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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 Nephrol+Dial+Transplant
2014 ; 29
(11
): 2028-35
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gab.com Text
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Treatment of established left ventricular hypertrophy with fibroblast growth
factor receptor blockade in an animal model of CKD
#MMPMID24875663
Di Marco GS
; Reuter S
; Kentrup D
; Grabner A
; Amaral AP
; Fobker M
; Stypmann J
; Pavenstädt H
; Wolf M
; Faul C
; Brand M
Nephrol Dial Transplant
2014[Nov]; 29
(11
): 2028-35
PMID24875663
show ga
BACKGROUND: Activation of fibroblast growth factor receptor (FGFR)-dependent
signalling by FGF23 may contribute to the complex pathogenesis of left
ventricular hypertrophy (LVH) in chronic kidney disease (CKD). Pan FGFR blockade
by PD173074 prevented development of LVH in the 5/6 nephrectomy rat model of CKD,
but its ability to treat and reverse established LVH is unknown. METHODS: CKD was
induced in rats by 5/6 nephrectomy. Two weeks later, rats began treatment with
vehicle (0.9% NaCl) or PD173074, 1 mg/kg once-daily for 3 weeks. Renal function
was determined by urine and blood analyses. Left ventricular (LV) structure and
function were determined by echocardiography, histopathology, staining for
myocardial fibrosis (Sirius-Red) and investigating cardiac gene expression
profiles by real-time PCR. RESULTS: Two weeks after inducing CKD by 5/6
nephrectomy, rats manifested higher (mean ± SEM) systolic blood pressure (208 ± 4
versus 139 ± 3 mmHg; P < 0.01), serum FGF23 levels (1023 ± 225 versus 199 ± 9
pg/mL; P < 0.01) and LV mass (292 ± 9 versus 220 ± 3 mg; P < 0.01) when compared
with sham-operated animals. Thereafter, 3 weeks of treatment with PD173074
compared with vehicle did not significantly change blood pressure, kidney
function or metabolic parameters, but significantly reduced LV mass (230 ± 14
versus 341 ± 33 mg; P < 0.01), myocardial fibrosis (2.5 ± 0.7 versus 5.4 ± 0.95%
staining/field; P < 0.01) and cardiac expression of genes associated with
pathological LVH, while significantly increasing ejection fraction (18 versus
2.5% post-treatment increase; P < 0.05). CONCLUSIONS: FGFR blockade improved
cardiac structure and function in 5/6 nephrectomy rats with previously
established LVH. These data support FGFR activation as a potentially modifiable,
blood pressure-independent molecular mechanism of LVH in CKD.