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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Soc+Nephrol
2014 ; 25
(4
): 717-25
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gab.com Text
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Hydrogen sulfide attenuates sFlt1-induced hypertension and renal damage by
upregulating vascular endothelial growth factor
#MMPMID24335973
Holwerda KM
; Burke SD
; Faas MM
; Zsengeller Z
; Stillman IE
; Kang PM
; van Goor H
; McCurley A
; Jaffe IZ
; Karumanchi SA
; Lely AT
J Am Soc Nephrol
2014[Apr]; 25
(4
): 717-25
PMID24335973
show ga
Soluble fms-like tyrosine kinase 1 (sFlt1), a circulating antiangiogenic protein,
is elevated in kidney diseases and contributes to the development of
preeclampsia. Hydrogen sulfide is a vasorelaxant and proangiogenic gas with
therapeutic potential in several diseases. Therefore, we evaluated the potential
therapeutic effect and mechanisms of action of hydrogen sulfide in an animal
model of sFlt1-induced hypertension, proteinuria, and glomerular endotheliosis
created by adenovirus-mediated overexpression of sFlt1 in Sprague-Dawley rats. We
injected sFlt1-overexpressing animals intraperitoneally with the hydrogen
sulfide-donor sodium hydrosulfide (NaHS) (50 µmol/kg, twice daily) or vehicle
(n=7 per group). Treatment with NaHS for 8 days significantly reduced
sFlt1-induced hypertension, proteinuria, and glomerular endotheliosis.
Measurement of plasma protein concentrations with ELISA revealed a reduction of
free plasma sFlt1 and an increase of free plasma vascular endothelial growth
factor (VEGF) after treatment with NaHS. Renal VEGF-A mRNA expression increased
significantly with NaHS treatment. In vitro, NaHS was proangiogenic in an
endothelial tube assay and attenuated the antiangiogenic effects of sFlt1.
Stimulation of podocytes with NaHS resulted in both short-term VEGF release (120
minutes) and upregulation of VEGF-A mRNA levels (24 hours). Furthermore,
pretreatment of mesenteric vessels with a VEGF receptor 2-neutralizing antibody
significantly attenuated NaHS-induced vasodilation. These results suggest that
hydrogen sulfide ameliorates sFlt1-induced hypertension, proteinuria, and
glomerular endotheliosis in rats by increasing VEGF expression. Further studies
are warranted to evaluate the role of hydrogen sulfide as a novel therapeutic
agent for vascular disorders such as preeclampsia.