PMID- 19633569 OWN - NLM STAT- MEDLINE DCOM- 20091123 LR - 20191224 IS - 1473-5598 (Electronic) IS - 0263-6352 (Linking) VI - 27 IP - 9 DP - 2009 Sep TI - Inhibitory effects of a dihydropyridine calcium channel blocker on renal injury in aldosterone-infused rats. PG - 1855-62 LID - 10.1097/HJH.0b013e32832dda6f [doi] AB - OBJECTIVES: Recent in-vitro studies demonstrated that dihydropyridine calcium channel blockers have direct mineralocorticoid receptor antagonistic activity. The present study was conducted to examine the effects of a dihydropyridine calcium channel blocker, azelnidipine, on aldosterone-induced oxidative stress and renal injury. METHODS AND RESULTS: Uninephrectomized rats subjected to 6 weeks treatment with aldosterone (0.75 microg/h, subcutaneous) and 1% NaCl (in drinking water) showed higher systolic blood pressure (SBP), urinary excretion of protein (UproteinV), glomerular cell proliferation and renal interstitial fibrosis than vehicle (2% ethanol)-infused rats. Aldosterone-induced renal injury was associated with increased renal cortical content of thiobarbituric acid-reactive substances (TBARS), NAD(P)H oxidase complex formation and mRNA expression of NAD(P)H oxidase membrane components (p22 and gp91). Administration of azelnidipine [3 mg/kg per day, orally (p.o.)] markedly attenuated the aldosterone-induced increases in SBP, UproteinV, renal cortical tissues TBARS content, NAD(P)H oxidase complex formation, mRNA levels of p22 and gp91, and morphological changes. In aldosterone-infused rats, treatment with a nonspecific vasodilator, hydralazine (5 mg/kg per day in drinking water) resulted in a reduction in SBP similar to azelnidipine; however, it did not affect any renal parameters. Treatment with azelnidipine suppressed aldosterone/mineralocorticoid receptor-dependent but not mineralocorticoid receptor-independent superoxide production in cultured rat mesangial cells. CONCLUSION: These data suggest that dihydropyridine calcium channel blockers may elicit marked amelioration of aldosterone-induced renal injury through their inhibitory effects on NAD(P)H oxidase-dependent oxidative stress. FAU - Fan, Yu-Yan AU - Fan YY AD - Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Japan. FAU - Kohno, Masakazu AU - Kohno M FAU - Nakano, Daisuke AU - Nakano D FAU - Hitomi, Hirofumi AU - Hitomi H FAU - Nagai, Yukiko AU - Nagai Y FAU - Fujisawa, Yoshihide AU - Fujisawa Y FAU - Lu, Xiao-Mei AU - Lu XM FAU - Fu, Hua AU - Fu H FAU - Du, Jun AU - Du J FAU - Ohmori, Koji AU - Ohmori K FAU - Hosomi, Naohisa AU - Hosomi N FAU - Kimura, Shoji AU - Kimura S FAU - Kiyomoto, Hideyasu AU - Kiyomoto H FAU - Nishiyama, Akira AU - Nishiyama A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Hypertens JT - Journal of hypertension JID - 8306882 RN - 0 (CCN2 protein, rat) RN - 0 (Calcium Channel Blockers) RN - 0 (Collagen Type IV) RN - 0 (Dihydropyridines) RN - 0 (Reactive Oxygen Species) RN - 0 (Thiobarbituric Acid Reactive Substances) RN - 0 (Transforming Growth Factor beta) RN - 104821-25-2 (dihydroethidium) RN - 139568-91-5 (Connective Tissue Growth Factor) RN - 4964P6T9RB (Aldosterone) RN - 5GZ3E0L9ZU (Azetidinecarboxylic Acid) RN - AYI8EX34EU (Creatinine) RN - EC 1.6.3.- (NADPH Oxidases) RN - EN464416SI (Ethidium) RN - PV23P19YUG (azelnidipine) SB - IM MH - Aldosterone MH - Animals MH - Azetidinecarboxylic Acid/*analogs & derivatives/pharmacology/therapeutic use MH - Blood Pressure MH - Body Weight/drug effects MH - Calcium Channel Blockers/pharmacology/*therapeutic use MH - Collagen Type IV/metabolism MH - Connective Tissue Growth Factor/metabolism MH - Creatinine/blood/urine MH - Dihydropyridines/pharmacology/*therapeutic use MH - Ethidium/analogs & derivatives MH - Gene Expression MH - Kidney/pathology MH - Kidney Diseases/metabolism/pathology/*prevention & control MH - Male MH - Mesangial Cells/drug effects/metabolism MH - NADPH Oxidases/*antagonists & inhibitors/metabolism MH - Organ Size/drug effects MH - Proteinuria/urine MH - Rats MH - Rats, Sprague-Dawley MH - Reactive Oxygen Species/*metabolism MH - Thiobarbituric Acid Reactive Substances/metabolism MH - Transforming Growth Factor beta/metabolism EDAT- 2009/07/28 09:00 MHDA- 2009/12/16 06:00 CRDT- 2009/07/28 09:00 PHST- 2009/07/28 09:00 [entrez] PHST- 2009/07/28 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - 10.1097/HJH.0b013e32832dda6f [doi] PST - ppublish SO - J Hypertens. 2009 Sep;27(9):1855-62. doi: 10.1097/HJH.0b013e32832dda6f.