Candesartan and Insulin Reduce Renal Sympathetic Nerve Activity in Hypertensive Type 1 Diabetic Rats

The nonlinearity of cardiovascular regulation is higher in normal physiology, whereas several diseases are characterized by a reduction in this nonlinearity. Reduced nonlinearity of heart rate regulation is a robust risk factor for high mortality in patients with myocardial infarction. We investigat...

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Veröffentlicht in:Hypertension research 2008-10, Vol.31 (10), p.1941-1951
Hauptverfasser: Takimoto, Chie, Kumagai, Hiroo, Osaka, Motohisa, Sakata, Katsufumi, Onami, Toshiko, Kamayachi, Tadashi, Iigaya, Kamon, Hayashi, Koichi, Saruta, Takao, Itoh, Hiroshi
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container_end_page 1951
container_issue 10
container_start_page 1941
container_title Hypertension research
container_volume 31
creator Takimoto, Chie
Kumagai, Hiroo
Osaka, Motohisa
Sakata, Katsufumi
Onami, Toshiko
Kamayachi, Tadashi
Iigaya, Kamon
Hayashi, Koichi
Saruta, Takao
Itoh, Hiroshi
description The nonlinearity of cardiovascular regulation is higher in normal physiology, whereas several diseases are characterized by a reduction in this nonlinearity. Reduced nonlinearity of heart rate regulation is a robust risk factor for high mortality in patients with myocardial infarction. We investigated the changes in linear and nonlinear correlations of cardiovascular regulation after administering drugs in hypertensive diabetic rats. Type 1 diabetes was induced in rats by intraperitoneally injecting spontaneously hypertensive rats with streptozotocin. The animals were then divided into 4 groups and each group was given vehicle, candesartan, amlodipine, or insulin for 2 weeks. Blood pressure, heart rate, renal sympathetic nerve activity, and renal blood flow were simultaneously recorded in the conscious state, and the linear and nonlinear correlations were compared by using coherence and the mutual information method. Candesartan and amlodipine decreased blood pressure to a similar extent, but renal sympathetic nerve activity was significantly lower in the candesartan group than in the vehicle group. The renal sympathetic nerve activity in the insulin group was also lower than in the vehicle group. There were no significant differences in linear correlation among the 4 groups. In contrast, the nonlinear correlations between renal sympathetic nerve activity and blood pressure in the candesartan group and the insulin group were significantly higher than in the vehicle group. Candesartan and insulin decreased renal sympathetic nerve activity and increased the nonlinearity. These results suggest that reducing the activity of renin-angiotensin system and insulin that lowers blood glucose level may improve autonomic nervous system dysfunction and neurohumoral regulation of the cardiovascular system in diabetic hypertensive rats.
doi_str_mv 10.1291/hypres.31.1941
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Reduced nonlinearity of heart rate regulation is a robust risk factor for high mortality in patients with myocardial infarction. We investigated the changes in linear and nonlinear correlations of cardiovascular regulation after administering drugs in hypertensive diabetic rats. Type 1 diabetes was induced in rats by intraperitoneally injecting spontaneously hypertensive rats with streptozotocin. The animals were then divided into 4 groups and each group was given vehicle, candesartan, amlodipine, or insulin for 2 weeks. Blood pressure, heart rate, renal sympathetic nerve activity, and renal blood flow were simultaneously recorded in the conscious state, and the linear and nonlinear correlations were compared by using coherence and the mutual information method. Candesartan and amlodipine decreased blood pressure to a similar extent, but renal sympathetic nerve activity was significantly lower in the candesartan group than in the vehicle group. The renal sympathetic nerve activity in the insulin group was also lower than in the vehicle group. There were no significant differences in linear correlation among the 4 groups. In contrast, the nonlinear correlations between renal sympathetic nerve activity and blood pressure in the candesartan group and the insulin group were significantly higher than in the vehicle group. Candesartan and insulin decreased renal sympathetic nerve activity and increased the nonlinearity. 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The renal sympathetic nerve activity in the insulin group was also lower than in the vehicle group. There were no significant differences in linear correlation among the 4 groups. In contrast, the nonlinear correlations between renal sympathetic nerve activity and blood pressure in the candesartan group and the insulin group were significantly higher than in the vehicle group. Candesartan and insulin decreased renal sympathetic nerve activity and increased the nonlinearity. 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The renal sympathetic nerve activity in the insulin group was also lower than in the vehicle group. There were no significant differences in linear correlation among the 4 groups. In contrast, the nonlinear correlations between renal sympathetic nerve activity and blood pressure in the candesartan group and the insulin group were significantly higher than in the vehicle group. Candesartan and insulin decreased renal sympathetic nerve activity and increased the nonlinearity. These results suggest that reducing the activity of renin-angiotensin system and insulin that lowers blood glucose level may improve autonomic nervous system dysfunction and neurohumoral regulation of the cardiovascular system in diabetic hypertensive rats.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>19015602</pmid><doi>10.1291/hypres.31.1941</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Angiotensin II Type 1 Receptor Blockers - pharmacology
Animals
Benzimidazoles - pharmacology
Blood Glucose - drug effects
Blood Pressure - drug effects
Body Weight - drug effects
Diabetes Mellitus, Experimental - complications
Diabetes Mellitus, Experimental - drug therapy
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - drug therapy
Drug Therapy, Combination
Geriatrics/Gerontology
Health Promotion and Disease Prevention
Heart Rate - drug effects
Hyperglycemia - complications
Hyperglycemia - drug therapy
Hypertension, Renal - complications
Hypertension, Renal - drug therapy
Hypoglycemic Agents - pharmacology
Insulin - pharmacology
Internal Medicine
Kidney - innervation
Linear Models
Male
Medicine
Medicine & Public Health
Models, Cardiovascular
Nonlinear Dynamics
Obstetrics/Perinatology/Midwifery
original-article
Public Health
Rats
Rats, Inbred SHR
Sympathetic Nervous System - drug effects
Tetrazoles - pharmacology
title Candesartan and Insulin Reduce Renal Sympathetic Nerve Activity in Hypertensive Type 1 Diabetic Rats
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