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Zagazig University Medical Journals
Zagazig University Medical Journals
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Abstract: |
Background: Classical β-blockers usually reduce renal blood flow thus,
worsening renal function in hypertensive patients with renal impairment.
However, vasodilator -blockers with biased agonist activity on -arrestin,
at least theoretically, could protect the kidney against ischemia.
Objectives: To compare the effect of prophylactic administration of
carvedilol, nebivolol, nadolol on the kidneys.
Materials & Methods: Rats were divided into five groups: Group1: shamoperated;
Group2: Untreated hypertensive; Group3: Carvedilol pre-treated;
Group4: Nebivolol pre-treated; Group5: Nadolol pre-treated. MABP, serum
urea, creatinine, renal level of TNFα, BAX and pERK1/2 to non-pERK1/2
ratio were measured, besides renal histopathology and Bax
immunohistochemistry.
Results: In carvedilol and nebivolol groups, MABP, Bax, TNFα and
pERK1/2 to non-pERK1/2 ratio were not only significantly (P<0.05) lower
than that of the untreated group; but also, not significantly different from
that of the sham; except significantly higher pERK1/2 to non-pERK1/2
ratio. In the nadolol pre-treated rats, MABP and the pERK1/2 to nonpERK1/
2 ratio were significantly lower than that of the untreated
hypertensive rats, however, they were significantly higher than that of the
carvedilol, nebivolol pre-treated groups and the sham-operated group.
Furthermore, Bax and TNFα were not significantly different from that of
the untreated hypertensive group; in the meantime, they were significantly
higher compared to sham, carvedilol and nebivolol pretreated groups.
Serum urea& creatinine levels were significantly higher in nadolol pretreated
group compared to other groups.
Conclusion: Carvedilol and nebivolol have renal protective effect which is
nearly equal in contrast to the deterioration caused by nadolol.
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