Medical College of Wisconsin
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Inhibition of soluble epoxide hydrolase does not improve the course of congestive heart failure and the development of renal dysfunction in rats with volume overload induced by aorto-caval fistula. Physiol Res 2015;64(6):857-73

Date

06/06/2015

Pubmed ID

26047375

Pubmed Central ID

PMC4984848

DOI

10.33549/physiolres.932977

Scopus ID

2-s2.0-84983099949 (requires institutional sign-in at Scopus site)   28 Citations

Abstract

The detailed mechanisms determining the course of congestive heart failure (CHF) and associated renal dysfunction remain unclear. In a volume overload model of CHF induced by creation of aorto-caval fistula (ACF) in Hannover Sprague-Dawley (HanSD) rats we explored the putative pathogenetic contribution of epoxyeicosatrienoic acids (EETs), active products of CYP-450 dependent epoxygenase pathway of arachidonic acid metabolism, and compared it with the role of the renin-angiotensin system (RAS). Chronic treatment with cis-4-[4-(3-adamantan-1-yl-ureido) cyclohexyloxy]benzoic acid (c-AUCB, 3 mg/l in drinking water), an inhibitor of soluble epoxide hydrolase (sEH) which normally degrades EETs, increased intrarenal and myocardial EETs to levels observed in sham-operated HanSD rats, but did not improve the survival or renal function impairment. In contrast, chronic angiotensin-converting enzyme inhibition (ACEi, trandolapril, 6 mg/l in drinking water) increased renal blood flow, fractional sodium excretion and markedly improved survival, without affecting left ventricular structure and performance. Hence, renal dysfunction rather than cardiac remodeling determines long-term mortality in advanced stage of CHF due to volume overload. Strong protective actions of ACEi were associated with suppression of the vasoconstrictor/sodium retaining axis and activation of vasodilatory/natriuretic axis of the renin-angiotensin system in the circulating blood and kidney tissue.

Author List

Červenka L, Melenovský V, Husková Z, Sporková A, Bürgelová M, Škaroupková P, Hwang SH, Hammock BD, Imig JD, Sadowski J



MESH terms used to index this publication - Major topics in bold

8,11,14-Eicosatrienoic Acid
Angiotensin I
Angiotensin II
Angiotensin-Converting Enzyme Inhibitors
Animals
Benzoates
Disease Models, Animal
Drug Evaluation, Preclinical
Epoxide Hydrolases
Epoxy Compounds
Heart Failure
Kidney
Male
Myocardium
Peptide Fragments
Random Allocation
Rats
Renal Insufficiency
Renin-Angiotensin System
Ultrasonography
Urea