PMID- 20490358 OWN - NLM STAT- MEDLINE DCOM- 20100817 LR - 20211203 IS - 1466-1861 (Electronic) IS - 0962-9351 (Print) IS - 0962-9351 (Linking) VI - 2010 DP - 2010 TI - The effect of chronic candesartan therapy on the metabolic profile and renal tissue cytokine levels in the obese Zucker rat. PG - 841343 LID - 10.1155/2010/841343 [doi] LID - 841343 AB - The effect of candesartan, an angiotensin-II type-1 receptor antagonist, on the metabolic profile and renal inflammation is unclear. We evaluated this relationship by feeding male lean (LZ) and obese (OZ) Zucker rats chow or chow with candesartan (23.5 mg/kg . diet) for 14 weeks (n = 6-8/treatment/body type). Candesartan reduced serum triglycerides, plasma creatinine, urine albumin, and renal cortical collagen and glycogen deposition in the OZ. An ELISA-based cytokine array revealed that candesartan normalized elevated renal interleukin (IL) 1-beta and monocyte chemoattractant protein-1 (MCP-1) levels in OZ. Nonetheless, candesartan impaired glucose tolerance, and did not lower blood insulin or glucose levels. Moreover, renal IL-1alpha, -2, -4, -6 and -10 tumor necrosis factor-alpha, interferon-gamma, were significantly reduced in OZ relative to LZ, and increased by candesartan. Furthermore, candesartan increased growth-regulated oncogene, transforming growth factor-beta1 and IL-18 in OZ kidneys to a level higher than LZ or untreated OZ. Candesartan did not affect renal cytokine levels in LZ. Overall, candesartan attenuated renal disease and improved renal function in OZ, despite mixed effects on metabolic factors and cytokines. Reduced plasma triglycerides and/or renal MCP-1 and IL-1beta may have had a role in this protection. However, these effects were clearly independent of any improvement in glucose tolerance. FAU - Ecelbarger, Carolyn M AU - Ecelbarger CM AD - Division of Endocrinology and Metabolism, Department of Medicine, Georgetown University, Washington, DC 20057, USA. FAU - Rash, Arjun AU - Rash A FAU - Sinha, Rajesh K AU - Sinha RK FAU - Tiwari, Swasti AU - Tiwari S LA - eng GR - R01 HL073193/HL/NHLBI NIH HHS/United States GR - HL073193/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100517 PL - United States TA - Mediators Inflamm JT - Mediators of inflammation JID - 9209001 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Benzimidazoles) RN - 0 (Biphenyl Compounds) RN - 0 (Cytokines) RN - 0 (Tetrazoles) RN - S8Q36MD2XX (candesartan) SB - IM MH - Angiotensin II Type 1 Receptor Blockers/*therapeutic use MH - Animals MH - Benzimidazoles/*therapeutic use MH - Biphenyl Compounds MH - Cytokines/*metabolism MH - Diet MH - Humans MH - *Kidney/metabolism/pathology/physiopathology MH - *Kidney Diseases/drug therapy/pathology/physiopathology MH - Male MH - Metabolic Syndrome/metabolism/physiopathology MH - Obesity/metabolism/physiopathology MH - Rats MH - Rats, Zucker MH - Tetrazoles/*therapeutic use PMC - PMC2872766 EDAT- 2010/05/22 06:00 MHDA- 2010/08/18 06:00 PMCR- 2010/05/17 CRDT- 2010/05/22 06:00 PHST- 2009/10/02 00:00 [received] PHST- 2010/01/27 00:00 [revised] PHST- 2010/03/05 00:00 [accepted] PHST- 2010/05/22 06:00 [entrez] PHST- 2010/05/22 06:00 [pubmed] PHST- 2010/08/18 06:00 [medline] PHST- 2010/05/17 00:00 [pmc-release] AID - 10.1155/2010/841343 [doi] PST - ppublish SO - Mediators Inflamm. 2010;2010:841343. doi: 10.1155/2010/841343. Epub 2010 May 17.