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10.1254/jphs.fmj05002x6

http://scihub22266oqcxt.onion/10.1254/jphs.fmj05002x6
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16293936!ä!16293936

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suck abstract from ncbi


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pmid16293936      J+Pharmacol+Sci 2005 ; 99 (3): 221-7
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  • Pathophysiological significance of T-type Ca2+ channels: role of T-type Ca2+ channels in renal microcirculation #MMPMID16293936
  • Hayashi K; Wakino S; Homma K; Sugano N; Saruta T
  • J Pharmacol Sci 2005[Nov]; 99 (3): 221-7 PMID16293936show ga
  • Since conventional Ca(2+) antagonists, with predominant blockade of L-type voltage-dependent Ca(2+) channels, elicit preferential dilation of afferent arterioles, they might ostensibly aggravate glomerular hypertension. Recently, novel Ca(2+) antagonists, with inhibitory action on L-/T-type Ca(2+) channels, have been reported to dilate both afferent and efferent arterioles. The present review attempted to characterize the renal action of these Ca(2+) antagonists and evaluated the consequences following the treatment with these agents. In contrast to conventional Ca(2+) antagonists (e.g., nifedipine), novel antagonists (e.g., benidipine, efonidipine) potently dilated afferent and efferent arterioles; their action on efferent arterioles appeared to be mediated by the T-type Ca(2+) channel blockade, probably through the inhibition of the intracellular Ca(2+) release. The comparison of the anti-proteinuric action in subtotally nephrectomized rats showed that efonidipine exerted more prominent action than nifedipine. Furthermore, Ca(2+) antagonists with T-type Ca(2+) inhibitory action inhibited renin/aldosterone release and proinflammatory process. Finally, patients with chronic renal disease given a 48-week efonidipine treatment showed reduced proteinuria, and this effect was seen even when mean arterial blood pressure failed to become less than 100 mmHg. Collectively, T-type Ca(2+) channel blockade provides beneficial action in renal injury. Various mechanisms serve to protect against renal injury, including systemic/glomerular hemodynamic action and non-hemodynamic mechanisms.
  • |Animals[MESH]
  • |Calcium Channel Blockers/pharmacology[MESH]
  • |Calcium Channels, T-Type/*physiology[MESH]
  • |Calcium/antagonists & inhibitors[MESH]
  • |Dihydropyridines/therapeutic use[MESH]
  • |Humans[MESH]
  • |Kidney Diseases/drug therapy[MESH]
  • |Kidney/*blood supply[MESH]
  • |Microcirculation[MESH]
  • |Nitrophenols/therapeutic use[MESH]
  • |Organophosphorus Compounds/therapeutic use[MESH]
  • |Renal Circulation/*physiology[MESH]


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