1. Hypertension Plus Diabetes Mimics the Cardiomyopathy Induced by Nitric Oxide Inhibition in Rats
- Author
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Kleber G. Franchini, Jose E. Tanus-Santos, Rita C Sampaio, Heitor Moreno, Stephen Hyslop, Iara M.S De Luca, and Silvia Elaine Melo
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Thromboxane ,medicine.medical_treatment ,Blotting, Western ,Cardiomyopathy ,Nitric Oxide ,Critical Care and Intensive Care Medicine ,Streptozocin ,Diabetes Mellitus, Experimental ,Nitric oxide ,Renovascular hypertension ,Random Allocation ,chemistry.chemical_compound ,Internal medicine ,Diabetes mellitus ,medicine ,Animals ,Rats, Wistar ,Probability ,Analysis of Variance ,Creatinine ,business.industry ,Myocardium ,Insulin ,Organ Size ,Cardiomyopathy, Hypertrophic ,Streptozotocin ,medicine.disease ,Immunohistochemistry ,Rats ,Disease Models, Animal ,Hypertension, Renovascular ,NG-Nitroarginine Methyl Ester ,Endocrinology ,chemistry ,Nitric Oxide Synthase ,Cardiology and Cardiovascular Medicine ,business ,medicine.drug - Abstract
We compared the myocardial lesions caused by the long-term inhibition of nitric oxide (NO) biosynthesis with those associated with renovascular hypertension (two-kidney, one-clip model [2K-1C]) and superimposed streptozotocin-induced diabetes mellitus (DM).Prospective trial.University laboratory.Male Wistar rats were classified into the following groups: (1) a control group; (2) the L-NAME group (treatment with the NO synthase inhibitor N(omega)-nitro-L-arginine methyl ester [L-NAME], 75 micro mol per rat per day, orally); (3) the 2K-1C group (renovascular hypertension); (4) the DM group (treatment with streptozotocin, 60 mg/kg via intraperitoneal route); and (5) the 2K-1C plus DM group (renovascular hypertension and streptozotocin-induced DM). Arterial BP was measured by a tail-cuff method for 3 weeks, after which histologic and stereological analysis of the heart was done and cardiac NO synthase type 3 (NOS3) levels were assessed by Western blotting. The circulating levels of nitrates/nitrites and thromboxane B(2) (TXB(2), the stable metabolite of thromboxane A(2)) were also measured.In DM and 2K-1C rats, the myocardial lesions consisted mainly of recent myocardial infarcts, which were more severe in the 2K-1C plus DM group. In L-NAME-treated rats, multiple foci of reparative fibrosis and fresh myocardial necrosis resembled the severe lesions found in the 2K-1C plus DM group. Although NOS3 protein expression increased (19 to 44%; p0.05) in all treated groups, serum nitrate/nitrite levels decreased only in the L-NAME group and the 2K-1C plus DM group. These two groups also showed a more pronounced increase in TXB(2) concentrations.These results indicate that the association of hypertension and DM mimics the alterations induced by L-NAME in rats, which suggests a role for NO in the pathophysiology of hypertensive-diabetic cardiomyopathy.
- Published
- 2002
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