Page last updated: 2024-11-07

spironolactone and Cardiometabolic Syndrome

spironolactone has been researched along with Cardiometabolic Syndrome in 25 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Cardiometabolic Syndrome: A cluster of symptoms that are risk factors for CARDIOVASCULAR DISEASES and TYPE 2 DIABETES MELLITUS. The major components not only include metabolic dysfunctions of METABOLIC SYNDROME but also HYPERTENSION, and ABDOMINAL OBESITY.

Research Excerpts

ExcerptRelevanceReference
"Aim of the study is to evaluate the impact of spironolactone (SPL) on indexes of metabolic syndrome (MS) and further investigate the mechanisms underlying its protective effects."7.79Spironolactone prevents dietary-induced metabolic syndrome by inhibiting PI3-K/Akt and p38MAPK signaling pathways. ( Liang, LY; Lin, YE; Liu, MJ; Long, HD; Zeng, ZH, 2013)
"Because the renin-angiotensin-aldosterone system has been implicated in the development of insulin resistance and promotion of fibrosis in some tissues, such as the vasculature, we examined the effect of eplerenone, a selective mineralocorticoid receptor (MR) antagonist, on nonalcoholic steatohepatitis (NASH) and metabolic phenotypes in a mouse model reflecting metabolic syndrome in humans."7.79Eplerenone ameliorates the phenotypes of metabolic syndrome with NASH in liver-specific SREBP-1c Tg mice fed high-fat and high-fructose diet. ( Aruga, Y; Ishii, Y; Kanasaki, K; Kitada, M; Koya, D; Miyashita, Y; Nakamura, Y; Sasahara, M; Sasaki, M; Sasaoka, T; Shimano, H; Tsuneki, H; Wada, T, 2013)
" Here, we investigated the effect of SPL on blood glucose levels in SHR/NDmcr-cp(cp/cp) (ND) rats, an animal model of metabolic syndrome, in comparison with that of eplerenone (EPL), another MR antagonist."7.78Spironolactone, but not eplerenone, impairs glucose tolerance in a rat model of metabolic syndrome. ( Arai, K; Fujisawa, M; Homma, T; Ikeda, M; Ishii, M; Sada, T, 2012)
" It has been reported that eplerenone has a potential antihypertensive effect, with a profile slightly different from that of spironolactone, and has fewer adverse reactions, suggesting that it may become a first-line treatment for hypertension."7.76Clinical effects of eplerenone, a selective aldosterone blocker, in Japanese patients with essential hypertension. ( Fukuda, S; Sato, A, 2010)
"Aldosterone was in the past considered only as a prohypertensinogenic agent."6.46Aldosterone in uremia - beyond blood pressure. ( Koleganova, N; Ritz, E, 2010)
"Features of visceral obesity and obstructive sleep apnea that may stimulate aldosterone secretion are described here."6.44Obesity, sleep apnea, aldosterone, and hypertension. ( Goodfriend, TL, 2008)
"Spironolactone treatment significantly decreased coronary TRPC expression and dysfunctions in MetS pigs."5.46Long-term spironolactone treatment reduces coronary TRPC expression, vasoconstriction, and atherosclerosis in metabolic syndrome pigs. ( Alloosh, M; Beli, E; Chakraborty, S; Chen, X; Grant, MB; Hiett, SC; Li, W; Long, X; Obukhov, AG; Riley, AM; Sturek, M; Temm, CJ; White, FA, 2017)
"Hypertension is often associated with metabolic syndrome (MetS), and serves as a risk factor of MetS and its complications."5.43Eplerenone restores 24-h blood pressure circadian rhythm and reduces advanced glycation end-products in rhesus macaques with spontaneous hypertensive metabolic syndrome. ( Ding, Y; Hou, N; Hu, X; Li, C; Liu, Y; Ma, D; Mao, J; Peng, Y; Shang, H; Sun, X; Wang, C; Wang, J; Xiao, RP; Xiao, Y; Zeng, F; Zhang, J; Zhang, X; Zhang, Y; Zheng, W, 2016)
"Proteinuria was prominent in SHR/NDmcr-cp compared with nonobese SHR, which was accompanied by podocyte injury as evidenced by foot process effacement, induction of desmin and attenuation of nephrin."5.33Enhanced aldosterone signaling in the early nephropathy of rats with metabolic syndrome: possible contribution of fat-derived factors. ( Ando, K; Fujita, T; Gotoda, T; Nagase, M; Nagase, T; Shibata, S; Yoshida, S, 2006)
