Document Detail


Cardiovascular disease in an adenine-induced model of chronic kidney disease: the temporal link between vascular calcification and haemodynamic consequences.
MedLine Citation:
PMID:  23183279     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES:: Medial vascular calcification is highly prevalent in chronic kidney disease (CKD), and it is a risk factor for mortality. This study characterizes the time course and the link between calcification of major arteries, changes in blood pressure (BP) and cardiac growth in experimental CKD. METHODS:: CKD (elevated serum creatinine and urea) was induced with a 0.25% adenine diet (5, 8 and 11 weeks). BP was measured by radiotelemetry in conscious rats or indwelling catheter under anaesthesia. At each time point, serum biochemistry and tissue calcification was quantified. RESULTS:: CKD was present in all animals by 5 weeks and the ensuing 6 weeks (11 weeks total). CKD animals developed elevated serum phosphate (5-8 weeks) and fibroblast growth factor-23 (FGF-23; 5-11 weeks) levels. There was a 100% incidence of calcification at 11 weeks, 71% at 8 weeks and 33% at 5 weeks, and distal arteries appeared more susceptible than proximal arteries. Calcification was associated with widening of pulse pressure (PP), and a higher pulse wave. Continuous radiotelemetry revealed a significant increase in SBP variability and an accelerated (<24 h) elevation in PP of at least 10 mmHg following 8 weeks of CKD. This precipitous change was driven by a drop in mean DBP rather than elevated mean SBP. PP, duration of CKD and FGF-23 levels correlated with left ventricular hypertrophy. CONCLUSION:: The unique haemodynamic consequences of medial calcification, combined with the hormonal consequences of hyperphosphatemia (i.e. FGF-23), seem to have an exacerbated risk for left ventricular hypertrophy.
Authors:
Navid Shobeiri; Judy Pang; Michael A Adams; Rachel M Holden
Related Documents :
23993009 - Orthostatic hypertension: recognizing an underappreciated clinical condition.
16414379 - Abdominal aortic aneurysm sac shrinkage after endovascular aneurysm repair: correlation...
15307539 - Juxtaaortic counterpulsation: comparison with intraaortic counterpulsation in an animal...
2582599 - Morphometric analyses of rabbit thoracic aorta after poststenotic dilatation.
11845859 - Prosthetic replacement of the aorta is a risk factor for aortic root aneurysm development.
23380269 - Defensive coping facilitates higher blood pressure and early sub-clinical structural va...
2000979 - Power spectral analysis of blood pressure variability in traumatic quadriplegic humans.
7595909 - Salt-sensitivity testing in patients with borderline hypertension: reproducibility and ...
9730849 - Influences of carvedilol treatment on the effects of acetylcholine on regional haemodyn...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-21
Journal Detail:
Title:  Journal of hypertension     Volume:  -     ISSN:  1473-5598     ISO Abbreviation:  J. Hypertens.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
aDepartment of Biomedical and Molecular Sciences bDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Ethanol as a single toxin in non-traumatic deaths - A toxicology perspective.
Next Document:  7T MRI of spinal cord injury.