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2267 Radiofrequency renal denervation attenuates kidney fibrosis in spontaneously hypertensive rats

Published online by Cambridge University Press:  21 November 2018

Juan Gao
Affiliation:
Department of Pharmacology and Cardiovascular Center of Excellence, LSUHSC Department of Pathology and Stanley S. Scott Cancer Center, LSUHSC Department of Nephrology, LSUHSC
Ian B. Denys
Affiliation:
Department of Pharmacology and Cardiovascular Center of Excellence, LSUHSC
Luis Del Valle
Affiliation:
Department of Pathology and Stanley S. Scott Cancer Center, LSUHSC
Mihran V. Naljayan
Affiliation:
Department of Nephrology, LSUHSC
Daniel R. Kapusta
Affiliation:
Department of Pharmacology and Cardiovascular Center of Excellence, LSUHSC
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Abstract

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OBJECTIVES/SPECIFIC AIMS: The goal of this study was to investigate whether RF-RDN attenuates renal fibrosis and inflammation in SHR with established hypertension. METHODS/STUDY POPULATION: Twenty-two-week-old SHR received bilateral RF-RDN or Sham-RDN (Biosense Webster Stockert 70 generator and RF-probe). Four weeks later, SHR were sacrificed and paraffin sections of kidneys were stained for fibrosis by Masson’s trichrome staining. Kidney tissue were homogenized for measurement of cytokines levels by ELISA. RESULTS/ANTICIPATED RESULTS: The results showed that Sham-RDN treated SHR had extensive fibrosis as demonstrated by moderate thickening of Bowman’s capsule, collagen deposition in glomerulus, extensive tubulointerstitial fibrosis, and segmental glomerulosclerosis. In contrast, RF-RDN significantly reduced each of these pathological components of fibrosis in kidney cortex and medulla as compared with Sham-RDN treated kidneys. In other studies, RF-RDN decreased B cells, CD4+ T cells, and CD8+ T cells in the kidney of SHR as measured by flow cytometry. Meanwhile, kidney tissue levels of IL-17, INF-γ, MIP-3a, TNF-α, and TGF-β were decreased as compared with respective levels in Sham-RDN. DISCUSSION/SIGNIFICANCE OF IMPACT: Together, these findings demonstrate that removal of the influence of heightened renal sympathetic activity by RF-RDN decreases kidney inflammatory markers and attenuates renal fibrosis in hypertensive SHR.

Type
Basic/Translational Science/Team Science
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Association for Clinical and Translational Science 2018