Hyperuricemia induces a primary renal arteriolopathy in rats by a blood pressure-independent mechanism

Hyperuricemia is associated with hypertension and vascular disease, but whether this represents a causal relationship or an epiphenomenon remains unknown. We recently reported a model of mild hyperuricemia in rats that results in increased blood pressure and mild renal fibrosis. In this study, we ex...

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Veröffentlicht in:American journal of physiology. Renal physiology 2002-06, Vol.282 (6), p.F991-F997
Hauptverfasser: Mazzali, Marilda, Kanellis, John, Han, Lin, Feng, Lili, Xia, Yi-Yang, Chen, Qiang, Kang, Duk-Hee, Gordon, Katherine L, Watanabe, Susumu, Nakagawa, Takahiko, Lan, Hui Y, Johnson, Richard J
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container_end_page F997
container_issue 6
container_start_page F991
container_title American journal of physiology. Renal physiology
container_volume 282
creator Mazzali, Marilda
Kanellis, John
Han, Lin
Feng, Lili
Xia, Yi-Yang
Chen, Qiang
Kang, Duk-Hee
Gordon, Katherine L
Watanabe, Susumu
Nakagawa, Takahiko
Lan, Hui Y
Johnson, Richard J
description Hyperuricemia is associated with hypertension and vascular disease, but whether this represents a causal relationship or an epiphenomenon remains unknown. We recently reported a model of mild hyperuricemia in rats that results in increased blood pressure and mild renal fibrosis. In this study, we examined the effect of hyperuricemia on the renal vasculature. Rats fed 2% oxonic acid and a low-salt diet for 7 wk developed mild hyperuricemia (1.8 vs. 1.4 mg/dl, P < 0.05), hypertension [147 vs. 127 mmHg systolic blood pressure (SBP), P < 0.05], and afferent arteriolar thickening, with a 35% increase in medial area (P < 0.05). Allopurinol or benziodarone prevented the hyperuricemia, hypertension, and arteriolopathy. Hydrochlorothiazide treatment did not prevent the hyperuricemia or arteriolopathy despite controlling blood pressure. In contrast, the arteriolopathy and hypertension were prevented by both enalapril and losartan. Uric acid also directly stimulated vascular smooth muscle cell proliferation in vitro, and this was partially inhibited by losartan. Thus hyperuricemia induces a renal arteriolopathy in rats that is blood pressure independent and involves the renin-angiotensin system.
doi_str_mv 10.1152/ajprenal.00283.2001
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identifier ISSN: 1931-857X
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source MEDLINE; American Physiological Society Paid; EZB Electronic Journals Library
subjects Administration, Oral
Allopurinol - pharmacology
Angiotensin II - metabolism
Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors - pharmacology
Animals
Arterioles - drug effects
Arterioles - pathology
Benzofurans - pharmacology
Blood Pressure - drug effects
Diuretics
Enalapril - pharmacology
Hydrochlorothiazide - pharmacology
Hypertension - chemically induced
Hypertension - pathology
Hypertension - prevention & control
Kidney - blood supply
Kidney - pathology
Losartan - pharmacology
Male
Muscle, Smooth, Vascular - cytology
Muscle, Smooth, Vascular - drug effects
Muscle, Smooth, Vascular - pathology
Oxonic Acid
Rats
Rats, Sprague-Dawley
Sodium Chloride Symporter Inhibitors - pharmacology
Sodium Chloride, Dietary
Uric Acid - blood
Uric Acid - pharmacology
Uricosuric Agents - pharmacology
Vascular Diseases - chemically induced
Vascular Diseases - pathology
Vascular Diseases - prevention & control
title Hyperuricemia induces a primary renal arteriolopathy in rats by a blood pressure-independent mechanism
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