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Am J Physiol Heart Circ Physiol (July 6, 2007). doi:10.1152/ajpheart.00457.2007
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Submitted on April 13, 2007
Accepted on July 2, 2007

LONG-TERM AT1 RECEPTOR BLOCKADE IMPROVES METABOLIC FUNCTION AND PROVIDES RENOPROTECTION IN FISCHER 344 RATS

Shea Gilliam-Davis1, Valerie S. Payne2, Sherry O. Kasper1, Ellen N. Tommasi3, Michael E. Robbins2, and Debra I. Diz4*

1 Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States; Hypertension and Vascular Research Center, United States; Physiology and Pharmacology, Winston-Salem, North Carolina, United States
2 Radiation Oncology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States
3 Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States; Hypertension and Vascular Research Center, United States; General Surgery, United States
4 Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States; Hypertension and Vascular Research Center, United States; General Surgery, United States; Physiology and Pharmacology, Winston-Salem, North Carolina, United States

* To whom correspondence should be addressed. E-mail: ddiz{at}wfubmc.edu.

Fischer 344 (F344) rats exhibit proteinuria and insulin resistance in the absence of hypertension as they age. We determined the effects of long-term (1 yr) treatment with the angiotensin (Ang) II type 1 (AT1) receptor blocker L-158,809 on plasma and urinary Ang peptide levels, systolic blood pressure (SBP) and indices of glucose metabolism in 15 month old male F344 rats. Young rats 3 months of age (n = 8) were compared with two separate groups of older rats, one control group (n = 7) and one treated with L-158,809 (n = 6) orally (20 mg/L) for one year. SBP was not different between control and treated rats, but was higher in young rats. Serum leptin, insulin and glucose levels were comparable between treated and young rats, whereas controls had higher glucose and leptin with a similar trend for insulin. Plasma Ang I and Ang II were higher in treated than untreated young or older rats, as evidence of effective AT1 receptor blockade. Urinary Ang II and Ang-(1-7) were higher in controls compared with young animals and treated rats failed to show age-related increases. Protein excretion was markedly lower in treated and young rats compared to control rats (Young: 8 ± 2 vs Control: 129 ± 51 vs Treated: 9 ± 3 mg/day; p < 0.05). Long-term AT1 receptor blockade improves metabolic parameters and provides renoprotection. Differential regulation of systemic and intrarenal (urinary) Ang systems occurs during blockade and suppression of the intrarenal system may contribute to reduced proteinuria. Thus, insulin resistance, renal injury and activation of the intra-renal Ang system during early aging in normotensive animals can be averted by renin-angiotensin system blockade.







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