Why the study?
Dexamethasone-induced hypertension and cardiac remodeling remain unclear, particularly in spontaneously hypertensive rats, while exercise training is known to help control hypertension.
Does low-dose dexamethasone combined with physical training improve arterial pressure and cardiac remodeling in spontaneously hypertensive rats?
Does low-dose dexamethasone combined with physical training improve arterial pressure and cardiac remodeling in spontaneously hypertensive rats?
Low-dose dexamethasone combined with exercise training improves left ventricular systolic and diastolic function and reduces collagen deposition in spontaneously hypertensive rats without exacerbating arterial pressure.
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May attenuate remodeling in SHR models; leaves open translation to human hypertension management.
INTRODUCTION: Dexamethasone (DEX)-induced hypertension and cardiac remodeling are still unclear, especially in spontaneously hypertensive rats (SHR). On the other side, exercise training is a good strategy to control hypertension. Therefore, this study investigated the effects of DEX treatment and physical training on arterial pressure and cardiac remodeling in SHR. MATERIAL AND METHODS: ) during the last 15 days. Sedentary Wistar rats (W) were used as control. Echocardiography and artery catheterization were performed for cardiac remodeling and function, arterial pressure and autonomic nervous system analyses. In addition, left ventricle (LV) capillary density, myocyte diameter and collagen deposition area were analyzed using specific histological staining. RESULTS: Low-dose of DEX treatment did not exacerbate arterial pressure of SHR and trained groups had lower values, regardless of DEX. DEX and training decreased relative left ventricle wall thickness (RWT) and determined LV angiogenesis (+19%) and lower collagen deposition area (-22%). In addition, it determined increased left ventricular diastolic diameter. These changes were followed by improvements on systolic and diastolic function, since it was observed increased posterior wall shortening velocity (PWSV) and reduced isovolumetric relaxation time (IVRT). CONCLUSION: In conclusion, this study is unique to indicate that low-dose of DEX treatment does not exacerbate arterial pressure in SHR and, when associated with training, it improves LV systolic and diastolic function, which may be due to LV angiogenesis and reduction of wall collagen deposition area.
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Duchatsch et al. (2020) studied this question.
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