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Chronic endothelin receptor blockade prevents both early hyperfiltration and late overt diabetic nephropathy in the rat

文献类型:期刊论文

作者Ding, SS; Qiu, CB; Hess, P; Xi, JF; Zheng, N; Clozel, M
刊名Journal of cardiovascular pharmacology
出版日期2003-07-01
卷号42期号:1页码:48-54
关键词Bosentan Diabetic nephropathy Diabetes Endothelin Glomerulosclerosis
ISSN号0160-2446
通讯作者Clozel, m()
英文摘要Diabetic nephropathy is associated with enhanced renal synthesis of endothelin (et)-1. the goal of this study was to investigate the effects of dual et receptor antagonism in the early phase (2 months) and in the late phase (5 months) of diabetic nephropathy in rats, and to compare this approach to angiotensin-converting enzyme inhibition. four groups of uninephrectomized streptozotocin-induced diabetic rats were assigned to receive orally vehicle, bosentan, enalapril, or their combination. a fifth group consisted of nondiabetic, uninephrectomized rats. at 2 weeks, untreated diabetic rats exhibited increased glomerular filtration rate and renal plasma flow. bosentan, enalapril, and the combination all prevented hyperfiltration and hyperperfusion. by 5 months, diabetic rats developed marked increases in mean arterial pressure and renal vascular resistance, progressive proteinuria, and renal structural damage with glomerular sclerosis and hypertrophy. bosentan completely prevented the development of hypertension and renal vasoconstriction, and largely prevented the development of proteinuria and renal structural injury. the renal protective effect of bosentan was comparable to that of enalapril or the combination, although its anti-protein uric effect was less. clinical studies are warranted to assess whether et receptor antagonism can have additive effects on top of ace inhibition, the current treatment of choice in diabetic nephropathy.
WOS关键词CONVERTING ENZYME-INHIBITION ; NITRIC-OXIDE BLOCKADE ; ANGIOTENSIN-II ; SIGNAL-TRANSDUCTION ; GENE-EXPRESSION ; HEART-FAILURE ; ANTAGONIST ; GLOMERULOPATHY ; MELLITUS ; KIDNEY
WOS研究方向Cardiovascular System & Cardiology ; Pharmacology & Pharmacy
WOS类目Cardiac & Cardiovascular Systems ; Pharmacology & Pharmacy
语种英语
WOS记录号WOS:000183897600008
出版者LIPPINCOTT WILLIAMS & WILKINS
URI标识http://www.irgrid.ac.cn/handle/1471x/2376124
专题武汉病毒研究所
通讯作者Clozel, M
作者单位1.Actelion Pharmaceut Ltd, CH-4123 Allschwil, Switzerland
2.Chinese Acad Sci, Shanghai Inst Mat Med, Dept Pharmacol, Shanghai, Peoples R China
推荐引用方式
GB/T 7714
Ding, SS,Qiu, CB,Hess, P,et al. Chronic endothelin receptor blockade prevents both early hyperfiltration and late overt diabetic nephropathy in the rat[J]. Journal of cardiovascular pharmacology,2003,42(1):48-54.
APA Ding, SS,Qiu, CB,Hess, P,Xi, JF,Zheng, N,&Clozel, M.(2003).Chronic endothelin receptor blockade prevents both early hyperfiltration and late overt diabetic nephropathy in the rat.Journal of cardiovascular pharmacology,42(1),48-54.
MLA Ding, SS,et al."Chronic endothelin receptor blockade prevents both early hyperfiltration and late overt diabetic nephropathy in the rat".Journal of cardiovascular pharmacology 42.1(2003):48-54.

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来源:武汉病毒研究所

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