Virchows Archiv

, Volume 449, Issue 2, pp 207–214

Nonhypotensive dose of β-adrenergic blocker ameliorates capillary deficits in the hearts of rats with moderate renal failure

Authors

    • Department of PathologyUniversity of Erlangen-Nürnberg
  • Jürgen Hofstetter
    • Department of PathologyUniversity of Heidelberg
  • Valentina Câmpean
    • Department of PathologyUniversity of Erlangen-Nürnberg
  • Andreas Koch
    • Department of PathologyUniversity of Heidelberg
  • Marie-Luise Gross
    • Department of PathologyUniversity of Heidelberg
  • Roland Veelken
    • Department of Medicine IVUniversity of Erlangen-Nürnberg
  • Eberhard Ritz
    • Department of Internal MedicineUniversity of Heidelberg
Original Article

DOI: 10.1007/s00428-006-0219-0

Cite this article as:
Amann, K., Hofstetter, J., Câmpean, V. et al. Virchows Arch (2006) 449: 207. doi:10.1007/s00428-006-0219-0

Abstract

Renal failure causes sympathetic overactivity and inadequate capillary growth in response to cardiomyocyte hypertrophy in experimental renal failure, as well as in uremic patients. In nonuremic animals, sympathetic overactivity was shown to suppress capillary growth. The purpose of this study was to examine whether blockade with α- and β-adrenoblockers ameliorates the capillary deficit that was documented in the hearts of rats with moderate renal failure. Male Sprague–Dawley rats, 3 days after surgical ablation [subtotal nephrectomy (SNX)] or sham operation (sham), were treated with phenoxybenzamine, metoprolol, or a combination of both: After 12 weeks, the hearts were investigated using morphometric and stereologic techniques. The length density of myocardial capillaries was lower (p<0.05) in untreated SNX than in sham (2,786±372 vs 3,397±602 mm/mm3); the decrease was abrogated by metoprolol (3,305±624 mm/mm3), but not by phenoxybenzamin (2,628±480 mm/mm3). The intercapillary distance increased (p<0.05) in SNX (20.5±1.5 μm) and tended to be lower after metoprolol treatment (19.0±1.9 μm). The media area of intramyocardial arterioles was significantly higher in untreated SNX (1,158±1,343 vs 686±771 μm2 in sham). Metoprolol in nonhypotensive doses prevents the capillary deficit in the hearts of rats with moderate renal failure and presents an argument for an important role of sympathetic overactivity in the genesis of the capillary deficit in moderate chronic renal insufficiency.

Keywords

Sympathetic overactivityβ-blockadeHeartCapillariesRenal failureMyocardial perfusion

Abbreviations

SNX

Subtotal nephrectomy

PBZ

Phenoxybenzamine

MET

Metoprolol

EPO

Erythropoietin

LVH

Left ventricular hypertrophy

BP

Blood pressure

MAP

Mean arterial blood pressure

SAP

Systolic arterial blood pressure

DAP

Diastolic arterial blood pressure

HR

Heart rate

S-creatinine

serum creatinine

VEGF

Vascular endothelial growth factor

Copyright information

© Springer-Verlag 2006