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Am J Physiol Heart Circ Physiol 290: H2007-H2014, 2006. First published December 16, 2005; doi:10.1152/ajpheart.00600.2005
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Involvement of Rho kinase pathway in the mechanism of renal vasoconstriction and cardiac hypertrophy in rats with experimental heart failure

Joseph Winaver,1 Elena Ovcharenko,1 Irit Rubinstein,1 Konstantin Gurbanov,4 Piero Pollesello,4 Bishara Bishara,2 Aaron Hoffman,3 and Zaid Abassi1,3

1Department of Physiology and Biophysics, Faculty of Medicine, Technion, Israel Institute of Technology, and 2General Surgery A and 3Vascular Surgery, Rambam Medical Center, Haifa, Israel; and 4Cardiovascular Research, Orion Pharma-Orion Corp., Espoo, Finland

Submitted 6 June 2005 ; accepted in final form 12 December 2005

Rho-dependent kinases serve as downstream effectors of several vasoconstrictor systems, the activities of which are upregulated in congestive heart failure (CHF). We evaluated renal and cardiac effects of Y-27632, a highly selective Rho kinase inhibitor, in an experimental model of volume-overload CHF. Effects of acute administration of Y-27632 (0.3 mg/kg) on renal hemodynamic and clearance parameters and effects of chronic treatment (10.0 mg·kg–1·day–1 for 7 days via osmotic minipumps) on cardiac hypertrophy and cumulative Na+ excretion were studied in male Wistar rats with aortocaval fistula and control rats. The Y-27632-induced decrease in renal vascular resistance (from 40.4 ± 4.6 to 26.0 ± 3.1 resistance units, P < 0.01) in CHF rats was associated with a significant increase in total renal blood flow (+34%) and cortical and medullary blood flow (approx +37 and +27%, respectively). These values were significantly higher than those in control rats and occurred despite a decrease in mean arterial pressure (–15 mmHg). Despite the marked renal vasodilatory effect, Y-27632 did not alter glomerular filtration rate and renal Na+ excretion. Chronic administration of Y-27632 did not alter daily or cumulative renal Na+ excretion in CHF rats but was associated with a significant decrease in heart-to-body weight ratio, an index of cardiac hypertrophy: 0.32 ± 0.007, 0.46 ± 0.017, and 0.37 ± 0.006% in control, CHF, and CHF + Y-27632 rats, respectively. The findings suggest that Rho kinase-dependent pathways are involved in the mechanisms of renal vasoconstriction and cardiac hypertrophy in rats with volume-overload heart failure. Selective blockade of these signaling pathways may be considered an additional tool to improve renal perfusion and attenuate cardiac hypertrophy in heart failure.

Y-27632; congestive heart failure; renal hemodynamics; kidney



Address for reprint requests and other correspondence: Z. Abassi, Dept. of Physiology & Biophysics, Faculty of Medicine, Technion, IIT, PO Box 9649, Haifa 31096, Israel (e-mail: abassi{at}tx.technion.ac.il)







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