Increased Oxidative Stress in Experimental Renovascular Hypertension

The pathophysiological mechanisms responsible for maintenance of chronic renovascular hypertension remain undefined. Excess angiotensin II generation may lead to release of reactive oxygen species and increased vasoconstrictor activity. To examine the potential involvement of oxidation-sensitive mec...

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Veröffentlicht in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2001-02, Vol.37 (2, Part 2 Suppl), p.541-546
Hauptverfasser: Lerman, Lilach O, Nath, Karl A, Rodriguez-Porcel, Martin, Krier, James D, Schwartz, Robert S, Napoli, Claudio, Romero, J Carlos
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container_end_page 546
container_issue 2, Part 2 Suppl
container_start_page 541
container_title Hypertension (Dallas, Tex. 1979)
container_volume 37
creator Lerman, Lilach O
Nath, Karl A
Rodriguez-Porcel, Martin
Krier, James D
Schwartz, Robert S
Napoli, Claudio
Romero, J Carlos
description The pathophysiological mechanisms responsible for maintenance of chronic renovascular hypertension remain undefined. Excess angiotensin II generation may lead to release of reactive oxygen species and increased vasoconstrictor activity. To examine the potential involvement of oxidation-sensitive mechanisms in the pathophysiology of renovascular hypertension, blood samples were collected and renal blood flow measured with electron-beam computed tomography in pigs 5 and 10 weeks after induction of unilateral renal artery stenosis (n=7) or sham operation (n=7). Five weeks after procedure, plasma renin activity and mean arterial pressure were elevated in hypertensive pigs. Levels of prostaglandin F2α (PGF2α)–isoprostanes, vasoconstrictors and markers of oxidative stress, also were significantly increased (157±21 versus 99±16 pg/mL;P
doi_str_mv 10.1161/01.hyp.37.2.541
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Excess angiotensin II generation may lead to release of reactive oxygen species and increased vasoconstrictor activity. To examine the potential involvement of oxidation-sensitive mechanisms in the pathophysiology of renovascular hypertension, blood samples were collected and renal blood flow measured with electron-beam computed tomography in pigs 5 and 10 weeks after induction of unilateral renal artery stenosis (n=7) or sham operation (n=7). Five weeks after procedure, plasma renin activity and mean arterial pressure were elevated in hypertensive pigs. Levels of prostaglandin F2α (PGF2α)–isoprostanes, vasoconstrictors and markers of oxidative stress, also were significantly increased (157±21 versus 99±16 pg/mL;P &lt;0.05) and correlated with both plasma renin activity (r =0.83) and arterial pressure (r =0.82). By 10 weeks, plasma renin activity returned to baseline but arterial pressure remained elevated (144±10 versus 115±5 mm Hg;P &lt;0.05). Isoprostane levels remained high and still correlated directly with the increase in arterial pressure (r =0.7) but not with plasma renin activity. Stenotic kidney blood flow was decreased at both studies. In shock-frozen cortical tissue, ex vivo endogenous intracellular radical scavengers were significantly decreased in both kidneys. The present study demonstrates, for the first time, that in early renovascular hypertension, an increase in plasma renin activity and arterial pressure is associated with increased systemic oxidative stress. When plasma renin activity later declines, PGF2α-isoprostanes remain elevated, possibly due to local activation or slow responses to angiotensin II, and may participate in sustenance of arterial pressure. 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Excess angiotensin II generation may lead to release of reactive oxygen species and increased vasoconstrictor activity. To examine the potential involvement of oxidation-sensitive mechanisms in the pathophysiology of renovascular hypertension, blood samples were collected and renal blood flow measured with electron-beam computed tomography in pigs 5 and 10 weeks after induction of unilateral renal artery stenosis (n=7) or sham operation (n=7). Five weeks after procedure, plasma renin activity and mean arterial pressure were elevated in hypertensive pigs. Levels of prostaglandin F2α (PGF2α)–isoprostanes, vasoconstrictors and markers of oxidative stress, also were significantly increased (157±21 versus 99±16 pg/mL;P &lt;0.05) and correlated with both plasma renin activity (r =0.83) and arterial pressure (r =0.82). By 10 weeks, plasma renin activity returned to baseline but arterial pressure remained elevated (144±10 versus 115±5 mm Hg;P &lt;0.05). Isoprostane levels remained high and still correlated directly with the increase in arterial pressure (r =0.7) but not with plasma renin activity. Stenotic kidney blood flow was decreased at both studies. In shock-frozen cortical tissue, ex vivo endogenous intracellular radical scavengers were significantly decreased in both kidneys. The present study demonstrates, for the first time, that in early renovascular hypertension, an increase in plasma renin activity and arterial pressure is associated with increased systemic oxidative stress. When plasma renin activity later declines, PGF2α-isoprostanes remain elevated, possibly due to local activation or slow responses to angiotensin II, and may participate in sustenance of arterial pressure. Moreover, oxidation-sensitive mechanisms may influence ischemic and hypertensive parenchymal renal injury.