Abstract

Rudgea viburnoides is widely found in the Brazilian Cerrado, and commonly used in Brazilian folk medicine. In this study, we evaluated the effects of prolonged administration of the aqueous extract from R. viburnoides leaves (AERV) on impaired redox status, renal dysfunction, and cardiovascular damage in 2K1C hypertensive rats, as well as its chemical composition by LC-DAD-MS. Renal hypertension (two kidney, one-clip model) was surgically induced in male Wistar rats and AERV (30, 100 and 300 mg/kg) was administered orally five weeks after surgery for 28 days. Renal function was assessed and urinary electrolytes, pH, and density were measured. Electrocardiography, blood pressure and heart rate were recorded. Cardiac and mesenteric vascular beds were isolated for cardiac morphometry and evaluation of vascular reactivity, and aortic rings were also isolated for measurement of cyclic guanosine monophosphate levels, and the redox status was assessed. Prolonged treatment with AERV preserved urine excretion and electrolyte levels (Na+, K+, Ca2+ and Cl−), reversed electrocardiographic changes, left ventricular hypertrophy and changes in vascular reactivity induced by hypertension, and reduced blood pressure and heart rate. This effect was associated with a positive modulation of tissue redox state, activation of the NO/cGMP pathway, and inhibition of the angiotensin-converting enzyme. Glycosylated iridoids, chlorogenic acids, glycosylated triterpenes, O-glycosylated flavonols, and triterpenoid saponins were annotated. AERV showed no acute toxicity in female Wistar rats. Therefore, AERV treatment reduced the progression of cardiorenal disease in 2K1C hypertensive rats, which can be involved with an important attenuation of oxidative stress, angiotensin-converting enzyme inhibition, and activation of the NO/cGMP pathway.

Highlights

  • Hypertension, a multifactorial disease characterized by sustained elevation of the blood pressure (BP) levels, affects 1.13 billion people around the world

  • LC-diode array detector (DAD)-MS was applied to analyze the aqueous extract from R. viburnoides (AERV)

  • If we look at our results, we see that animals with electrocardiographic abnormalities present a significant thickening of the posterior ventricular wall, a fact that indicates an important correlation between hypertension, ventricular remodeling, and cardiac electrical changes

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Summary

Introduction

Hypertension, a multifactorial disease characterized by sustained elevation of the blood pressure (BP) levels, affects 1.13 billion people around the world. It is a risk factor for cardiovascular diseases, including chronic kidney disease, atherosclerosis, stroke, and heart attack [1,2]. Changes in lifestyle are recommended, such as regular physical exercise, healthy eating, and body weight control. These measures are mainly aimed at preventing cardiovascular complications and metabolic changes due to hypertension [4]. The uses of alternative therapies have increased, mainly in underdeveloped or developing countries, such as the application of medicinal plants [5]

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