereira, Silvana Meyrelles, Elisardo Vasquez, Mechanisms of enhanced vasoconstriction in the mouse model of atherosclerosis: the beneficial effects of sildenafil. Current Pharmaceutical Biotechnology. ,vol. 16, pp. 517- 530 ,(2015) , 10.2174/138920101606150407113458
Alin Stirban, Dominique Laude, Jean-Luc Elghozi, Denise Sander, Marcus W. Agelink, Max J. Hilz, Dan Ziegler, Acute effects of sildenafil on flow mediated dilatation and cardiovascular autonomic nerve function in type 2 diabetic patients Diabetes-metabolism Research and Reviews. ,vol. 25, pp. 136- 143 ,(2009) , 10.1002/DMRR.921