</description><subject>Animals</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Cardiology. Vascular system</subject><subject>Dinoprost - analogs &amp; derivatives</subject><subject>Dinoprost - blood</subject><subject>Experimental diseases</subject><subject>F2-Isoprostanes</subject><subject>Female</subject><subject>Free Radical Scavengers - analysis</subject><subject>Hypertension, Renovascular - blood</subject><subject>Hypertension, Renovascular - etiology</subject><subject>Hypertension, Renovascular - physiopathology</subject><subject>Kidney Cortex - blood supply</subject><subject>Kidney Cortex - metabolism</subject><subject>Medical sciences</subject><subject>Oxidative Stress</subject><subject>Renal Artery Obstruction - complications</subject><subject>Renal Circulation</subject><subject>Renin - blood</subject><subject>Swine</subject><subject>Thiobarbituric Acid Reactive Substances - analysis</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN9rFDEQx4Mo9qw--yaLBd92m8nPzaPU1isUWqqCPoVcdpbbmsueyW7b--9NvUPBlwwkn5nM50vIW6ANgIJTCs16t224blgjBTwjC5BM1EIq_pwsKBhRG4DvR-RVzneUghBCvyRHAIxTztmCfLqMPqHL2FXXj0PnpuEeqy9TwpyrIVbnj1tMwwbj5EJ1i3G8d9nPwaVquSsvE8Y8jPE1edG7kPHNoR6TbxfnX8-W9dX158uzj1e1L7vpupUrLyV62Xlj_KrnDhXoTigtWS-oBnRGG4NipbqWdoZiq6RiTmCLVKPmx-TDfu42jb9mzJPdDNljCC7iOGerlWlpsSzg-__Au3FOsexmGZUcQLaiQKd7yKcx54S93RZVl3YWqH1K11Kwyx83lmvLbDEoHe8OY-fVBrt__CHOApwcgBKTC31y0Q_5L2ckhT8fiz31MIYJU_4Z5gdMdo0uTGtbBKhgqq1ZMaFPR11uuOa_AafEkQw</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Lerman, Lilach O</creator><creator>Nath, Karl A</creator><creator>Rodriguez-Porcel, Martin</creator><creator>Krier, James D</creator><creator>Schwartz, Robert S</creator><creator>Napoli, Claudio</creator><creator>Romero, J Carlos</creator><general>American Heart Association, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200102</creationdate><title>Increased Oxidative Stress in Experimental Renovascular Hypertension</title><author>Lerman, Lilach O ; Nath, Karl A ; Rodriguez-Porcel, Martin ; Krier, James D ; Schwartz, Robert S ; Napoli, Claudio ; Romero, J Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5417-85bc55ec5dc99cbf3ae617d46752f4071ea9799e4b6d80d90e86562a4e8e07e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Animals</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Cardiology. Vascular system</topic><topic>Dinoprost - analogs &amp; derivatives</topic><topic>Dinoprost - blood</topic><topic>Experimental diseases</topic><topic>F2-Isoprostanes</topic><topic>Female</topic><topic>Free Radical Scavengers - analysis</topic><topic>Hypertension, Renovascular - blood</topic><topic>Hypertension, Renovascular - etiology</topic><topic>Hypertension, Renovascular - physiopathology</topic><topic>Kidney Cortex - blood supply</topic><topic>Kidney Cortex - metabolism</topic><topic>Medical sciences</topic><topic>Oxidative Stress</topic><topic>Renal Artery Obstruction - complications</topic><topic>Renal Circulation</topic><topic>Renin - blood</topic><topic>Swine</topic><topic>Thiobarbituric Acid Reactive Substances - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lerman, Lilach O</creatorcontrib><creatorcontrib>Nath, Karl A</creatorcontrib><creatorcontrib>Rodriguez-Porcel, Martin</creatorcontrib><creatorcontrib>Krier, James D</creatorcontrib><creatorcontrib>Schwartz, Robert S</creatorcontrib><creatorcontrib>Napoli, Claudio</creatorcontrib><creatorcontrib>Romero, J Carlos</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lerman, Lilach O</au><au>Nath, Karl A</au><au>Rodriguez-Porcel, Martin</au><au>Krier, James D</au><au>Schwartz, Robert S</au><au>Napoli, Claudio</au><au>Romero, J Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased Oxidative Stress in Experimental Renovascular Hypertension</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2001-02</date><risdate>2001</risdate><volume>37</volume><issue>2, Part 2 Suppl</issue><spage>541</spage><epage>546</epage><pages>541-546</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>The pathophysiological mechanisms responsible for maintenance of chronic renovascular hypertension remain undefined. 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Isoprostane levels remained high and still correlated directly with the increase in arterial pressure (r =0.7) but not with plasma renin activity. Stenotic kidney blood flow was decreased at both studies. In shock-frozen cortical tissue, ex vivo endogenous intracellular radical scavengers were significantly decreased in both kidneys. The present study demonstrates, for the first time, that in early renovascular hypertension, an increase in plasma renin activity and arterial pressure is associated with increased systemic oxidative stress. When plasma renin activity later declines, PGF2α-isoprostanes remain elevated, possibly due to local activation or slow responses to angiotensin II, and may participate in sustenance of arterial pressure. 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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Animals
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Dinoprost - analogs & derivatives
Dinoprost - blood
Experimental diseases
F2-Isoprostanes
Female
Free Radical Scavengers - analysis
Hypertension, Renovascular - blood
Hypertension, Renovascular - etiology
Hypertension, Renovascular - physiopathology
Kidney Cortex - blood supply
Kidney Cortex - metabolism
Medical sciences
Oxidative Stress
Renal Artery Obstruction - complications
Renal Circulation
Renin - blood
Swine
Thiobarbituric Acid Reactive Substances - analysis
title Increased Oxidative Stress in Experimental Renovascular Hypertension
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