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2017 ; 12
(4
): e0176888
Nephropedia Template TP
gab.com Text
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English Wikipedia
Perivascular radiofrequency renal denervation lowers blood pressure and
ameliorates cardiorenal fibrosis in spontaneously hypertensive rats
#MMPMID28453557
Wei S
; Li D
; Zhang Y
; Su L
; Zhang Y
; Wang Q
; Yang D
; Li D
; Yang Y
; Ma S
PLoS One
2017[]; 12
(4
): e0176888
PMID28453557
show ga
BACKGROUND: Catheter-based renal denervation (RDN) is a promising approach to
treat hypertension, but innervation patterns limit the response to endovascular
RDN and the post-procedural renal artery narrowing or stenosis questions the
endovascular ablation strategy. This study was performed to investigate the
anti-hypertensive and target organ protective effects of perivascular RDN in
spontaneously hypertensive rats (SHR). METHODS: SHR and normotensive Wistar-Kyoto
(WKY) rats were divided into sham group (n = 10), radiofrequency ablation group
(n = 20) in which rats received bilateral perivascular ablation with
radiofrequency energy (2 watts), and chemical (10% phenol in 95% ethanol)
ablation group (n = 12). The tail-cuff blood pressure was measured before the
ablation and on day 14 and day 28 after the procedure. The plasma levels of
creatinine, urea nitrogen, and catecholamines, urinary excretion of electrolytes
and protein, and myocardial and glomerular fibrosis were analyzed and compared
among the groups on day 28 after the procedure. RESULTS: We identified that
2-watt is the optimal radiofrequency power for perivascular RDN in rats.
Perivascular radiofrequency and chemical ablation achieved roughly comparable
blood pressure reduction in SHR but not in WKY on day 14 and day 28 following the
procedure. Radiofrequency-mediated ablation substantially destroyed the renal
nerves surrounding the renal arteries of both SHR and WKY without damaging the
renal arteries and diminished the expression of tyrosine hydroxylase, the enzyme
marker for postganglionic sympathetic nerves. Additionally, perivascular
radiofrequency ablation also decreased the plasma catecholamines of SHR.
Interestingly, both radiofrequency and chemical ablation decreased the myocardial
and glomerular fibrosis of SHR, while neither increased the plasma creatinine and
blood urea nitrogen nor affected the urinary excretion of electrolytes and
protein when compared to sham group. CONCLUSIONS: Radiofrequency-mediated
perivascular RDN may become a feasible procedure against hypertension, and
provide similar anti-hypertensive and target organ protective effects as does the
chemical ablation.