251. Antihypertensive treatment and renal damage: amlodipine exerts protective effect through the polyol pathway.
- Author
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Bernobich E, Cosenzi A, Campa C, Zennaro C, Sasso F, Paoletti S, and Bellini G
- Subjects
- Administration, Oral, Amlodipine administration & dosage, Amlodipine pharmacokinetics, Animals, Blood Glucose, Blood Pressure drug effects, Body Weight drug effects, Collagen Type I chemistry, Collagen Type I metabolism, Collagen Type IV antagonists & inhibitors, Collagen Type IV chemistry, Collagen Type IV metabolism, Diet, Disease Models, Animal, Fibronectins antagonists & inhibitors, Fibronectins chemistry, Fibronectins metabolism, Fructose administration & dosage, Fructose adverse effects, Glucose Transporter Type 1, Glucose Transporter Type 5, Hypertension chemically induced, Hypertension complications, Immunohistochemistry methods, Insulin blood, Kidney chemistry, Kidney drug effects, Kidney metabolism, Kidney Diseases chemically induced, Kidney Diseases complications, Male, Monosaccharide Transport Proteins chemistry, Monosaccharide Transport Proteins metabolism, Organ Size drug effects, Polymers adverse effects, Rats, Rats, Inbred WKY, Sorbitol antagonists & inhibitors, Sorbitol chemistry, Sorbitol metabolism, Amlodipine therapeutic use, Hypertension drug therapy, Kidney Diseases drug therapy, Polymers metabolism
- Abstract
Besides generating renal damage, hypertension plays an important role in the progression of diabetic nephropathy. The fructose-fed rat is a well-established model both of high blood pressure and renal impairment, which is similar to diabetic nephropathy. To clarify the relationship between hypertension, glucose metabolism, and kidney remodeling, we investigated the renal level of Glut 1 and Glut 5, their relation to fibrosis and the effects of an antihypertensive drug on renal damage. Twenty-four male WK rats were divided into three groups: 8 animals received a fructose-enriched diet, 8 a control diet, and 8 animals a high-fructose diet plus amlodipine (5 mg/Kg). After six weeks of treatment, we observed a significant increase in Glut 5, fibronectin, and sorbitol in fructose-fed rats compared with control and amlodipine-treated animals; there was a positive correlation between Glut 5 and fibronectin levels (r = 0.63). Glut 1 levels were similar in all three groups, whereas collagen IV was higher in fructose-fed rats; amlodipine prevented the increase of collagen IV and sorbitol. Collagen I was statistically higher in the fructose group than in the other two groups. Therefore, prolonged fructose feeding results in renal fibrosis via polyol pathway overactivity that can be prevented by means of an antihypertensive drug.
- Published
- 2004
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