Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions

Hypertension and diabetes is a common co-morbidity that often coexists. Both diseases serve to induce and exacerbate each other. Hypertension and diabetes predispose the development of cardiovascular disease (CVD) and renal disease as their major complications. Coexistence of hypertension and diabet...

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Main Author:	Ahmad, Fiaz Ud Din
Format:	Thesis
Language:	English
Published:	2012
Subjects:	RS1-441 Pharmacy and materia medica
Online Access:	http://eprints.usm.my/46313/1/FIAZ%20UD%20DIN%20AHMAD_HJ.pdf
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spelling	my-usm-ep.463132020-02-24T02:27:05Z Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions 2012-01 Ahmad, Fiaz Ud Din RS1-441 Pharmacy and materia medica Hypertension and diabetes is a common co-morbidity that often coexists. Both diseases serve to induce and exacerbate each other. Hypertension and diabetes predispose the development of cardiovascular disease (CVD) and renal disease as their major complications. Coexistence of hypertension and diabetes results in rapid development of nephropathy. Endogenous H2S is recognized as a novel gaseous transmitter. Vascular tissues are capable of generating the measurable amounts of H2S with a concentration of ~46μM in the rat serum. H2S is involved in the regulation of blood pressure and also implicated in controlling the renal glomerular (vascular) and tubular functions. Present study was undertaken to test the hypothesis that exogenous H2S lowers the blood pressure and decreases the progression of nephropathy in hypertensive diabetic rats. SHR and DOCA-salt hypertension rat models were used in this study. DOCA-salt hypertension was produced from WKY rats. Diabetes was induced with a single injection of streptozotocin (STZ) at a dose of 40 mg/kg in freshly prepared ice cold sodium citrate buffer (0.1 mol/L, pH 4.5), intraperitoneally. One set of diabetic groups received NaHS, a H2S donor, at a dose of 56μmol/kg intraperitoneally in saline at the same time daily for 5 weeks. Blood pressure was measured in conscious rats and at the end of the treatment period in surgically prepared anesthetized rats. In addition, pulse wave velocity (PWV) and renal cortical blood perfusion were also observed. Metabolic data collection for renal function study was performed on days 0, 21 and 33 of a 35-day study. Plasma and urinary H2S levels, creatinine concentrations and electrolytes were measured on three different occasions throughout the 35-day period. Plasma and urinary H2S and creatinine concentrations were measured spectrophotometrically. Data, mean±SEM were analyzed using ANOVA and statistical significance was set at p < 0.05. Diabetic hypertensive groups of rats had higher blood pressure, low plasma and urinary H2S levels and renal dysfunction as evidenced by increased plasma creatinine, creatinine clearance and decreased urinary sodium to potassium ratio and renal cortical blood perfusion. In addition diabetic hypertensive rats had higher pulse wave velocity. Moreover diabetic rats exhibited increased creatinine clearance, plasma sodium, absolute sodium excretion and fractional sodium excretion. NaHS, a donor of exogenous H2S reduced the blood pressure and pulse wave velocity, increased the H2S levels in hypertensive diabetic rats and reversed the STZ-induced renal dysfunction. In addition, exogenously administered H2S decreased the plasma sodium and increased the creatinine clearance and absolute sodium excretion in treated rats. The findings of the present study suggest that exogenously administered hydrogen sulfide lowers the blood pressure and significantly reverses the STZ-induced increase in plasma creatinine, decrease in urinary sodium potassium ratio and reduced renal cortical blood perfusion, thereby conferring the protection against the progression of STZ-induced nephropathy in hypertensive rats. 2012-01 Thesis http://eprints.usm.my/46313/ http://eprints.usm.my/46313/1/FIAZ%20UD%20DIN%20AHMAD_HJ.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Farmasi
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RS1-441 Pharmacy and materia medica
spellingShingle	RS1-441 Pharmacy and materia medica Ahmad, Fiaz Ud Din Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions
description	Hypertension and diabetes is a common co-morbidity that often coexists. Both diseases serve to induce and exacerbate each other. Hypertension and diabetes predispose the development of cardiovascular disease (CVD) and renal disease as their major complications. Coexistence of hypertension and diabetes results in rapid development of nephropathy. Endogenous H2S is recognized as a novel gaseous transmitter. Vascular tissues are capable of generating the measurable amounts of H2S with a concentration of ~46μM in the rat serum. H2S is involved in the regulation of blood pressure and also implicated in controlling the renal glomerular (vascular) and tubular functions. Present study was undertaken to test the hypothesis that exogenous H2S lowers the blood pressure and decreases the progression of nephropathy in hypertensive diabetic rats. SHR and DOCA-salt hypertension rat models were used in this study. DOCA-salt hypertension was produced from WKY rats. Diabetes was induced with a single injection of streptozotocin (STZ) at a dose of 40 mg/kg in freshly prepared ice cold sodium citrate buffer (0.1 mol/L, pH 4.5), intraperitoneally. One set of diabetic groups received NaHS, a H2S donor, at a dose of 56μmol/kg intraperitoneally in saline at the same time daily for 5 weeks. Blood pressure was measured in conscious rats and at the end of the treatment period in surgically prepared anesthetized rats. In addition, pulse wave velocity (PWV) and renal cortical blood perfusion were also observed. Metabolic data collection for renal function study was performed on days 0, 21 and 33 of a 35-day study. Plasma and urinary H2S levels, creatinine concentrations and electrolytes were measured on three different occasions throughout the 35-day period. Plasma and urinary H2S and creatinine concentrations were measured spectrophotometrically. Data, mean±SEM were analyzed using ANOVA and statistical significance was set at p < 0.05. Diabetic hypertensive groups of rats had higher blood pressure, low plasma and urinary H2S levels and renal dysfunction as evidenced by increased plasma creatinine, creatinine clearance and decreased urinary sodium to potassium ratio and renal cortical blood perfusion. In addition diabetic hypertensive rats had higher pulse wave velocity. Moreover diabetic rats exhibited increased creatinine clearance, plasma sodium, absolute sodium excretion and fractional sodium excretion. NaHS, a donor of exogenous H2S reduced the blood pressure and pulse wave velocity, increased the H2S levels in hypertensive diabetic rats and reversed the STZ-induced renal dysfunction. In addition, exogenously administered H2S decreased the plasma sodium and increased the creatinine clearance and absolute sodium excretion in treated rats. The findings of the present study suggest that exogenously administered hydrogen sulfide lowers the blood pressure and significantly reverses the STZ-induced increase in plasma creatinine, decrease in urinary sodium potassium ratio and reduced renal cortical blood perfusion, thereby conferring the protection against the progression of STZ-induced nephropathy in hypertensive rats.
format	Thesis
qualification_level	Master's degree
author	Ahmad, Fiaz Ud Din
author_facet	Ahmad, Fiaz Ud Din
author_sort	Ahmad, Fiaz Ud Din
title	Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions
title_short	Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions
title_full	Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions
title_fullStr	Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions
title_full_unstemmed	Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions
title_sort	pathophysiological significance and the role of exogenous hydrogen sulfide (h2s) in a combined state of hypertension and diabetes and its effect on renal excretory and haemodynamic functions
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Farmasi
publishDate	2012
url	http://eprints.usm.my/46313/1/FIAZ%20UD%20DIN%20AHMAD_HJ.pdf
_version_	1747821650248728576

Pathophysiological Significance And The Role Of Exogenous Hydrogen Sulfide (H2S) In A Combined State Of Hypertension And Diabetes And Its Effect On Renal Excretory And Haemodynamic Functions

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