(Pro)renin Receptor Blockade Ameliorates Heart Failure Caused by Chronic Kidney Disease

The (pro)renin receptor [(P)RR)] is involved in the activation of local renin-angiotensin system and subsequent development of cardiovascular disease. We investigated the therapeutic effect of a (P)RR blocker, handle-region peptide (HRP), on chronic kidney disease (CKD)–associated heart failure. CKD...

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Veröffentlicht in:Journal of cardiac failure 2019-04, Vol.25 (4), p.286-300
Hauptverfasser: Yoshida, Akihiro, Kanamori, Hiromitsu, Naruse, Genki, Minatoguchi, Shingo, Iwasa, Masamitsu, Yamada, Yoshihisa, Mikami, Atsushi, Kawasaki, Masanori, Nishigaki, Kazuhiko, Minatoguchi, Shinya
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container_end_page 300
container_issue 4
container_start_page 286
container_title Journal of cardiac failure
container_volume 25
creator Yoshida, Akihiro
Kanamori, Hiromitsu
Naruse, Genki
Minatoguchi, Shingo
Iwasa, Masamitsu
Yamada, Yoshihisa
Mikami, Atsushi
Kawasaki, Masanori
Nishigaki, Kazuhiko
Minatoguchi, Shinya
description The (pro)renin receptor [(P)RR)] is involved in the activation of local renin-angiotensin system and subsequent development of cardiovascular disease. We investigated the therapeutic effect of a (P)RR blocker, handle-region peptide (HRP), on chronic kidney disease (CKD)–associated heart failure. CKD was induced in C57BL/6J mice by means of five-sixths nephrectomy. Eight weeks later, cardiac dysfunction and cardiac dilatation with hypertension developed. Mice were then assigned to 1 of the 3 following groups: vehicle, low-dose (0.01 mg·kg−1·d−1) HRP, or high-dose (0.3 mg·kg−1·d−1) HRP for 4 weeks. High-dose HRP treatment reversed left ventricular dilation and significantly improved cardiac dysfunction with ameliorated hypertension compared with the vehicle. The hearts with high-dose HRP treatment showed significant attenuation of cardiac fibrosis, cardiomyocyte hypertrophy, macrophage infiltration, and oxidative DNA damage. This treatment decreased the myocardial expressions of angiotensin (Ang) II, Ang II type 1 receptor, transforming growth factor β1, extracellular matrix–related proteins, and lipid peroxidation. Autophagy was activated in the cardiomyocyte from nephrectomized mice, but HRP treatment had no effect on cardiomyocyte autophagy. This study indicates that (P)PR blockade is a beneficial strategy by suppressing cardiac fibrosis and hypertrophy to ameliorate heart failure caused by CKD.
doi_str_mv 10.1016/j.cardfail.2019.02.009
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We investigated the therapeutic effect of a (P)RR blocker, handle-region peptide (HRP), on chronic kidney disease (CKD)–associated heart failure. CKD was induced in C57BL/6J mice by means of five-sixths nephrectomy. Eight weeks later, cardiac dysfunction and cardiac dilatation with hypertension developed. Mice were then assigned to 1 of the 3 following groups: vehicle, low-dose (0.01 mg·kg−1·d−1) HRP, or high-dose (0.3 mg·kg−1·d−1) HRP for 4 weeks. High-dose HRP treatment reversed left ventricular dilation and significantly improved cardiac dysfunction with ameliorated hypertension compared with the vehicle. The hearts with high-dose HRP treatment showed significant attenuation of cardiac fibrosis, cardiomyocyte hypertrophy, macrophage infiltration, and oxidative DNA damage. This treatment decreased the myocardial expressions of angiotensin (Ang) II, Ang II type 1 receptor, transforming growth factor β1, extracellular matrix–related proteins, and lipid peroxidation. Autophagy was activated in the cardiomyocyte from nephrectomized mice, but HRP treatment had no effect on cardiomyocyte autophagy. 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We investigated the therapeutic effect of a (P)RR blocker, handle-region peptide (HRP), on chronic kidney disease (CKD)–associated heart failure. CKD was induced in C57BL/6J mice by means of five-sixths nephrectomy. Eight weeks later, cardiac dysfunction and cardiac dilatation with hypertension developed. Mice were then assigned to 1 of the 3 following groups: vehicle, low-dose (0.01 mg·kg−1·d−1) HRP, or high-dose (0.3 mg·kg−1·d−1) HRP for 4 weeks. High-dose HRP treatment reversed left ventricular dilation and significantly improved cardiac dysfunction with ameliorated hypertension compared with the vehicle. The hearts with high-dose HRP treatment showed significant attenuation of cardiac fibrosis, cardiomyocyte hypertrophy, macrophage infiltration, and oxidative DNA damage. This treatment decreased the myocardial expressions of angiotensin (Ang) II, Ang II type 1 receptor, transforming growth factor β1, extracellular matrix–related proteins, and lipid peroxidation. Autophagy was activated in the cardiomyocyte from nephrectomized mice, but HRP treatment had no effect on cardiomyocyte autophagy. 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subjects (Pro)renin receptor
Animals
Blotting, Western
chronic kidney disease
Disease Models, Animal
Dose-Response Relationship, Drug
fibrosis
Heart Failure - diagnosis
Heart Failure - etiology
Heart Failure - prevention & control
hypertrophy
Immunohistochemistry
Male
Mice
Mice, Inbred C57BL
Mice, Transgenic
Microscopy, Electron
Myocardium - ultrastructure
Oligopeptides - administration & dosage
Receptors, Cell Surface - antagonists & inhibitors
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - drug therapy
Renal Insufficiency, Chronic - metabolism
title (Pro)renin Receptor Blockade Ameliorates Heart Failure Caused by Chronic Kidney Disease
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