"To test this hypothesis, we conducted a balanced, randomized, double-blind, placebo-controlled, crossover study using selective MR blockade (eplerenone; 100 mg/day) for 1 month with 1 month washout in older adults with metabolic syndrome (62."5.20Effect of Selective Mineralocorticoid Receptor Blockade on Flow-Mediated Dilation and Insulin Resistance in Older Adults with Metabolic Syndrome. ( Christou, DD; English, M; Hwang, MH; Luttrell, M; Meade, TH; Yoo, JK, 2015)
"The purpose of this study was to identify the effects of spironolactone on left ventricular (LV) structure and function, and serological fibrosis markers in patients with metabolic syndrome (MS) taking angiotensin-converting enzyme inhibitors or angiotensin receptor blockers."5.15A randomized study of the beneficial effects of aldosterone antagonism on LV function, structure, and fibrosis markers in metabolic syndrome. ( Kosmala, W; Marwick, TH; Mysiak, A; O'Moore-Sullivan, T; Przewlocka-Kosmala, M; Szczepanik-Osadnik, H, 2011)
"Aim of the study is to evaluate the impact of spironolactone (SPL) on indexes of metabolic syndrome (MS) and further investigate the mechanisms underlying its protective effects."3.79Spironolactone prevents dietary-induced metabolic syndrome by inhibiting PI3-K/Akt and p38MAPK signaling pathways. ( Liang, LY; Lin, YE; Liu, MJ; Long, HD; Zeng, ZH, 2013)
"Because the renin-angiotensin-aldosterone system has been implicated in the development of insulin resistance and promotion of fibrosis in some tissues, such as the vasculature, we examined the effect of eplerenone, a selective mineralocorticoid receptor (MR) antagonist, on nonalcoholic steatohepatitis (NASH) and metabolic phenotypes in a mouse model reflecting metabolic syndrome in humans."3.79Eplerenone ameliorates the phenotypes of metabolic syndrome with NASH in liver-specific SREBP-1c Tg mice fed high-fat and high-fructose diet. ( Aruga, Y; Ishii, Y; Kanasaki, K; Kitada, M; Koya, D; Miyashita, Y; Nakamura, Y; Sasahara, M; Sasaki, M; Sasaoka, T; Shimano, H; Tsuneki, H; Wada, T, 2013)
" Here, we investigated the effect of SPL on blood glucose levels in SHR/NDmcr-cp(cp/cp) (ND) rats, an animal model of metabolic syndrome, in comparison with that of eplerenone (EPL), another MR antagonist."3.78Spironolactone, but not eplerenone, impairs glucose tolerance in a rat model of metabolic syndrome. ( Arai, K; Fujisawa, M; Homma, T; Ikeda, M; Ishii, M; Sada, T, 2012)
" It has been reported that eplerenone has a potential antihypertensive effect, with a profile slightly different from that of spironolactone, and has fewer adverse reactions, suggesting that it may become a first-line treatment for hypertension."3.76Clinical effects of eplerenone, a selective aldosterone blocker, in Japanese patients with essential hypertension. ( Fukuda, S; Sato, A, 2010)
"Aldosterone was in the past considered only as a prohypertensinogenic agent."2.46Aldosterone in uremia - beyond blood pressure. ( Koleganova, N; Ritz, E, 2010)
"Features of visceral obesity and obstructive sleep apnea that may stimulate aldosterone secretion are described here."2.44Obesity, sleep apnea, aldosterone, and hypertension. ( Goodfriend, TL, 2008)
"Spironolactone treatment significantly decreased coronary TRPC expression and dysfunctions in MetS pigs."1.46Long-term spironolactone treatment reduces coronary TRPC expression, vasoconstriction, and atherosclerosis in metabolic syndrome pigs. ( Alloosh, M; Beli, E; Chakraborty, S; Chen, X; Grant, MB; Hiett, SC; Li, W; Long, X; Obukhov, AG; Riley, AM; Sturek, M; Temm, CJ; White, FA, 2017)
