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      Persistent Renin‐Angiotensin System Sensitization Months After Body Weight Recovery From Severe Food Restriction in Female Fischer Rats

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          Abstract

          Background

          Prior exposure to periods of severe food restriction (sFR) is associated with increased risk of developing hypertension and cardiovascular disease later in life.

          Methods and Results

          To investigate the mechanism of these long‐term adverse effects of sFR, 4‐month‐old female Fischer rats were divided in 2 groups and maintained on a normal diet ad libitum (control) or on an sFR diet with 60% reduction in daily food intake for 2 weeks that resulted in a 15% reduction in body weight. After the 2‐week sFR period ended, both groups received normal chow ad libitum for 3 months. Within 2 weeks after refeeding was initiated in the sFR group, body weight was restored to control levels; however, plasma angiotensinogen (1.3‐fold; P<0.05), Ang‐[1‐8] (2.0‐fold; P<0.05), and angiotensin‐converting enzyme activity (1.1‐fold; P<0.01) were all elevated 3 months after refeeding. Angiotensin type 1 receptor activity was also increased as evidenced by augmented pressor responses to angiotensin‐[1‐8] ( P<0.01) and depressor responses to the angiotensin type 1 receptor antagonist, losartan ( P<0.01) in the sFR group.

          Conclusions

          These results indicate that sensitization of the renin‐angiotensin system persisted months after the sFR period ended. These findings may have implications for women who voluntarily or involuntarily experience an extended period of sFR and thus may be at increased risk of developing cardiovascular disease through sensitization of the renin‐angiotensin system even though their body weight, mean arterial pressure, and heart rate appear normal.

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          Most cited references28

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          Neurobiology and consequences of social isolation stress in animal model—A comprehensive review

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            Malnutrition and health in developing countries.

            O Muller (2005)
            Malnutrition, with its 2 constituents of protein-energy malnutrition and micronutrient deficiencies, continues to be a major health burden in developing countries. It is globally the most important risk factor for illness and death, with hundreds of millions of pregnant women and young children particularly affected. Apart from marasmus and kwashiorkor (the 2 forms of protein- energy malnutrition), deficiencies in iron, iodine, vitamin A and zinc are the main manifestations of malnutrition in developing countries. In these communities, a high prevalence of poor diet and infectious disease regularly unites into a vicious circle. Although treatment protocols for severe malnutrition have in recent years become more efficient, most patients (especially in rural areas) have little or no access to formal health services and are never seen in such settings. Interventions to prevent protein- energy malnutrition range from promoting breast-feeding to food supplementation schemes, whereas micronutrient deficiencies would best be addressed through food-based strategies such as dietary diversification through home gardens and small livestock. The fortification of salt with iodine has been a global success story, but other micronutrient supplementation schemes have yet to reach vulnerable populations sufficiently. To be effective, all such interventions require accompanying nutrition-education campaigns and health interventions. To achieve the hunger- and malnutrition-related Millennium Development Goals, we need to address poverty, which is clearly associated with the insecure supply of food and nutrition.
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              The renin‐angiotensin‐aldosterone system and its suppression

              Chronic activation of the renin‐angiotensin‐aldosterone system (RAAS) promotes and perpetuates the syndromes of congestive heart failure, systemic hypertension, and chronic kidney disease. Excessive circulating and tissue angiotensin II (AngII) and aldosterone levels lead to a pro‐fibrotic, ‐inflammatory, and ‐hypertrophic milieu that causes remodeling and dysfunction in cardiovascular and renal tissues. Understanding of the role of the RAAS in this abnormal pathologic remodeling has grown over the past few decades and numerous medical therapies aimed at suppressing the RAAS have been developed. Despite this, morbidity from these diseases remains high. Continued investigation into the complexities of the RAAS should help clinicians modulate (suppress or enhance) components of this system and improve quality of life and survival. This review focuses on updates in our understanding of the RAAS and the pathophysiology of AngII and aldosterone excess, reviewing what is known about its suppression in cardiovascular and renal diseases, especially in the cat and dog.
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                Author and article information

                Contributors
                caw240@georgetown.edu
                Journal
                J Am Heart Assoc
                J Am Heart Assoc
                10.1002/(ISSN)2047-9980
                JAH3
                ahaoa
                Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
                John Wiley and Sons Inc. (Hoboken )
                2047-9980
                17 July 2020
                21 July 2020
                : 9
                : 14 ( doiID: 10.1002/jah3.v9.14 )
                : e017246
                Affiliations
                [ 1 ] Department of Medicine Georgetown University Washington DC
                Author notes
                [*] [* ] Correspondence to: Crystal A. West, PhD, Department of Medicine, Georgetown University, Building D, Room 396, 4000 Reservoir Road, NW, Washington, DC 20057. E-mail: caw240@ 123456georgetown.edu

                Author information
                https://orcid.org/0000-0002-7031-2523
                https://orcid.org/0000-0002-1013-565X
                https://orcid.org/0000-0001-5027-039X
                https://orcid.org/0000-0003-2967-8336
                https://orcid.org/0000-0002-1744-1537
                Article
                JAH35346
                10.1161/JAHA.120.017246
                7660733
                32674648
                83625072-a16b-43bd-ae60-36dffaca46b0
                © 2020 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 27 April 2020
                : 15 June 2020
                Page count
                Figures: 8, Tables: 1, Pages: 12, Words: 7106
                Funding
                Funded by: American Heart Association , open-funder-registry 10.13039/100000968;
                Award ID: 19POST34380744
                Funded by: NIH , open-funder-registry 10.13039/100000002;
                Award ID: UL1‐TR001409
                Award ID: R01‐HL119380
                Funded by: American Society of Nephrology: Carl W. Gottschalk Research Scholar Grant
                Categories
                Original Research
                Original Research
                Hypertension
                Custom metadata
                2.0
                21 July 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.8 mode:remove_FC converted:29.08.2020

                Cardiovascular Medicine
                body weight recovery,calorie restriction,sensitization,hypertension,basic science research

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