Hydrogen Sulfide Attenuates Renin Angiotensin and Aldosterone Pathological Signaling to Preserve Kidney Function and Improve Exercise Tolerance in Heart Failure

硫化氢减弱肾素-血管紧张素和醛固酮病理信号以保护肾功能并提高心力衰竭患者的运动耐受性

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作者:Zhen Li, Chelsea L Organ, Jianming Kang, David J Polhemus, Rishi K Trivedi, Thomas E Sharp 3rd, Jack S Jenkins, Ya-Xiong Tao, Ming Xian, David J Lefer

Abstract

Cardioprotective effects of H2S have been well documented. However, the lack of evidence supporting the benefits afforded by delayed H2S therapy warrants further investigation. Using a murine model of transverse aortic constriction-induced heart failure, this study showed that delayed H2S therapy protects multiple organs including the heart, kidney, and blood-vessel; reduces oxidative stress; attenuates renal sympathetic and renin-angiotensin-aldosterone system pathological activation; and ultimately improves exercise capacity. These findings provide further insights into H2S-mediated cardiovascular protection and implicate the benefits of using H2S-based therapies clinically for the treatment of heart failure.

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