Back to Search
Start Over
Effects of antihypertensive drugs on glomerular morphology
- Source :
- Kidney International. (4):626-635
- Publisher :
- International Society of Nephrology. Published by Elsevier Inc.
-
Abstract
- Effects of antihypertensive drugs on glomerular morphology. We quantitated the glomerular size and the degree of sclerosis simultaneously in individual glomeruli with the use of three-dimensional histological analysis on serial sections obtained from remnant kidneys with highly heterogeneous glomerular lesions after subtotal nephrectomy (sNPX). Four to six weeks after sNPX (Group I, N = 7), 90% of glomeruli had mild sclerosis (sclerosis index, SI; < 1.5 on a 0 to 4 scale) with a strong positive correlation between the maximum planar area of glomerulus (PAmax) versus SI. Twelve weeks after sNPX (Group II, N =6) more than 50% of glomeruli had advanced sclerosis (average SI: 1.88), and a significant positive correlation was again found between PAmax and SI in glomeruli with mild to modest sclerosis (SI = 1.5), whereas these two variables were correlated inversely in glomeruli with advanced sclerosis. Administration of enalapril (50 mg/liter drinking water) or hydralazine (200 mg/liter) + reserpine (10 mg/liter) + hydrochlorothiazide (50 mg/liter) for 12 weeks (Group III, TV = 12) markedly attenuated the sclerosis to comparable degrees (average SI: 0.15 vs. 0.22). The former antihypertensive therapy decreased glomerular capillary hydraulic pressure (PGc)t0 normal range, whereas the latter triple drug therapy was largely without efifect on PGC. Of note, the positive correlation between SI and PAmax remained unaffected by these anti-hypertensive drugs. SI of the glomeruli from both treated groups was expressed as a first-order function of PAmax. The correlation coefficient is identical to that found in non-treated Group II remnant glomeruli, so that the degree of sclerosis is mathematically uniquely correlated with the glomerular size, regardless of drug treatment. Thus, within a given remnant kidney, the magnitude of glomerular hypertrophy has a direct correlation with the degree of sclerosis, while the altered glomerular hemodynamic pattern has little modulatory role in determining the magnitude of this hypertrophy. Enalapril and triple drug therapy, at equi-depressor doses in regard to systemic blood pressure, had identical potency in sparing glomerular structure. The primary determinant for this antisclerotic potency appears to be related to the drugs' potency to inhibit glomerular growth rather than an effect on the abnormal hemodynamics which develop in the glomerulus.
- Subjects :
- Male
medicine.medical_specialty
Reserpine
Kidney Glomerulus
urologic and male genital diseases
Muscle hypertrophy
Renal Circulation
Glomerulonephritis
Enalapril
Internal medicine
Medicine
Potency
Animals
Antihypertensive Agents
business.industry
Glomerulosclerosis, Focal Segmental
urogenital system
Glomerulosclerosis
Liter
Hypertrophy
Hydralazine
Glomerular Hypertrophy
medicine.disease
Rats
Endocrinology
Hydrochlorothiazide
Nephrology
business
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 00852538
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Kidney International
- Accession number :
- edsair.doi.dedup.....bd97143af06d060ee07f664660aff2a6
- Full Text :
- https://doi.org/10.1038/ki.1989.239