Volume 75, Issue 9, Pages (May 2009)

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Volume 75, Issue 9, Pages 936-944 (May 2009) Aldosterone antagonism or synthase inhibition reduces end-organ damage induced by treatment with angiotensin and high salt  William B. Lea, Eun Soo Kwak, James M. Luther, Susan M. Fowler, Zuofei Wang, Ji Ma, Agnes B. Fogo, Nancy J. Brown  Kidney International  Volume 75, Issue 9, Pages 936-944 (May 2009) DOI: 10.1038/ki.2009.9 Copyright © 2009 International Society of Nephrology Terms and Conditions

Figure 1 Effect of treatment on kidney injury. Effect of treatment on (a) kidney weight, (b) glomerular sclerosis, (c) tubulointerstitial fibrosis, and (d) renal vascular modeling. For post hoc comparisons, *P<0.01 versus sham, †P<0.05 versus uninephrectomy (Neph), ‡P<0.05 versus uninephrectomy+spironolactone (SPL), §P<0.05 versus uninephrectomy+FAD286, ∣∣P<0.05 versus uninephrectomy+Ang II+spironolactone, ¶P<0.05 versus uninephrectomy+Ang II+FAD286. Masson's trichrome (original magnification × 100) of the kidney in (e) control, (f) Ang II/salt-treated, (g) Ang II/salt+spironolactone-treated, and (h) Ang II/salt+FAD286-treated. The asterisks in (f) denote areas of tubulointerstitial fibrosis. Kidney International 2009 75, 936-944DOI: (10.1038/ki.2009.9) Copyright © 2009 International Society of Nephrology Terms and Conditions

Figure 2 Effect of treatment on cardiac injury. Effect of treatment on (a) heart weight, (b) cardiac interstitial fibrosis, and (c) perivascular adventitial fibrosis. For post hoc comparisons, *P<0.01 versus sham, †P<0.05 versus uninephrectomy (Neph), ‡P<0.05 versus uninephrectomy+spironolactone (SPL), §P<0.05 versus uninephrectomy+FAD286, ∣∣P<0.05 versus uninephrectomy+Ang II+spironolactone, ¶P<0.05 versus uninephrectomy+Ang II+FAD286. (d) Focal area of subendocardial interstitial and perivascular fibrosis in heart from Ang II-treated rat (Masson's trichrome, original magnification × 100). Persistent perivascular fibrosis in Ang II/salt-treated rats receiving (e) spironolactone (× 400) and (f) FAD286. The asterisks in (d) denote cardiac interstitial fibrosis; arrowhead denotes perivascular/periadventitial fibrosis. Kidney International 2009 75, 936-944DOI: (10.1038/ki.2009.9) Copyright © 2009 International Society of Nephrology Terms and Conditions

Figure 3 Effect of treatment on expression of PAI-1, osteopontin, and tumor growth factor β (TGF-β) mRNA in the kidney, heart, and aorta. For post hoc comparisons, *P<0.05 versus sham, †P<0.01 versus uninephrectomy (Neph), ‡P<0.01 versus uninephrectomy+spironolactone (SPL), §P<0.01 versus uninephrectomy+FAD286, ∣∣P<0.01 versus uninephrectomy+Ang II+spironolactone, ¶P<0.01 versus uninephrectomy+Ang II+FAD286, #P<0.01 versus uninephrectomy+Ang II. Kidney International 2009 75, 936-944DOI: (10.1038/ki.2009.9) Copyright © 2009 International Society of Nephrology Terms and Conditions

Figure 4 Effect of spironolactone (SPL, 1 μm) on PAI-1 expression in rat vascular smooth muscle cells treated with angiotensin II (Ang II, 1 μm), aldosterone (aldo, 1 μm) or the combination. *P<0.05 versus vehicle, †P<0.05 versus Ang II alone, ‡P<0.05 versus spironolactone, §P<0.05 versus aldo+Ang II. Kidney International 2009 75, 936-944DOI: (10.1038/ki.2009.9) Copyright © 2009 International Society of Nephrology Terms and Conditions