Key result
High-fructose diet reduces renal filtration rate ~64% via intra-renal renin-angiotensin activation in rats.
Why the study?
The role of the renal renin angiotensin system in the kidney under high fructose intake and its contribution to metabolic and cardiovascular alterations was not fully understood.
p-value: p=<0.05
Should not change clinical practice; leaves open whether high-fructose diets activate intrarenal angiotensin in humans.
model of the role of the renin Angiotensin system (RAS) in the kidney. The use of perfused kidney from animals submitted to 8-week fructose treatment showed that high fructose intake caused metabolic and cardiovascular alterations that were consistent with other studies. Moreover, the isolated perfused kidneys obtained from rats under high fructose diet showed a 33% increase in renal perfusion pressure throughout the experimental period due to increased renal vascular resistance and a progressive fall in the glomerular filtration rate, which reached a maximum of 64% decrease. Analysis of RAS peptides in the high fructose group showed a threefold increase in the renal concentrations of angiotensin I (Ang I) and a twofold increase in angiotensin II (Ang II) levels, whereas no change in angiotensin 1-7 (Ang 1-7) was observed when compared with the control animals. We did not detect changes in angiotensin converting enzyme (ACE) activity in renal tissues, but there is a tendency to decrease. These observations suggest that there are alternative ways of producing Ang II in this model. Chymase the enzyme responsible for Ang II formation direct from Ang I was increased in renal tissues in the fructose group, confirming the alternative pathway for the formation of this peptide. Neprilysin (NEP) the Ang 1-7 forming showed a significant decrease in activity in the fructose vs. control group, and a tendency of reduction in ACE2 activity. Thus, these results suggest that the Ang 1-7 vasodilator peptide formation is impaired in this model contributing with the increase of blood pressure. In summary, rats fed high fructose affect renal RAS, which may contribute to several deleterious effects of fructose on the kidneys and consequently an increase in blood pressure.
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Yokota et al. (2018) studied Fructose-induced metabolic syndrome and renal dysfunction (n=12). High-fructose diet vs. Regular water was evaluated on Intra-renal concentrations of angiotensin I and II, renal perfusion pressure, and glomerular filtration rate in an ex vivo model (p=<0.05). An 8-week high-fructose diet significantly increased intra-renal angiotensin I (threefold) and angiotensin II (twofold) levels, increased renal perfusion pressure by 33%, and decreased glomerular filtration rate by 64% in isolated perfused rat kidneys.
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