PMID- 32075042 OWN - NLM STAT- MEDLINE DCOM- 20210316 LR - 20210316 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 10 IP - 2 DP - 2020 Feb 14 TI - Sodium Thiosulfate in the Pregnant Dahl Salt-Sensitive Rat, a Model of Preeclampsia. LID - 10.3390/biom10020302 [doi] LID - 302 AB - Aberrant production of hydrogen sulfide (H(2)S) has been linked to preeclampsia. We hypothesized that sodium thiosulfate (STS), a H(2)S donor, reduces hypertension and proteinuria, and diminishes fetal growth restriction in the Dahl salt-sensitive (S) rat, a spontaneous model of superimposed preeclampsia. In addition to a control group (n = 13), two groups received STS via drinking water at a dose of 2 g (n = 9) or 3 g per kg body weight per day (n = 8) from gestational day (GD) 10 to 20. Uterine artery resistance index was measured (GD18), urinary protein excretion rate was determined (GD19), and blood pressure and fetal outcomes were evaluated (GD20). At 2 g, STS had no effect on preeclamptic symptoms or fetal outcome. At 3 g, STS reduced maternal hypertension (121.8 +/- 3.0 vs. 136.3 +/- 2.9), but increased proteinuria (89 +/- 15 vs. 56 +/- 5 mg/24h), and relative kidney weight (0.86 +/- 0.04 vs. 0.73 +/- 0.02%). Fetal/placental weight ratio was reduced (3.83 +/- 0.07 vs. 4.31 +/- 0.08) without affecting litter size. No differences in uterine artery flow or renal histological damage were noted across treatment groups. While these data suggest a promising antihypertensive effect that could imply prolongation of preeclamptic pregnancies, the unfavorable effects on proteinuria, kidney weight, and fetal/placental weight ratio implies that clinical implementation of STS is contra-indicated until safety for mother and child can be verified. FAU - Terstappen, Fieke AU - Terstappen F AD - Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508GA Utrecht, The Netherlands. AD - Department of Developmental Origins of Disease (DDOD), Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508GA Utrecht, The Netherlands. FAU - Clarke, Sinead M AU - Clarke SM AD - Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508GA Utrecht, The Netherlands. FAU - Joles, Jaap A AU - Joles JA AD - Department of Nephrology and Hypertension, University Medical Center Utrecht, 3508GA Utrecht, The Netherlands. FAU - Ross, Courtney A AU - Ross CA AD - Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA. FAU - Garrett, Michael R AU - Garrett MR AD - Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA. FAU - Minnion, Magdalena AU - Minnion M AD - Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK. AD - NIHR Southampton Biomedical Research Center, Southampton General Hospital, Southampton SO16 6YD, UK. FAU - Feelisch, Martin AU - Feelisch M AD - Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK. AD - NIHR Southampton Biomedical Research Center, Southampton General Hospital, Southampton SO16 6YD, UK. FAU - Goor, Harry van AU - Goor HV AD - Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, 9713GZ Groningen, The Netherlands. FAU - Sasser, Jennifer M AU - Sasser JM AD - Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA. FAU - Lely, A Titia AU - Lely AT AD - Department of Obstetrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508GA Utrecht, The Netherlands. LA - eng GR - 114024055/ZONMW_/ZonMw/Netherlands GR - 40-000703-97-12463/ZONMW_/ZonMw/Netherlands GR - 15O141/Nierstichting/International GR - 17OKK54/Nierstichting/International GR - R01 HL134711/HL/NHLBI NIH HHS/United States GR - R01 HL137673/HL/NHLBI NIH HHS/United States GR - P20 GM121334/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200214 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - 0 (Thiosulfates) RN - HX1032V43M (sodium thiosulfate) SB - IM MH - Animals MH - Blood Pressure/drug effects MH - Female MH - Fetal Growth Retardation/metabolism MH - Fetus/metabolism MH - Hypertension/metabolism MH - Kidney/metabolism MH - Placenta/blood supply/drug effects/metabolism MH - Pre-Eclampsia/*drug therapy/*metabolism/physiopathology MH - Pregnancy MH - Proteinuria/metabolism MH - Rats MH - Rats, Inbred Dahl MH - Thiosulfates/metabolism/*pharmacology MH - Uterine Artery/metabolism PMC - PMC7072460 OTO - NOTNLM OT - Dahl salt-sensitive rats OT - blood pressure OT - cardiovascular OT - fetal growth restriction OT - hydrogen sulfide OT - preeclampsia OT - sodium thiosulfate OT - therapeutics COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2020/02/23 06:00 MHDA- 2021/03/17 06:00 PMCR- 2020/02/01 CRDT- 2020/02/21 06:00 PHST- 2020/01/29 00:00 [received] PHST- 2020/02/12 00:00 [accepted] PHST- 2020/02/21 06:00 [entrez] PHST- 2020/02/23 06:00 [pubmed] PHST- 2021/03/17 06:00 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - biom10020302 [pii] AID - biomolecules-10-00302 [pii] AID - 10.3390/biom10020302 [doi] PST - epublish SO - Biomolecules. 2020 Feb 14;10(2):302. doi: 10.3390/biom10020302.