"Hypertension is often associated with metabolic syndrome (MetS), and serves as a risk factor of MetS and its complications."1.43Eplerenone restores 24-h blood pressure circadian rhythm and reduces advanced glycation end-products in rhesus macaques with spontaneous hypertensive metabolic syndrome. ( Ding, Y; Hou, N; Hu, X; Li, C; Liu, Y; Ma, D; Mao, J; Peng, Y; Shang, H; Sun, X; Wang, C; Wang, J; Xiao, RP; Xiao, Y; Zeng, F; Zhang, J; Zhang, X; Zhang, Y; Zheng, W, 2016)
"Metabolic syndrome is a major risk factor for the development of diabetes mellitus and cardiovascular diseases."1.42Adipocyte Mineralocorticoid Receptor Activation Leads to Metabolic Syndrome and Induction of Prostaglandin D2 Synthase. ( Adler, GK; Alvarez de la Rosa, D; El Mogrhabi, S; Fallo, F; Feraco, A; Jaisser, F; Nguyen Dinh Cat, A; Quilliot, D; Rossignol, P; Sierra-Ramos, C; Touyz, RM; Urbanet, R; Venteclef, N, 2015)
"Metabolic syndrome is a highly predisposing condition for cardiovascular disease and could be a cause of excess salt-induced organ damage."1.35Salt excess causes left ventricular diastolic dysfunction in rats with metabolic disorder. ( Ando, K; Fujita, M; Fujita, T; Kawarazaki, H; Matsui, H; Nagae, A; Nagase, M; Shimosawa, T, 2008)
"Proteinuria was prominent in SHR/NDmcr-cp compared with nonobese SHR, which was accompanied by podocyte injury as evidenced by foot process effacement, induction of desmin and attenuation of nephrin."1.33Enhanced aldosterone signaling in the early nephropathy of rats with metabolic syndrome: possible contribution of fat-derived factors. ( Ando, K; Fujita, T; Gotoda, T; Nagase, M; Nagase, T; Shibata, S; Yoshida, S, 2006)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (20.00)29.6817
2010's20 (80.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Li, W1
Chen, X1
Riley, AM1
Hiett, SC1
Temm, CJ1
Beli, E1
Long, X1
Chakraborty, S1
Alloosh, M1
White, FA1
Grant, MB1
Sturek, M1
Obukhov, AG1
Gamliel-Lazarovich, A1
Raz-Pasteur, A1
Coleman, R1
Keidar, S1
Long, HD1
Lin, YE1
Liu, MJ1
Liang, LY1
Zeng, ZH1
Wada, T1
Miyashita, Y1
Sasaki, M1
Aruga, Y1
Nakamura, Y1
Ishii, Y1
Sasahara, M1
Kanasaki, K1
Kitada, M1
Koya, D1
Shimano, H1
Tsuneki, H1
Sasaoka, T1
Urbanet, R1
Nguyen Dinh Cat, A1
Feraco, A1
Venteclef, N1
El Mogrhabi, S1
Sierra-Ramos, C1
Alvarez de la Rosa, D1
Adler, GK2
Quilliot, D1
Rossignol, P1
Fallo, F1
Touyz, RM1
Jaisser, F1
Hwang, MH1
Yoo, JK1
Luttrell, M1
Meade, TH1
English, M1
Christou, DD1
Kanchan, V1
Pawan, K1
Sudhir, V1
Harpreet Singh, K1
Zhang, Y1
Zheng, W1
Liu, Y1
Wang, J1
Peng, Y1
Shang, H1
Hou, N1
Hu, X1
Ding, Y1
Xiao, Y1
Wang, C1
Zeng, F1
Mao, J1
Zhang, J1
Ma, D1
Sun, X1
Li, C1
Xiao, RP1
Zhang, X1
Matsui, H2
Ando, K2
Kawarazaki, H1
Nagae, A1
Fujita, M1
Shimosawa, T1
Nagase, M4
Fujita, T4
Goodfriend, TL1
Sato, A1
Fukuda, S1
Ritz, E1
Koleganova, N1
Tirosh, A1
Garg, R1
Costa, MB2
Andrade Ezequiel, DG1
Morais Lovis, JC1
Oliveira, MM1
Baumgratz de Paula, R1
Polyzos, SA1
Kountouras, J1
Zavos, C1
Deretzi, G1
Leung, DY1
Kosmala, W1
Przewlocka-Kosmala, M1
Szczepanik-Osadnik, H1
Mysiak, A1
O'Moore-Sullivan, T1
Marwick, TH1
Lovisi, JC1
Ezequiel, DA1
Bicalho, TC1
Barros, FC1
Souza, Gdo C1
Paula, RB1
Homma, T1
Fujisawa, M1
Arai, K1
Ishii, M1
Sada, T1
Ikeda, M1
Suzuki, H1
Shuto, H1
Shuto, C1
Ohara, I1
Inokuma, S1
Abe, Y1
Sukigara, M1
Bonny, AE1
Appelbaum, H1
Connor, EL1
Cromer, B1
DiVasta, A1
Gomez-Lobo, V1
Harel, Z1
Huppert, J1
Sucato, G1
Yoshida, S1
Shibata, S2
Nagase, T1
Gotoda, T2
Caprio, M1
Fève, B1
Claës, A1
Viengchareun, S1
Lombès, M1
Zennaro, MC1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of Spironolactone and Vitamin E Versus Vitamin E on Serum Adipocytokines Levels in Patients With Biopsy-proven Nonalcoholic Fatty Liver Disease-A Phase II Study[NCT01147523]Phase 230 participants (Actual)Interventional2010-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for spironolactone and Cardiometabolic Syndrome

