Protective effect of the standardized leaf extract of Ginkgo biloba (EGb761) against hypertension-induced renal injury in rats

Clin Exp Hypertens. 2018;40(8):703-714. doi: 10.1080/10641963.2018.1425421. Epub 2018 Jan 19.

Abstract

Background: Ginkgo biloba leaves extract has been widely used worldwide to protect against oxidative stress-induced cell damage and improves blood circulation.

Methods: The potential protective role of the standardized leaf extract of Ginkgo biloba (EGb761) on hypertension-induced renal injury was investigated in rats. Hypertension was induced in rats by L-NAME.

Result: Repeated treatment with EGb761 produced progressive reductions in the systolic, diastolic and mean arterial blood pressure. Also, EGb761 increased the progressive reductions in blood pressure induced by losartan. Hypertension-induced marked elevation of renal malondialdehyde (MDA) and nitrite levels and reduction of reduced glutathione (GSH) level were inhibited by EGb761. In addition, hypertension-induced increases in tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6) and interleukin-1β (IL-1β)) levels in renal tissues were inhibited by EGb761. Also, treatment with EGb761 inhibited hypertension-induced decrease in endothelial nitric oxide synthase (eNOS) protein expression and increase in the protein expressions of inducible NO synthase (iNOS), TNF-α, IL-6 and IL-1B in the kidney tissues. EGb761 enhanced losartan effects on renal tissues oxidative stress, nitrite, and inflammatory markers levels and on protein expressions of eNOS, iNOS, TNF-α, IL-6 and IL-1B. effects.

Conclusions: These results indicate that EGb761 has the ability to protect against hypertension-induced renal injury.

Keywords: Ginkgo biloba extract; hypertension; immunohistochemistry; losartan; renal injury.

MeSH terms

  • Animals
  • Antihypertensive Agents / pharmacology
  • Arterial Pressure / drug effects*
  • Cardiovascular Agents / pharmacology
  • Cardiovascular Agents / therapeutic use*
  • Ginkgo biloba
  • Glutathione / blood
  • Hypertension / chemically induced
  • Hypertension / complications*
  • Hypertension, Renal / metabolism
  • Interleukin-1beta / metabolism
  • Interleukin-6 / metabolism
  • Kidney / drug effects
  • Kidney / metabolism
  • Kidney Diseases / etiology
  • Kidney Diseases / metabolism
  • Kidney Diseases / prevention & control*
  • Losartan / pharmacology
  • Male
  • Malondialdehyde / blood
  • NG-Nitroarginine Methyl Ester
  • Nitric Oxide Synthase Type II / metabolism
  • Nitric Oxide Synthase Type III / metabolism
  • Oxidative Stress / drug effects
  • Plant Extracts / pharmacology
  • Plant Extracts / therapeutic use*
  • Rats
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Antihypertensive Agents
  • Cardiovascular Agents
  • IL1B protein, rat
  • Il6 protein, rat
  • Interleukin-1beta
  • Interleukin-6
  • Plant Extracts
  • Tumor Necrosis Factor-alpha
  • Ginkgo biloba extract
  • Malondialdehyde
  • Nitric Oxide Synthase Type II
  • Nitric Oxide Synthase Type III
  • Nos2 protein, rat
  • Nos3 protein, rat
  • Glutathione
  • Losartan
  • NG-Nitroarginine Methyl Ester