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      Mas receptor antagonist (A799) alters the renal hemodynamics responses to angiotensin II administration after renal moderate ischemia/reperfusion in rats: gender related differences

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          Abstract

          Moderate renal ischemia/reperfusion (I/R) injury is one of the major causes of kidney failure. We examined the role of Mas receptor (MasR) antagonist (A779) alone and combined with angiotensin II (Ang II) type 2 receptor (AT2R) antagonist (PD123319) on renal hemodynamic responses to Ang II after moderate I/R in male and female rats. Anaesthetized Wistar rats underwent 30 min partial ischemia by reduction of renal perfusion pressure (RPP) and subjected to block vasodepressor receptors followed by Ang II (100 and 300 ng/kg/min) infusion. Mean arterial pressure (MAP), renal blood flow (RBF), and renal vascular resistance (RVR) responses were assessed during graded Ang II infusion at controlled RPP. Thirty min post reperfusion, the Ang II infusion reduced RBF and increased RVR in a dose-related fashion ( P < 0.05). However, A779 alone or A779 plus PD123319 infusion increased the RBF and RVR responses to Ang II infusion significantly ( P < 0.05) in female but not in the male rats. MasR antagonist altered the RBF and RVR responses to Ang II infusion in female, and these responses were not altered statistically in dual blockade of MasR and AT2R. These findings suggest the important role of Mas receptor in renal vascular response to Ang II in female rats after moderate I/R.

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          Most cited references31

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          Renal ischemia/reperfusion injury; from pathophysiology to treatment

          Ischemia/reperfusion injury (IRI) is caused by a sudden temporary impairment of the blood flow to the particular organ. IRI usually is associated with a robust inflammatory and oxidative stress response to hypoxia and reperfusion which disturbs the organ function. Renal IR induced acute kidney injury (AKI) contributes to high morbidity and mortality rate in a wide range of injuries. Although the pathophysiology of IRI is not completely understood, several important mechanisms resulting in kidney failure have been mentioned. In ischemic kidney and subsequent of re-oxygenation, generation of reactive oxygen species (ROS) at reperfusion phase initiates a cascade of deleterious cellular responses leading to inflammation, cell death, and acute kidney failure. Better understanding of the cellular pathophysiological mechanisms underlying kidney injury will hopefully result in the design of more targeted therapies to prevent and treatment the injury. In this review, we summarize some important potential mechanisms and therapeutic approaches in renal IRI.
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            Acute kidney injury after cardiac surgery: focus on modifiable risk factors.

            Acute kidney injury (AKI) after cardiac surgery is a major health issue. Lacking effective therapies, risk factor modification may offer a means of preventing this complication. The objective of the present study was to identify and determine the prognostic importance of such risk factors. Data from a multicenter cohort of 3500 adult patients who underwent cardiac surgery at 7 hospitals during 2004 were analyzed (using multivariable logistic regression modeling) to determine the independent relationships between 3 thresholds of AKI (>25%, >50%, and >75% decrease in estimated glomerular filtration rate within 1 week of surgery or need for postoperative dialysis) with death rates, as well as to identify modifiable risk factors for AKI. The 3 thresholds of AKI occurred in 24% (n=829), 7% (n=228), and 3% (n=119) of the cohort, respectively. All 3 thresholds were independently associated with a >4-fold increase in the odds of death and could be predicted with several perioperative variables, including preoperative intra-aortic balloon pump use, urgent surgery, and prolonged cardiopulmonary bypass. In particular, 3 potentially modifiable variables were also independently and strongly associated with AKI. These were preoperative anemia, perioperative red blood cell transfusions, and surgical reexploration. AKI after cardiac surgery is highly prevalent and prognostically important. Therapies aimed at mitigating preoperative anemia, perioperative red blood cell transfusions, and surgical reexploration may offer protection against this complication.
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              Recent advances in the pathophysiology of ischemic acute renal failure.

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                Author and article information

                Journal
                Res Pharm Sci
                Res Pharm Sci
                RPS
                Research in Pharmaceutical Sciences
                Medknow Publications & Media Pvt Ltd (India )
                1735-5362
                1735-9414
                February 2019
                : 14
                : 1
                : 12-19
                Affiliations
                [1 ] Water and Electrolytes Research Center, Isfahan University of Medical Sciences, Isfahan, I.R. Iran
                [2 ] Department of Physiology, Ilam University of Medical Sciences, Ilam, I.R. Iran
                [3 ] Department of Physiology, Isfahan University of Medical Sciences, Isfahan, I.R. Iran
                [4 ] Isfahan Institute of Basic and Applied Sciences Research, Isfahan, I.R. Iran
                Author notes
                [* ]Corresponding author: M. Nematbakhsh Tel: +98-37929019; Fax: +98-3137928099 Email: nematbakhsh@ 123456med.mui.ac.ir
                Article
                RPS-14-12
                10.4103/1735-5362.251848
                6407331
                30936928
                20b2f592-136d-4113-8632-1edc754610ac
                Copyright: © 2019 Research in Pharmaceutical Sciences

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : May 2018
                : December 2018
                Categories
                Original Article

                Pharmacology & Pharmaceutical medicine
                angiotensin ii,ischemia/reperfusion,mas receptor,renal blood flow,renal vascular resistance

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