Avosentan is protective in hypertensive nephropathy at doses not causing fluid retention

Author(s)

Baltatu, Ovidiu C. ^[1] ; Zaugg, Christian E. ^[2] ; Schumacher, Christoph ^[3] ; Louie, Pat ^[3] ; Campos, Luciana A. ^[1] ; Bader, Michael ^[4]

Affiliation

^[1] Camilo Caste Branco Univ UNICASTELO, BR-12247004 Sao Jose Dos Campos, SP - Brazil

^[2] Univ Basel, Basel - Switzerland

^[3] Novartis Pharma AG, Basel - Switzerland

^[4] Max Delbruck Ctr Mol Med, Berlin - Germany

• Document type: Journal article
• Source: PHARMACOLOGICAL RESEARCH; v. 80, p. 9-13, FEB 2014.
• Web of Science Citations: 6

Abstract

Multiple studies indicate that endothelin antagonism may have a protective effect for chronic kidney disease. Despite that, clinical studies using avosentan have been halted due to adverse effects including fluid overload. Therefore, we aimed at investigating whether avosentan may have protective effects against hypertensive nephropathy at doses below those inducing fluid-retention. We used double transgenic rats (dTGR), overexpressing both the human renin and angiotensinogen gene, which develop malignant hypertension. Effects of avosentan alone or in combination with low-dose of valsartan (angiotensin AT1 receptor antagonist) on end-organ damage were studied. Avosentan induced a decrease of diuresis (183%) with a consequent decrease in hematocrit (8.3%) only at the highest dose investigated (100 mg/kg). Treatment with the combination of avosentan and valsartan (10 and 0.1 mg/kg, once daily by gavage, respectively) decreased albuminuria to a greater extent than each compound given alone (avosentan: 19.6 mg/24 h; valsartan: 12.9 mg/24 h; avosentan + valsartan: 1.7 mg/24 h, data are median values). Histological severity score also showed a drastic reduction of kidney damage. Furthermore, avosentan alone or in combination therapy dramatically decreased mortality compared to the 100% in untreated animals. These data support a therapeutic effect of avosentan at doses below those inducing fluid overload. (C) 2013 Elsevier Ltd. All rights reserved. (AU)

• FAPESP's process: 11/50078-0 - Gender differences in end-organ damage caused by experimental Diabetes mellitus
• Grantee: Ovidiu Constantin Baltatu
• Support Opportunities: Regular Research Grants