Effect of the Direct Renin Inhibitor Aliskiren in the Prevention of Experimental Contrast-Induced Nephropathy in the Rat

Background: Renal vasoconstriction, activated by the renin-angiotensin system, plays a pivotal role in the pathogenesis of contrast-induced nephropathy (CIN). The purpose of this study was to evaluate the effect of aliskiren, a direct renin inhibitor, for the prophylaxis of experimental CIN in the r...

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Veröffentlicht in:Kidney & blood pressure research 2012-01, Vol.35 (6), p.425-430
Hauptverfasser: Kedrah, Alla Eldeen, Ari, Elif, Alahdab, Yesim, Gul, Cuma Bulent, Macunluoglu, Beyza, Atakan, Aydin, Asicioglu, Ebru, Cakalagaoglu, Fulya, Koc, Mehmet
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container_end_page 430
container_issue 6
container_start_page 425
container_title Kidney & blood pressure research
container_volume 35
creator Kedrah, Alla Eldeen
Ari, Elif
Alahdab, Yesim
Gul, Cuma Bulent
Macunluoglu, Beyza
Atakan, Aydin
Asicioglu, Ebru
Cakalagaoglu, Fulya
Koc, Mehmet
description Background: Renal vasoconstriction, activated by the renin-angiotensin system, plays a pivotal role in the pathogenesis of contrast-induced nephropathy (CIN). The purpose of this study was to evaluate the effect of aliskiren, a direct renin inhibitor, for the prophylaxis of experimental CIN in the rat. Methods: Thirty-two Wistar albino rats were divided into four groups of 8 rats each, namely the control (C), aliskiren (A), contrast media (CM) and aliskiren plus contrast media (ACM) groups. Aliskiren was given orally at a dose of 50 mg/kg/day once daily for 5 consecutive days. CIN was induced by intravenous administration of indomethacin, N-nitro-L-arginine methyl ester and high-osmolar contrast medium meglumine amidotrizoate. Renal function parameters, kidney histology and tubular expression of vascular endothelial growth factor were determined. Results: Mean serum creatinine was significantly lower (p < 0.001) and mean creatinine clearance was higher (p < 0.001) in the ACM group compared with the CM group. However, there were no differences between the ACM and CM groups in terms of tubular necrosis, proteinaceous casts, medullary congestion and vascular endothelial growth factor expression. Conclusion: Our preliminary data seem to suggest a potential role of aliskiren for the prophylaxis of CIN in an experimental rat model.
doi_str_mv 10.1159/000336104
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The purpose of this study was to evaluate the effect of aliskiren, a direct renin inhibitor, for the prophylaxis of experimental CIN in the rat. Methods: Thirty-two Wistar albino rats were divided into four groups of 8 rats each, namely the control (C), aliskiren (A), contrast media (CM) and aliskiren plus contrast media (ACM) groups. Aliskiren was given orally at a dose of 50 mg/kg/day once daily for 5 consecutive days. CIN was induced by intravenous administration of indomethacin, N-nitro-L-arginine methyl ester and high-osmolar contrast medium meglumine amidotrizoate. Renal function parameters, kidney histology and tubular expression of vascular endothelial growth factor were determined. Results: Mean serum creatinine was significantly lower (p &lt; 0.001) and mean creatinine clearance was higher (p &lt; 0.001) in the ACM group compared with the CM group. However, there were no differences between the ACM and CM groups in terms of tubular necrosis, proteinaceous casts, medullary congestion and vascular endothelial growth factor expression. Conclusion: Our preliminary data seem to suggest a potential role of aliskiren for the prophylaxis of CIN in an experimental rat model.