Treatment with beta-blocker nebivolol ameliorates oxidative stress and endothelial dysfunction in tenofovir-induced nephrotoxicity in rats

Autor(es)

Nascimento, Mariana Moura ; Bernardo, Desiree Rita Denelle ; de Braganca, Ana Carolina ; Massola Shimizu, Maria Heloisa ; Seguro, Antonio Carlos ; Volpini, Rildo Aparecido ; Canale, Daniele

• Tipo de documento: Artigo Científico
• Fonte: FRONTIERS IN MEDICINE; v. 9, p. 15-pg., 2022-08-04.

Resumo

BackgroundTenofovir disoproxil fumarate (TDF), a widely prescribed component in antiretroviral regimens, has been associated with nephrotoxicity. Nebivolol is a third generation selective beta-1 adrenergic receptor blocker and may protect renal structure and function through the suppression of oxidative stress and enhancement of nitric oxide (NO) synthesis. We aimed to investigate whether nebivolol could be an effective therapeutic strategy to mitigate tenofovir-induced nephrotoxicity. MethodsWe allocated Wistar rats to four groups: control (C), received a standard diet for 30 days; NBV, received a standard diet for 30 days added with nebivolol (100 mg/kg food) in the last 15 days; TDF, received a standard diet added with tenofovir (300 mg/kg food) for 30 days; and TDF+NBV, received a standard diet added with tenofovir for 30 days and nebivolol in the last 15 days. ResultsLong-term exposure to tenofovir led to impaired renal function, induced hypertension, endothelial dysfunction and oxidative stress. Nebivolol treatment partially recovered glomerular filtration rate, improved renal injury, normalized blood pressure and attenuated renal vasoconstriction. Administration of nebivolol contributed to reductions in asymmetric dimethylarginine (ADMA) levels as well as increases in endothelial nitric oxide sintase (eNOS) accompanied by renin-angiotensin-aldosterone system downregulation and decreases in macrophage and T-cells infiltrate. Furthermore, nebivolol was responsible for the maintenance of the adequate balance of thiobarbituric acid reactive substances (TBARS) and glutathione (GSH) levels and it was associated with reductions in NADPH oxidase (NOX) subunits. ConclusionNebivolol holds multifaceted actions that promote an advantageous option to slow the progression of kidney injury in tenofovir-induced nephrotoxicity. (AU)

• Processo FAPESP: 18/04930-6 - Estudo da reposição da vitamina D na evolução da injúria renal aguda pós isquêmica em ratos deficientes em vitamina D
• Beneficiário: Ana Carolina de Bragança Viciana
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 18/12297-1 - Análise de eventos alternativos envolvidos na formação da fibrose renal em ratos deficientes em vitamina D submetidos à nefrectomia 5/6
• Beneficiário: Rildo Aparecido Volpini
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 19/20840-0 - Avaliação dos efeitos do Nebivolol sobre a nefrotoxicidade em ratos tratados com Tenofovir
• Beneficiário: Daniele Canale Cavicchioli
• Modalidade de apoio: Auxílio à Pesquisa - Regular