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July 14, 2009Hypertension

Aliskiren Enhances the Protective Effects of Valsartan Against Cardiovascular and Renal Injury in Endothelial Nitric Oxide Synthase–Deficient Mice

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Key result

Combined aliskiren and valsartan synergistically attenuates CV and renal injury in mice vs monotherapy.

Why the study?

Does the combination of aliskiren and valsartan improve cardiovascular and renal injury in endothelial NO synthase-deficient mice?

Population

Endothelial NO synthase-deficient mice subjected to cuff injury of femoral artery

Comparison

Combined aliskiren and valsartan for 4 weeks vs Vehicle; aliskiren alone; valsartan alone…

Design

Preclinical

Follow-up

4 weeks

Authors

EYEiichiro YamamotoKKKeiichiro KataokaYDYi‐Fei Dong

Discussion

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Member takes

Overview

Hypothesis-generating for dual renin-angiotensin blockade in endothelial dysfunction; does not support clinical use.

Structured PICO

Does the combination of aliskiren and valsartan improve cardiovascular and renal injury in endothelial NO synthase-deficient mice?

P
Population
Endothelial NO synthase-deficient mice subjected to cuff injury of femoral artery, treated for 4 weeks.
I
Intervention
Combined aliskiren (12.5 mg/kg per day) and valsartan (4 mg/kg per day) for 4 weeks
C
Comparator
Vehicle; aliskiren alone (25 mg/kg per day); valsartan alone (8 mg/kg per day); hydralazine (10 mg/kg per day)
O
Outcome
Cardiovascular and renal injury (cardiac hypertrophy, inflammation and fibrosis, coronary remodeling, arterial intimal thickening, urinary albumin excretion, glomerular inflammation, and glomerulosclerosis)surrogate

The combination of aliskiren and valsartan exerts synergistic protective effects against cardiovascular and renal injury through attenuation of oxidative stress in a mouse model.

Cite This Study

Yamamoto et al. (2009) studied Cardiovascular and renal injury in endothelial NO synthase-deficient mice. Combined aliskiren and valsartan vs. Vehicle, aliskiren alone, valsartan alone, and hydralazine was evaluated on Cardiovascular and renal injury (cardiac hypertrophy, inflammation, fibrosis, coronary remodeling, arterial intimal thickening, urinary albumin excretion, glomerular inflammation, and glomerulosclerosis). The combination of aliskiren and valsartan synergistically attenuated cardiovascular and renal injuries and oxidative stress in endothelial NO synthase-deficient mice compared to monotherapy.

synapsesocial.com/papers/6aa5c0b950dab972bddd57aehttps://doi.org/10.1161/hypertensionaha.109.133884
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Also Consider

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

  1. 1Aliskiren and valsartan in combination is a promising therapy for hypertensive renal injury in rats2017 · 7 citations
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  4. 4Renin Inhibitor Aliskiren Improves Impaired Nitric Oxide Bioavailability and Protects Against Atherosclerotic Changes2008 · 146 citations
  5. 5Aliskiren protects against myocardial ischaemia‐reperfusion injury via an endothelial nitric oxide synthase dependent manner2016 · 15 citations