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The effect of renal denervation on the regulation of central sympathetic nervous system in heart failure accompanied by chronic kidney disease

Research Project

Project/Area Number 26860568
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Cardiovascular medicine
Research InstitutionKyushu University

Principal Investigator

Nishihara Masaaki  九州大学, 医学(系)研究科(研究院), 共同研究員 (70641017)

Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords慢性腎臓病 / 高血圧 / 交感神経活動 / 腎除神経 / 視床下部室傍核 / γアミノ酪酸 / 中枢性循環調節 / 心不全
Outline of Final Research Achievements

Sympathoexcitation plays a crucial role in hypertension with chronic kidney disease (CKD). Paraventricular nucleus of the hypothalamus (PVN) in the brain controls sympathetic outflow through GABA-ergic input. Renal denervation (RDN) exerts an antihypertensive effect in hypertension with CKD; however the mechanisms are not known. We sought to elucidate whether RDN modulates sympathetic outflow through GABA-ergic input into the PVN in hypertensive mice with CKD.
In 5/6-nephrectomized ICR-mice (Nx), systolic blood pressure (SBP) was increased with sympathoexcitation. We performed RDN(Nx-RDN) or sham(Nx-Sham). SBP and sympathetic nerve activity (SNA) were decreased in Nx-RDN. GABA-A receptor antagonist injection into the PVN increased arterial pressure and lumbar SNA(LSNA) in Nx. The pressor and LSNA responses were attenuated in Nx-Sham, but were enhanced in Nx-RDN.
Augmented GABA-ergic input into the PVN induced by RDN is involved in antihypertensive effect in hypertensive mice with CKD.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • Research Products

    (2 results)

All 2015

All Presentation (1 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Presentation] Renal Nerve Denervation Modulates GABA-ergic Input into Paraventricular Nucleus of the Hypothalamus and Exerts a Long Term Antihypertensive Effect in Hypertensive Mice Associated with Chronic Kidney Disease2015

    • Author(s)
      Masaaki Nishihara, Yoshitaka Hirooka
    • Organizer
      Council on Hypertension 2015
    • Place of Presentation
      Washington, D.C.(U.S.A.)
    • Year and Date
      2015-09-17
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Book] The mechanism of blood pressure regulation by the central nervous system2015

    • Author(s)
      西原 正章、廣岡 良隆
    • Total Pages
      3
    • Publisher
      日本臨牀社
    • Related Report
      2015 Annual Research Report

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Published: 2014-04-04   Modified: 2017-05-10  

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