The effect of renal denervation on the regulation of central sympathetic nervous system in heart failure accompanied by chronic kidney disease
Project/Area Number |
26860568
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Research Category |
Grant-in-Aid for Young Scientists (B)
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Allocation Type | Multi-year Fund |
Research Field |
Cardiovascular medicine
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Research Institution | Kyushu University |
Principal Investigator |
Nishihara Masaaki 九州大学, 医学(系)研究科(研究院), 共同研究員 (70641017)
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Project Period (FY) |
2014-04-01 – 2016-03-31
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Project Status |
Completed (Fiscal Year 2015)
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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)
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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.
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Report
(3 results)
Research Products
(2 results)