Renal sympathetic nerve activity plays an important role on renal function through the vasoactive system 1,2) and the renin-angiotensin system.3) In the clinical study, it has been suggested that sympathetic overactivity plays a pivotal role for progression of renal disease in patients with chronic renal failure or end-stage renal disease. 4,5) Recent studies suggesting that renal sympathetic denervation prevent glomerular hyperfiltration and glomerulosclerosis in some experimental models.6,7) From these indications, it is expected that treatments aimed at modulating sympathetic nerve activity will suppresses progressive renal injury.N-Type (neuronal) calcium channels, predominantly distributed on the sympathetic nerves have been widely recognized to control the neurotransmitter releases. 8,9) Cilnidipine is a dihydropyridine (DHP) calcium channel blocker (CCB), and it has been demonstrated to inhibit both N-type and Ltype (long acting) calcium channels in various types of neurons.10,11) Cilnidipine also has been confirmed to suppress the norepinephrine (NE) releases from the isolated rat vascular preparation. 12) In the experiments of anesthetized dogs, sympathetic nerve stimulation-induced increase in plasma NE level was suppressed by cilnidipine.2,13) Thus cilnidipine suppressed sympathetic hyperactivity in a variety of experimental models through the blocking action of N-type calcium channels.The Dahl salt-sensitive (Dahl S) rats that develop hypertension and renal injuries with a high-salt diet have been widely recognized to be a model of chronic renal failure. [14][15][16] It has been suggested that sympathetic nerve activity is increased or easy to increase by physical stress in Dahl S rats on a high-salt diet.17,18) Wu et al. 19) reported that high-salt induced changes in intrarenal vessel structure and renal haemodynamic function in Dahl S rats are dependent on the activity of the sympathetic nervous system. These reports suggest that increase in sympathetic nerve activity is considered to be a one of precipitating cause of renal failure in Dahl S rats.Many reports have been suggested that L-type calcium channel antagonist has renal protective effects in a renal injury model with hypertension.14,15) But there are not enough data to elucidate the effects of N-type calcium channel antagonist against progressive renal injury. Although L/N-type calcium channel antagonist, cilnidipine is expected to suppress the renal injury by both blocking action of L-type calcium channel that lead to hypotensive effect and N-type calcium channel that lead to suppression of sympathetic nerve activity, renal protective profile of cilnidipine has not ever been assessed in animal model of renal injury with hypertension. In the present study, we investigated to clarify the renal protective effects of L/N-type calcium channel antagonist, cilnidipine in Dahl S rats as a model of chronic renal failure.
MATERIALS AND METHODS
Animal PreparationAll experiments were conducted according to animal ethics committee of Ajinomoto Co., Inc...