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10.1161/HYPERTENSIONAHA.116.07971

http://scihub22266oqcxt.onion/10.1161/HYPERTENSIONAHA.116.07971
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suck abstract from ncbi


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pmid27698062
      Hypertension 2016 ; 68 (5 ): 1308-1313
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  • Agonistic Autoantibodies to the Angiotensin II Type 1 Receptor Enhance Angiotensin II-Induced Renal Vascular Sensitivity and Reduce Renal Function During Pregnancy #MMPMID27698062
  • Cunningham MW Jr ; Williams JM ; Amaral L ; Usry N ; Wallukat G ; Dechend R ; LaMarca B
  • Hypertension 2016[Nov]; 68 (5 ): 1308-1313 PMID27698062 show ga
  • Preeclamptic women produce agonistic autoantibodies to the angiotensin II type 1 receptor (AT1-AA) and exhibit increased blood pressure (mean arterial pressure), vascular sensitivity to angiotensin II (ANG II), and display a decrease in renal function. The objective of this study was to examine the renal hemodynamic changes during pregnancy in the presence of AT1-AAs with or without a slow pressor dose of ANG II. In this study, mean arterial pressure was elevated in all pregnant rats treated with ANG II with or without AT1-AA. Glomerular filtration rate was reduced from 1.90±0.16 mL/min in normal pregnant (NP) to 1.20±0.08 in ANG II+AT1-AA rats. Renal blood flow was decreased in ANG II+AT1-AA versus NP rats to 7.4±1.09 versus 15.4±1.75 mL/min. Renal vascular resistance was drastically increased between ANG II+AT1-AA versus NP rats (18.4±2.91 versus 6.4±0.77 mm?Hg/mL per minute). Isoprostane excretion was increased by 3.5-fold in ANG II+AT1-AA versus NP (1160±321 versus 323±52 pg/mL). In conclusion, ANG II and AT1-AA together significantly decrease glomerular filtration rate by 37% and renal blood flow by 50% and caused a 3-fold increase in renal vascular resistance and isoprostane levels versus NP rats. These data indicate the importance of AT1-AAs to enhance ANG II-induced renal vasoconstriction and reduce renal function as mechanisms to cause hypertension as observed during preeclampsia.
  • |*Pregnancy, Animal [MESH]
  • |Analysis of Variance [MESH]
  • |Angiotensin II Type 1 Receptor Blockers/pharmacology [MESH]
  • |Angiotensin II/pharmacology [MESH]
  • |Animals [MESH]
  • |Autoantibodies/*drug effects/immunology [MESH]
  • |Female [MESH]
  • |Glomerular Filtration Rate/drug effects [MESH]
  • |Humans [MESH]
  • |Hypertension, Pregnancy-Induced/drug therapy/immunology [MESH]
  • |Kidney Function Tests [MESH]
  • |Oxidative Stress/*drug effects/physiology [MESH]
  • |Placental Circulation/drug effects/immunology [MESH]
  • |Pregnancy [MESH]
  • |Pregnancy Outcome [MESH]
  • |Rats [MESH]


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