Increased Renal Dysfunction, Apoptosis, and Fibrogenesis Through Sympathetic Hyperactivity After Focal Cerebral Infarction

Sympathetic nervous system plays an important role in secondary injury of diseases. Accumulating evidence has observed association between ischemic stroke and renal dysfunction, but the mechanisms are incompletely clear. In this study, we investigated whether sympathetic hyperactivity can cause the...

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Veröffentlicht in:Translational stroke research 2022-08, Vol.13 (4), p.641-651
Hauptverfasser: Cai, Yingyuan, Lu, Xiaowei, Cheng, Xi, Lv, Qiushi, Xu, Gelin, Liu, Xinfeng
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container_issue 4
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Lu, Xiaowei
Cheng, Xi
Lv, Qiushi
Xu, Gelin
Liu, Xinfeng
description Sympathetic nervous system plays an important role in secondary injury of diseases. Accumulating evidence has observed association between ischemic stroke and renal dysfunction, but the mechanisms are incompletely clear. In this study, we investigated whether sympathetic hyperactivity can cause the development of renal dysfunction, apoptosis, and fibrogenesis after focal cerebral infarction. To determine the renal consequences of focal cerebral ischemia, we subjected a mice model of transient middle cerebral artery occlusion (tMCAO) and examined systolic blood pressure, heart rate, renal structure and function, serum catecholamine, and cortisol levels, and the expression of active caspase-3 bcl-2, bax, and phosphorylated p38 MAPK after 8 weeks. We also analyzed the relationship between insular cortex infarction and acute kidney injury (AKI) in 172 acute anterior circulation ischemic stroke (ACIS) patients. Transient right middle cerebral artery occlusion induced sympathetic hyperactivity, renal dysfunction, upregulation of apoptosis, and fibrogenesis in kidneys of mice. Metoprolol treatment relieves the development of renal injury. Study in stroke patients demonstrated that insular cortex infarction, especially the right insular cortex infarction, is an independent risk factor of AKI. Focal cerebral ischemia in mice leads to the development of renal injury driven by sympathetic hyperactivity. Right insular cortex infarction is an independent risk factor of AKI in older patients. Understanding the brain–kidney interaction after stroke would have clinical implications for the treatment and overall patient outcome.
doi_str_mv 10.1007/s12975-021-00900-w
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subjects Adrenergic receptors
Apoptosis
Biomedical and Life Sciences
Biomedicine
Cardiac arrhythmia
Cardiology
Carotid arteries
Catecholamines
Creatinine
Drinking water
Hormones
Hospitals
Hyperactivity
Hyperglycemia
Inflammation
Ischemia
Kidneys
Laboratory animals
Mortality
Neurology
Neurosciences
Neurosurgery
Original Article
Proteins
Stroke
Surgery
Traumatic brain injury
Vascular Surgery
Veins & arteries
title Increased Renal Dysfunction, Apoptosis, and Fibrogenesis Through Sympathetic Hyperactivity After Focal Cerebral Infarction
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