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September 16, 2003HypertensionOpen Access

In Salt-Sensitive Hypertension, Increased Superoxide Production Is Linked to Functional Upregulation of Angiotensin II

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Key result

In hypertensive Dahl salt-sensitive rats, concomitant ARB administration (candesartan) plus a switch to a normal-salt diet normalized systolic blood pressure (138+/-8 mm Hg) and end-organ damage.

Why the study?

Does candesartan and/or dietary salt reduction improve oxidative stress, endothelial dysfunction, and hypertension in Dahl salt-sensitive rats?

Population

Dahl salt-sensitive rats during prehypertensive and hypertensive phases of a high-salt diet, and Dahl…

Comparison

Candesartan alone or combined with a switch to a… vs Control rats on normal-salt diet, and untreated…

Design

Preclinical

Follow-up

12 weeks

Authors

MZMing-Sheng ZhouAAAhmed AdamEJEdgar A. Jaimes

Discussion

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Overview

May inform preclinical SS hypertension models; leaves open human translation and therapeutic targeting.

Structured PICO

Does candesartan and/or dietary salt reduction improve oxidative stress, endothelial dysfunction, and hypertension in Dahl salt-sensitive rats?

P
Population
Dahl salt-sensitive and salt-resistant rats evaluated during prehypertensive (5 days) and hypertensive (12 weeks) phases of a high-salt diet.
I
Intervention
Candesartan (10 mg/kg/d) alone or combined with a switch to a normal-salt (0.5% NaCl) diet
C
Comparator
Control rats on normal-salt diet, and untreated DS rats on high-salt diet
O
Outcome
Aortic superoxide (O2-) production, endothelium-dependent relaxation (EDR), systolic blood pressure (SBP), and end-organ damage (aortic and left ventricular hypertrophy, proteinuria)surrogate

In a rat model of salt-sensitive hypertension, combining an angiotensin receptor blocker with salt restriction is necessary to normalize blood pressure and reverse end-organ damage, as ARB alone only corrects oxidative stress and endothelial dysfunction.

Cite This Study

Zhou et al. (2003) studied Salt-sensitive hypertension. Candesartan and/or normal-salt diet vs. High-salt diet (4% NaCl) control was evaluated on Aortic superoxide (O2-) production, systolic blood pressure, and end-organ damage. In hypertensive Dahl salt-sensitive rats, concomitant ARB administration (candesartan) plus a switch to a normal-salt diet normalized systolic blood pressure (138+/-8 mm Hg) and end-organ damage.

synapsesocial.com/papers/6a69ea68a7344df3fa48234ehttps://doi.org/10.1161/01.hyp.0000094220.06020.c8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relative deficiency of nitric oxide-dependent vasodilation in salt-hypertensive Dahl rats: the possible role of superoxide anions2001 · 95 citations
  2. 2Effects of ACE Inhibition on Left Ventricular Failure and Oxidative Stress in Dahl Salt-Sensitive Rats2001 · 28 citations
  3. 3Endothelial Dysfunction and Cardiorenal Injury in Experimental Salt-Sensitive Hypertension1997 · 128 citations
  4. 4The Link Among Nitric Oxide Synthase Activity, Endothelial Function, and Aortic and Ventricular Hypertrophy in Hypertension1997 · 179 citations
  5. 5Salt sensitivity in hypertension. Renal and cardiovascular implications.1994 · 347 citations