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Treatment with valsartan stimulates endothelial progenitor cells and renal label-retaining cells in hypertensive rats.

AbstractOBJECTIVE:
The pathogenesis of hypertension is dependent on tissue angiotensin (Ang) II, which induces cardiovascular and renal remodeling. The presence of label-retaining cells (LRCs) as renal stem cells has been reported in nephrotubulus. We examined effects of treatment with valsartan on endothelial progenitor cells (EPCs) and renal LRCs in stroke-prone spontaneously hypertensive rats (SHR-SP).
METHODS:
SHR-SP were salt-loaded and treated with hydralazine or valsartan. Peripheral blood mononuclear cells (MNCs) were cultured to assess EPC colony formation and migration. LRCs were labeled for 1 week with bromodeoxyuridine (BrdU) and were detected after a 2-week chase period. We measured expression of c-kit and Pax-2 mRNAs in renal medulla.
RESULTS:
Colony formation and migration of EPCs were suppressed in salt-loaded SHR-SP. Treatment with valsartan markedly stimulated these EPC functions. There was no difference in the number of renal LRCs in normotensive Wistar-Kyoto rats and SHR-SP. Treatment with valsartan significantly improved renal tubular degeneration and increased the number of LRCs in renal medulla from salt-loaded SHR-SP. Treatment with valsartan significantly increased expression of c-kit and Pax-2 mRNAs in renal medulla from salt-loaded SHR-SP.
CONCLUSION:
These findings suggest that ARBs have cardiovascular and renal protective effects through an antioxidative action that stimulates ECP function and increases the number of the self-repairing renal LRCs.
AuthorsYoshinori Yoshida, Noboru Fukuda, Akito Maeshima, Chii Yamamoto, Taro Matsumoto, Takahiro Ueno, Yoshihisa Nojima, Koichi Matsumoto, Masayoshi Soma
JournalJournal of hypertension (J Hypertens) Vol. 29 Issue 1 Pg. 91-101 (Jan 2011) ISSN: 1473-5598 [Electronic] Netherlands
PMID20935578 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Angiotensin II Type 1 Receptor Blockers
  • Antihypertensive Agents
  • DNA Primers
  • PAX2 Transcription Factor
  • Pax2 protein, mouse
  • Tetrazoles
  • Thiobarbituric Acid Reactive Substances
  • Valsartan
  • Proto-Oncogene Proteins c-kit
  • Valine
Topics
  • Angiotensin II Type 1 Receptor Blockers (pharmacology)
  • Animals
  • Antihypertensive Agents (pharmacology)
  • Base Sequence
  • Cell Movement
  • DNA Primers
  • Endothelium, Vascular (cytology, drug effects)
  • Kidney Medulla (cytology, drug effects, metabolism)
  • Male
  • Oxidative Stress
  • PAX2 Transcription Factor (metabolism)
  • Polymerase Chain Reaction
  • Proto-Oncogene Proteins c-kit (metabolism)
  • Rats
  • Rats, Inbred SHR
  • Rats, Inbred WKY
  • Stem Cells (cytology, drug effects)
  • Tetrazoles (pharmacology)
  • Thiobarbituric Acid Reactive Substances (metabolism)
  • Valine (analogs & derivatives, pharmacology)
  • Valsartan

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