Abstract

IntroductionAldosterone induces cardiac hypertrophy and it is known to induce serum and glucocorticoid regulated kinase 1 (SGK-1) gene expression. AimWe aimed to evaluate structural, functional, inflammatory and oxidative alterations, as well as serum and glucocorticoid regulated kinase1 (SGK-1) expression, produced in rat heart by aldosterone+salt administration. Treatment with spironolactone was evaluated to prove mineralocorticoids mediation. Matherial and methodsMale Wistar rats received aldosterone (1mg/kg/day)+1% NaCl for 3 weeks. Half of the animals were treated with spironolactone (200mg/kg/day). At the end of treatment hemodynamics were measured: SBP, DBP, LVEDP, LVSP, +dP/dt and –dP/dt. Heart relative weight was measured as cardiac hypertrophy index. mRNA expression of TGF-β, CTGF, MMP2, TIMP2, TNF-α,IL-1β, p22phox, eNOS and SGK-1 were measured. Cardiac collagen content was measured by histological techniques. ResultsSBP and DBP, LVSP and LVEDP were elevated (P<.05) in aldosterone+salt-treated rats. –dP/dt decreased (P<.05) in aldosterone+salt-treated rats, but +dP/dt was similar in all groups. Spironolactone normalized (P<.05) SBP, DBP, LVSP, LVEDP and –dP/dt. Relative heart weight, collagen content, mRNA expression of TGF-β, CTGF, MMP2, TIMP2, TNF-α, IL-1β, p22phox, eNOS and SGK-1 were increased (P<.05) in aldosterone+salt-treated rats, being reduced by spironolactone (P<.05). ConlusionsSGK-1 might be a key mediator in the structural, functional and molecular cardiac alterations induced by aldosterone+salt in rats. All the observed changes and mediators are related with activation of mineralocorticoid receptors.

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