</description><identifier>ISSN: 1420-4096</identifier><identifier>EISSN: 1423-0143</identifier><identifier>DOI: 10.1159/000336104</identifier><identifier>PMID: 22677784</identifier><identifier>CODEN: RPBIEL</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Amides - pharmacology ; Amides - therapeutic use ; Animals ; Contrast Media - toxicity ; Fumarates - pharmacology ; Fumarates - therapeutic use ; Kidney Diseases - chemically induced ; Kidney Diseases - pathology ; Kidney Diseases - prevention &amp; control ; Male ; Original Paper ; Random Allocation ; Rats ; Rats, Wistar ; Renin - antagonists &amp; inhibitors ; Renin - metabolism ; Treatment Outcome</subject><ispartof>Kidney &amp; blood pressure research, 2012-01, Vol.35 (6), p.425-430</ispartof><rights>2012 S. Karger AG, Basel</rights><rights>Copyright © 2012 S. Karger AG, Basel.</rights><rights>Copyright (c) 2013 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-9c5c38effdb89e039fb5e3b33ba37377eca5805de95b36fa723760fbef63da1d3</citedby><cites>FETCH-LOGICAL-c369t-9c5c38effdb89e039fb5e3b33ba37377eca5805de95b36fa723760fbef63da1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22677784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kedrah, Alla Eldeen</creatorcontrib><creatorcontrib>Ari, Elif</creatorcontrib><creatorcontrib>Alahdab, Yesim</creatorcontrib><creatorcontrib>Gul, Cuma Bulent</creatorcontrib><creatorcontrib>Macunluoglu, Beyza</creatorcontrib><creatorcontrib>Atakan, Aydin</creatorcontrib><creatorcontrib>Asicioglu, Ebru</creatorcontrib><creatorcontrib>Cakalagaoglu, Fulya</creatorcontrib><creatorcontrib>Koc, Mehmet</creatorcontrib><title>Effect of the Direct Renin Inhibitor Aliskiren in the Prevention of Experimental Contrast-Induced Nephropathy in the Rat</title><title>Kidney &amp; blood pressure research</title><addtitle>Kidney Blood Press Res</addtitle><description>Background: Renal vasoconstriction, activated by the renin-angiotensin system, plays a pivotal role in the pathogenesis of contrast-induced nephropathy (CIN). 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blood pressure research</jtitle><addtitle>Kidney Blood Press Res</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>35</volume><issue>6</issue><spage>425</spage><epage>430</epage><pages>425-430</pages><issn>1420-4096</issn><eissn>1423-0143</eissn><coden>RPBIEL</coden><abstract>Background: Renal vasoconstriction, activated by the renin-angiotensin system, plays a pivotal role in the pathogenesis of contrast-induced nephropathy (CIN). The purpose of this study was to evaluate the effect of aliskiren, a direct renin inhibitor, for the prophylaxis of experimental CIN in the rat. Methods: Thirty-two Wistar albino rats were divided into four groups of 8 rats each, namely the control (C), aliskiren (A), contrast media (CM) and aliskiren plus contrast media (ACM) groups. Aliskiren was given orally at a dose of 50 mg/kg/day once daily for 5 consecutive days. CIN was induced by intravenous administration of indomethacin, N-nitro-L-arginine methyl ester and high-osmolar contrast medium meglumine amidotrizoate. Renal function parameters, kidney histology and tubular expression of vascular endothelial growth factor were determined. Results: Mean serum creatinine was significantly lower (p &lt; 0.001) and mean creatinine clearance was higher (p &lt; 0.001) in the ACM group compared with the CM group. However, there were no differences between the ACM and CM groups in terms of tubular necrosis, proteinaceous casts, medullary congestion and vascular endothelial growth factor expression. Conclusion: Our preliminary data seem to suggest a potential role of aliskiren for the prophylaxis of CIN in an experimental rat model.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>22677784</pmid><doi>10.1159/000336104</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Amides - pharmacology
Amides - therapeutic use
Animals
Contrast Media - toxicity
Fumarates - pharmacology
Fumarates - therapeutic use
Kidney Diseases - chemically induced
Kidney Diseases - pathology
Kidney Diseases - prevention & control
Male
Original Paper
Random Allocation
Rats
Rats, Wistar
Renin - antagonists & inhibitors
Renin - metabolism
Treatment Outcome
title Effect of the Direct Renin Inhibitor Aliskiren in the Prevention of Experimental Contrast-Induced Nephropathy in the Rat
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