Biomarkers of cardio-renal syndrome in uremic myocardiopathy animal model

Cardio-renal syndrome subtype 4 (CRS4) is a condition of primary chronic kidney disease that leads to reduction of cardiac function, ventricular hypertrophy, and risk of cardiovascular events. Objective: Our aim was to understand the mechanisms involved on the onset of CRS4. We used the nephrectomy...

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Veröffentlicht in:Brazilian Journal of Nephrology 2018-04, Vol.40 (2), p.105-111
Hauptverfasser: Dionísio, Laura Mattana, Luvizoto, Mateus Justi, Gribner, Caroline, Carneiro, Danielle, Carvalho, Viviane, Robes, Franciele, Sheidemantel, Marcos, Rego, Fabiane, Noronha, Lúcia de, Pecoits-Filho, Roberto, Hauser, Aline Borsato
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container_end_page 111
container_issue 2
container_start_page 105
container_title Brazilian Journal of Nephrology
container_volume 40
creator Dionísio, Laura Mattana
Luvizoto, Mateus Justi
Gribner, Caroline
Carneiro, Danielle
Carvalho, Viviane
Robes, Franciele
Sheidemantel, Marcos
Rego, Fabiane
Noronha, Lúcia de
Pecoits-Filho, Roberto
Hauser, Aline Borsato
description Cardio-renal syndrome subtype 4 (CRS4) is a condition of primary chronic kidney disease that leads to reduction of cardiac function, ventricular hypertrophy, and risk of cardiovascular events. Objective: Our aim was to understand the mechanisms involved on the onset of CRS4. We used the nephrectomy 5/6 (CKD) animal model and compared to control (SHAM). Serum biomarkers were analyzed at baseline, 4, and 8 weeks. After euthanasia, histology and immunohistochemistry were performed in the myocardium. Troponin I (TnI) was increased at 4 weeks (W) and 8W, but nt-proBNP showed no difference. The greater diameter of cardiomyocytes indicated left ventricular hypertrophy and the highest levels of TNF-α were found at 4W declining in 8W while fibrosis was more intense in 8W. Angiotensin expression showed an increase at 8W. TnI seems to reflect cardiac injury as a consequence of the CKD however nt-proBNP did not change because it reflects stretching. TNF-α characterized an inflammatory peak and fibrosis increased over time in a process connecting heart and kidneys. The angiotensin showed increased activity of the renin-angiotensin axis and corroborates the hypothesis that the inflammatory process and its involvement with CRS4. Therefore, this animal study reinforces the need for renin-angiotensin blockade strategies and the control of CKD to avoid the development of CRS4.
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The angiotensin showed increased activity of the renin-angiotensin axis and corroborates the hypothesis that the inflammatory process and its involvement with CRS4. 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subjects Animals
análises imunoistoquímicas, marcadores cardíacos
Biomarkers - blood
Cardio-Renal Syndrome - blood
Cardio-Renal Syndrome - etiology
Cardiomyopathies - blood
Cardiomyopathies - etiology
Disease Models, Animal
doenças renais
Male
Natriuretic Peptide, Brain - blood
Original
Peptide Fragments - blood
Rats
Rats, Wistar
síndrome cardiorrenal
Troponin I - blood
Tumor Necrosis Factor-alpha - blood
Uremia - blood
Uremia - complications
title Biomarkers of cardio-renal syndrome in uremic myocardiopathy animal model
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