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Research Article
 
DOI:10.11909/j.issn.1671-5411.2018.11.003
Chemical renal artery denervation with appropriate phenol in spontaneously hypertensive rats
Ming WANG,Wen-Zheng HAN,Min ZHANG,Wei-Yi FANG,Xin-Rong ZHAI,Shao-Feng GUAN,Xin-Kai QU.Chemical renal artery denervation with appropriate phenol in spontaneously hypertensive ratsJ Geriatr Cardiol 2018,15(11):695~702
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Authors:Ming WANG1;Wen-Zheng HAN2;Min ZHANG2;Wei-Yi FANG2;Xin-Rong ZHAI2;Shao-Feng GUAN3;Xin-Kai QU3

Author Affiliation:1.Department of Cardiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China; Shanghai Key Laboratory of Clinical Geriatric Medicine, Shanghai, China;2.Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai, China;3.Department of Cardiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China; Shanghai Key Laboratory of Clinical Geriatric Medicine, Shanghai, China;

Foundation:

Abstract: Objective To explore the effectiveness of renal denervation (RDN) on blood pressure with the appropriate dosage of phenol/ethanol solution in spontaneously hypertensive rats (SHRs). Methods RDN was performed on the bilateral renal artery. Forty SHRs were divided into four groups according on the dosage of phenol (10% phenol in absolute ethanol): sham group, 0.5 mL phenol group, 1 mL phenol group and 1.5 mL phenol group (n = 10 in each group). Blood pressure was measured by tail-cuff plethysmography. Plasma creatinine was determined four weeks after the treatment. The kidneys and renal arteries were collected and processed for histological examination. Results A sustained decrease in systolic blood pressure (SBP) was only observed after the application of 1 mL phenol for four weeks, while SBP was lowered during the first week after RDN and increased in the following three weeks in the 0.5 mL and 1.5 mL phenol groups compared with the sham group. Renal norepinephrine (NE) was significantly decreased four weeks after RDN in the 1 mL and 1.5 mL phenol group compared with the sham group, but not in the 0.5 ml group. RDN with 1 mL phenol obviously reduced glomerular fibrosis. Histopathological analysis showed that tyrosine hydroxylase immunoreactivity was lower in the 1 mL and 1.5 mL phenol groups compared with the sham group. Moderate renal artery damage occurred in the 1.5 mL phenol group. Conclusion Chemical denervation with 1 ml phenol (10% phenol in absolute ethanol) effectively and safely damaged peripheral renal sympathetic nerves and contributed to the sustained reduction of blood pressure in SHRs.

Keywords:

Hypertension; Norepinephrine; Phenol; Renal denervation; Spontaneously hypertensive rats
Received:July 12, 2018        Accepted:November 18, 2018   Published Online:November 28, 2018
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