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March 16, 2009Journal of Clinical InvestigationOpen Access

Glomerular type 1 angiotensin receptors augment kidney injury and inflammation in murine autoimmune nephritis

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Key result

AT1A receptor deficiency in MRL-Faslpr/lpr mice significantly reduced mean survival from 162 to 117 days and accelerated kidney injury due to activation of glomerular AT1B receptors.

Why the study?

Does AT1A receptor deficiency protect against autoimmune nephritis in MRL-Faslpr/lpr mice?

Population

MRL-Faslpr/lpr mice lacking the major murine type 1 angiotensin receptor and wild-type lpr controls.

Comparison

Genetic deletion of AT1A receptors; subsets… vs MRL-Faslpr/lpr mice with intact AT1A receptors.

Design

Preclinical

Follow-up

up to 234 days

Authors

SCSteven D. CrowleyDuke UniversityMVMatthew P. VasievichCleveland ClinicPRPhillip RuizUniversity of Concepción

Discussion

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Implication

AT1A deficiency worsens outcomes in this murine nephritis model; challenges presumed protective effects and leaves open AT1B compensation for targeted study.

Structured PICO

Does AT1A receptor deficiency protect against autoimmune nephritis in MRL-Faslpr/lpr mice?

P
Population
85 MRL-Faslpr/lpr mice, a murine model of systemic lupus erythematosus, evaluated to determine the effect of AT1A receptor deficiency on autoimmune nephritis and survival.
E
Exposure
Genetic deletion of AT1A receptors (lpr-KO); subsets treated with losartan or hydralazine.
C
Comparator
MRL-Faslpr/lpr mice with intact AT1A receptors (lpr controls).
O
Outcome
Survival, urinary albumin excretion, and kidney histopathology.surrogate

Main Result

Absolute Event Rate: 117% vs 162%

p-value: p=0.001

In a murine model of autoimmune nephritis, AT1A receptor deficiency paradoxically accelerated renal injury and mortality due to compensatory activation of glomerular AT1B receptors.

Limitations

  • Animal model findings may not directly translate to human lupus nephritis
  • Glomerular pressures were not directly measured in the intact animals

Cite This Study

Crowley et al. (2009) studied Autoimmune nephritis (SLE model) (n=85). AT1A receptor deficiency vs. Wild-type AT1A (lpr controls) was evaluated on Mean duration of survival (days) (p=0.001). AT1A receptor deficiency in MRL-Faslpr/lpr mice significantly reduced mean survival from 162 to 117 days and accelerated kidney injury due to activation of glomerular AT1B receptors.

synapsesocial.com/papers/6a746cc796d04a2f43f53ccchttps://doi.org/10.1172/jci34862
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Also Consider

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

  1. 1Documentation of angiotensin II receptors in glomerular epithelial cells1998 · 93 citations
  2. 2Molecular phenotyping for analyzing subtle genetic effects in mice: Application to an angiotensinogen gene titration2002 · 124 citations
  3. 3Effects of Enalapril on Mortality in Severe Congestive Heart Failure1987 · 5,137 citations
  4. 4Stimulation of lymphocyte responses by angiotensin II promotes kidney injury in hypertension2008 · 155 citations
  5. 5Renal growth and development in mice lacking AT1Areceptors for angiotensin II1998 · 73 citations