Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications

Abstract We examined the effect of total and afferent renal denervation (RDN) on hypertension and the renin-angiotensin system (RAS) in a rodent model of juvenile-onset polycystic kidney disease (PKD). Lewis Polycystic Kidney (LPK) and control rats received total, afferent or sham RDN by periaxonal...

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Main Authors: Sheran Li, Cara M. Hildreth, Ahmed A. Rahman, Sean A. Barton, Benjamin F. Wyse, Chai K. Lim, Paul M. Pilowsky, Jacqueline K. Phillips
Format: Article
Language:English
Published: Nature Portfolio 2021-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-93575-0
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author Sheran Li
Cara M. Hildreth
Ahmed A. Rahman
Sean A. Barton
Benjamin F. Wyse
Chai K. Lim
Paul M. Pilowsky
Jacqueline K. Phillips
author_facet Sheran Li
Cara M. Hildreth
Ahmed A. Rahman
Sean A. Barton
Benjamin F. Wyse
Chai K. Lim
Paul M. Pilowsky
Jacqueline K. Phillips
author_sort Sheran Li
collection DOAJ
description Abstract We examined the effect of total and afferent renal denervation (RDN) on hypertension and the renin-angiotensin system (RAS) in a rodent model of juvenile-onset polycystic kidney disease (PKD). Lewis Polycystic Kidney (LPK) and control rats received total, afferent or sham RDN by periaxonal application of phenol, capsaicin or normal saline, respectively, and were monitored for 4-weeks. Afferent RDN did not affect systolic blood pressure (SBP) determined by radiotelemetry in either strain (n = 19) while total RDN significantly reduced SBP in Lewis rats 4-weeks post-denervation (total vs. sham, 122 ± 1 vs. 130 ± 2 mmHg, P = 0.002, n = 25). Plasma and kidney renin content determined by radioimmunoassay were significantly lower in LPK vs. Lewis (plasma: 278.2 ± 6.7 vs. 376.5 ± 11.9 ng Ang I/ml/h; kidney: 260.1 ± 6.3 vs. 753.2 ± 37.9 ng Ang I/mg/h, P < 0.001, n = 26). These parameters were not affected by RDN. Intrarenal mRNA expression levels of renin, angiotensinogen, angiotensin-converting enzyme (ACE)2, and angiotensin II receptor type 1a were significantly lower, whereas ACE1 expression was significantly higher in the LPK vs. Lewis (all P < 0.05, n = 26). This pattern of intrarenal RAS expression was not changed by RDN. In conclusion, RDN does not affect hypertension or the RAS in the LPK model and indicates RDN might not be a suitable antihypertensive strategy for individuals with juvenile-onset PKD.
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spelling doaj.art-48a77c43345347dcab9d38e3bb3a6bbb2022-12-21T22:55:46ZengNature PortfolioScientific Reports2045-23222021-07-0111111610.1038/s41598-021-93575-0Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implicationsSheran Li0Cara M. Hildreth1Ahmed A. Rahman2Sean A. Barton3Benjamin F. Wyse4Chai K. Lim5Paul M. Pilowsky6Jacqueline K. Phillips7Department of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityDepartment of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityDepartment of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityDepartment of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityDepartment of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityDepartment of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityDiscipline of Physiology, School of Medical Sciences, University of SydneyDepartment of Biomedical Sciences, Faculty of Medicine, Human and Health Sciences, Macquarie UniversityAbstract We examined the effect of total and afferent renal denervation (RDN) on hypertension and the renin-angiotensin system (RAS) in a rodent model of juvenile-onset polycystic kidney disease (PKD). Lewis Polycystic Kidney (LPK) and control rats received total, afferent or sham RDN by periaxonal application of phenol, capsaicin or normal saline, respectively, and were monitored for 4-weeks. Afferent RDN did not affect systolic blood pressure (SBP) determined by radiotelemetry in either strain (n = 19) while total RDN significantly reduced SBP in Lewis rats 4-weeks post-denervation (total vs. sham, 122 ± 1 vs. 130 ± 2 mmHg, P = 0.002, n = 25). Plasma and kidney renin content determined by radioimmunoassay were significantly lower in LPK vs. Lewis (plasma: 278.2 ± 6.7 vs. 376.5 ± 11.9 ng Ang I/ml/h; kidney: 260.1 ± 6.3 vs. 753.2 ± 37.9 ng Ang I/mg/h, P < 0.001, n = 26). These parameters were not affected by RDN. Intrarenal mRNA expression levels of renin, angiotensinogen, angiotensin-converting enzyme (ACE)2, and angiotensin II receptor type 1a were significantly lower, whereas ACE1 expression was significantly higher in the LPK vs. Lewis (all P < 0.05, n = 26). This pattern of intrarenal RAS expression was not changed by RDN. In conclusion, RDN does not affect hypertension or the RAS in the LPK model and indicates RDN might not be a suitable antihypertensive strategy for individuals with juvenile-onset PKD.https://doi.org/10.1038/s41598-021-93575-0
spellingShingle Sheran Li
Cara M. Hildreth
Ahmed A. Rahman
Sean A. Barton
Benjamin F. Wyse
Chai K. Lim
Paul M. Pilowsky
Jacqueline K. Phillips
Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications
Scientific Reports
title Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications
title_full Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications
title_fullStr Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications
title_full_unstemmed Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications
title_short Renal denervation does not affect hypertension or the renin-angiotensin system in a rodent model of juvenile-onset polycystic kidney disease: clinical implications
title_sort renal denervation does not affect hypertension or the renin angiotensin system in a rodent model of juvenile onset polycystic kidney disease clinical implications
url https://doi.org/10.1038/s41598-021-93575-0
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