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10.1042/CS20160197

http://scihub22266oqcxt.onion/10.1042/CS20160197
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27129187!ä!27129187

suck abstract from ncbi


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pmid27129187      Clin+Sci+(Lond) 2016 ; 130 (14): 1209-20
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  • Blood pressure-independent renoprotection in diabetic rats treated with AT1 receptor-neprilysin inhibition compared with AT1 receptor blockade alone #MMPMID27129187
  • Roksnoer LC; van Veghel R; Clahsen-van Groningen MC; de Vries R; Garrelds IM; Bhaggoe UM; van Gool JM; Friesema EC; Leijten FP; Hoorn EJ; Danser AH; Batenburg WW
  • Clin Sci (Lond) 2016[Jul]; 130 (14): 1209-20 PMID27129187show ga
  • ARNI [dual AT1 (angiotensin II type 1) receptor-neprilysin inhibition] exerts beneficial effects on blood pressure and kidney function in heart failure, compared with ARB (AT1 receptor blockade) alone. We hypothesized that ARNI improves cardiac and kidney parameters in diabetic TGR(mREN2)27 rats, an angiotensin II-dependent hypertension model. Rats were made diabetic with streptozotocin for 5 or 12 weeks. In the final 3 weeks, rats were treated with vehicle, irbesartan (ARB) or irbesartan+thiorphan (ARNI). Blood pressure, measured by telemetry in the 5-week group, was lowered identically by ARB and ARNI. The heart weight/tibia length ratio in 12-week diabetic animals was lower after ARNI compared with after ARB. Proteinuria and albuminuria were observed from 8 weeks of diabetes onwards. ARNI reduced proteinuria more strongly than ARB, and a similar trend was seen for albuminuria. Kidneys of ARNI-treated animals showed less severe segmental glomerulosclerosis than those of ARB-treated animals. After 12 weeks, no differences between ARNI- and ARB-treated animals were found regarding diuresis, natriuresis, plasma endothelin-1, vascular reactivity (acetylcholine response) or kidney sodium transporters. Only ARNI-treated rats displayed endothelin type B receptor-mediated vasodilation. In conclusion, ARNI reduces proteinuria, glomerulosclerosis and heart weight in diabetic TGR(mREN2)27 rats more strongly than does ARB, and this occurs independently of blood pressure.
  • |Aminobutyrates/therapeutic use[MESH]
  • |Angiotensin II Type 1 Receptor Blockers/*therapeutic use[MESH]
  • |Animals[MESH]
  • |Atrial Natriuretic Factor/blood[MESH]
  • |Biphenyl Compounds[MESH]
  • |Blood Pressure/drug effects/*physiology[MESH]
  • |Diabetes Mellitus, Experimental/*drug therapy[MESH]
  • |Diabetic Nephropathies/*prevention & control[MESH]
  • |Drug Combinations[MESH]
  • |Neprilysin/*antagonists & inhibitors[MESH]
  • |Rats[MESH]
  • |Rats, Sprague-Dawley[MESH]
  • |Streptozocin[MESH]
  • |Tetrazoles/therapeutic use[MESH]


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