Resumo (PT):
Introduction: Chronic renal insufficiency is characterized by modifications
in renal and systemic hemodynamics and in sodium excretion per
nephron and is accompanied by changes in circulating levels of natriuretic
peptides (NP's). Despite this, the implication of the NP's system
in the physiopathology of chronic renal failure hypertension remains to
be clarified. The aim of this study was to evaluate the cardiac and renal
expression of NPR-A (efector receptor) and NPR-C (clearance receptor)
in an experimental model of reduced renal mass.
Methods: Male Wistar-Han rats (220g) were submitted to right nephrectomy
and excision of both poles of the left kidney (nx, n=20). Controls
were Sham operated animals (Sham, n=17). The rats were kept
in metabolic cages for the quantification of 24h sodium and creatinine
excretion. Systolic (SBP) and diastolic (DBP) blood pressure was evaluated
weekly using a tail cuff photoelectric pulse detector. Two, 10 or 26
weeks after the surgery tissue samples from LV, RC and RM were collected
for mRNA quantification of NPR-A and NPR-C by RT-PCR, using
GAPDH as the housekeeping gene. Also, fragments of RC and RM from
all groups were stained with histochemical techniques, for quantification
of tubulointerstitial fibrosis and atrophy.
Results: At 2, 10 and 26, both SBP and DBP were increased in nx rats but
not in sham animals. At 2, 10 and 26, the nx rats presented an increased
fractional excretion of sodium, a decreased creatinine clearance and an
increase in tubulointerstitial fibrosis and atrophy that was related with the
time elapsed post surgery. In the LV from nx rats, the NPR-A and NPR-C
mRNA levels were increased at 10 but not at 2 or 26. In the RC from
nx rats, the NPR-A expression was increased at 10 and 26 but not at 2
whereas the NPR-C expression was increased only at 10. In the RM from
nx rats, NPR-A was downregulated at 2 and 10 but not at 26 whereas the
NPR-C expression was decreased only at 10.
Conclusions: In this remnant kidney rat model, hypertension is accompanied
by a modification in the expression of cardiac and renal NP's
receptors. The modulation of NPR-A and NPR-C differs in LV, RC and
RM and is related with the time elapsed post surgery. These results suggest
the existence of a complex regulation of the NP's system during the
time course of chronic renal failure.
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
ESC Annual Congress 2005, published in journal, European Journal of Heart Failure 2005; 4(Suppl.1):139.