Key result
Qingda Granule treatment significantly attenuated Angiotensin II-induced elevated blood pressure and renal injury, partially by reducing renal apoptosis and suppressing the p53 pathway.
Why the study?
The therapeutic potential and underlying mechanisms of Qingda granules on hypertensive renal injury remained unknown.
Does Qingda granule treatment attenuate renal injury and apoptosis in Angiotensin II-infused mice?
Does Qingda granule treatment attenuate renal injury and apoptosis in Angiotensin II-infused mice?
Qingda granules attenuate Angiotensin II-induced hypertension and renal apoptosis in mice, potentially via suppression of the p53 pathway.
Answers are grounded in this paper and cite their sources.
Supports further preclinical exploration of Qingda Granule; leaves open clinical translation pending human trials.
Background: Qingda granules (QDG) exhibit antihypertension and multiple-target-organ protection. However, the therapeutic potential of QDG on hypertensive renal injury remains unknown. Therefore, the main objective of the current study is to explore the effects and underlying mechanisms of QDG treatment on renal injury in angiotensin (Ang) II-infused mice. Methods and results: Mice were infused with Ang II (500 ng/kg/min) or saline for 4 weeks with subcutaneously implanted osmotic pumps. After infusion, mice in the Ang II + QDG group were intragastrically administrated with QDG daily (1.145 g/kg/day), whereas the control group and Ang II group were intragastrically administrated with the same amount of double-distilled water. Blood pressure of the mice monitored using the CODA™ noninvasive blood pressure system revealed that QDG treatment significantly attenuated elevated blood pressure. Moreover, hematoxylin–eosin staining indicated that QDG treatment ameliorated Ang II-induced renal morphological changes, including glomerular sclerosis and atrophy, epithelial cell atrophy, and tubular dilatation. RNA-sequencing (RNA-seq) identified 662 differentially expressed transcripts (DETs) in renal tissues of Ang II-infused mice, which were reversed after QDG treatment. Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis based on DETs in both comparisons of Ang II vs. Control and Ang II + QDG vs. Ang II identified multiple enriched pathways, including apoptosis and p53 pathways. Consistently, terminal deoxynucleotidyl transferase (TdT) dUTP nick-end labeling (TUNEL) staining and Annexin V staining revealed that QDG treatment significantly attenuated Ang II-induced cell apoptosis in renal tissues and cultured renal tubular epithelial cell lines (NRK-52E). Furthermore, western blot analysis indicated that Ang II infusion significantly upregulated the protein expression of p53, BCL2-associated X (BAX), cle-caspase-9, and cle-caspase-3, while downregulating the protein expression of BCL-2 in renal tissues, which were attenuated after QDG treatment. Conclusion: Collectively, QDG treatment significantly attenuated hypertensive renal injury, partially by attenuating renal apoptosis and suppressing p53 pathways, which might be the underlying mechanisms.
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Long et al. (2022) studied Hypertensive renal injury (n=15). Qingda Granule (QDG) vs. Double-distilled water (with or without Angiotensin II infusion) was evaluated on Blood pressure, renal morphological changes, and renal cell apoptosis (p=<0.05). Qingda Granule treatment significantly attenuated Angiotensin II-induced elevated blood pressure and renal injury, partially by reducing renal apoptosis and suppressing the p53 pathway.
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