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CARDIORENAL INTERACTION DURING THE ACUTE PHASE OF EXPERIMENTAL TRYPANOSOMA CRUZI INFECTION: THE INFLUENCE OF ALDOSTERONE AND THE AT1 RECEPTOR ON MORTALITY
Author
Affilliation
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Inovações em Terapias, Biofilmes e Ensino. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Inovações em Terapias, Biofilmes e Ensino. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Celular. Rio de Janeiro, RJ, Brasil.
Abstract
Introduction: Trypanosoma cruzi infection is a serious public health problem in Latin
America. Despite positive results from programs directed to the interruption of vectorial
transmission, there are still millions of people infected, and a large number, at the risk of
infection. Chagas disease is typically associated with cardiac complications, and chronic
symptoms include heart failure and megaesophagus development.
Objective: In this study, we aimed to evaluate the importance of the cardiorenal axis
and renin-angiotensin-aldosterone system (RAAS) activation in experimental T.cruzi
infection. We also evaluated the influence of aldosterone and the angiotensin II receptor
type 1 (AT1R) on the mortality of infected mice.
Methods: BALB/c mice infected with the Y strain of T.cruzi were treated with
spironolactone or losartan. We assessed parasitemia, mortality, and renal and cardiac
function by using non-invasive methods.
Results: Our data show that AT1R promotes an important (and necessary) inotropic
positive effect in the heart and minimizes acute kidney injury. Conversely, aldosterone
increases the release of K+
and aggravates heart failure. It also has associated effects on
the renal, cardiovascular, and cardiac electrical conduction systems. Consequently, the
aldosterone antagonist reduced the mortality rate by 50%, whereas the AT1R antagonist
increased it by 20%.
Conclusions: The RAAS connects the cardiorenal systems, and its components
differentially affect the mortality of animals experimentally infected by T.cruzi.
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