ArticleYear
Obesity, sleep apnea, aldosterone, and hypertension.
    Current hypertension reports, 2008, Volume: 10, Issue:3

    Topics: Aldosterone; Humans; Hypertension; Metabolic Syndrome; Mineralocorticoid Receptor Antagonists; Obesi

2008
Aldosterone in uremia - beyond blood pressure.
    Blood purification, 2010, Volume: 29, Issue:2

    Topics: 11-beta-Hydroxysteroid Dehydrogenase Type 2; Aldosterone; Endothelial Cells; Endothelium, Vascular;

2010
[Chronic kidney disease and the aldosterone/mineralocorticoid receptor system].
    Nihon Jinzo Gakkai shi, 2010, Volume: 52, Issue:2

    Topics: Aldosterone; Animals; Chronic Disease; Eplerenone; Humans; Kidney Diseases; Metabolic Syndrome; Mine

2010
Mineralocorticoid receptor antagonists and the metabolic syndrome.
    Current hypertension reports, 2010, Volume: 12, Issue:4

    Topics: Aldosterone; Antihypertensive Agents; Eplerenone; Humans; Hypertension; Inflammation; Insulin Resist

2010

Trials

4 trials available for spironolactone and Cardiometabolic Syndrome

ArticleYear
Effect of Selective Mineralocorticoid Receptor Blockade on Flow-Mediated Dilation and Insulin Resistance in Older Adults with Metabolic Syndrome.
    Metabolic syndrome and related disorders, 2015, Volume: 13, Issue:8

    Topics: Aged; Brachial Artery; Cross-Over Studies; Double-Blind Method; Endothelium, Vascular; Eplerenone; H

2015
Effect of low-dose mineralocorticoid receptor antagonists on metabolic profile and endothelial dysfunction in metabolic syndrome.
    Diabetes & metabolism, 2016, Volume: 42, Issue:1

    Topics: Adult; Aged, 80 and over; Biomarkers; Eplerenone; Female; Humans; Lipids; Male; Metabolic Syndrome;

2016
Aldosterone antagonist decreases blood pressure and improves metabolic parameters in obese patients with the metabolic syndrome.
    Journal of clinical hypertension (Greenwich, Conn.), 2010, Volume: 12, Issue:9

    Topics: Adult; Aged; Blood Pressure; Female; Humans; Hypertension; Male; Metabolic Syndrome; Middle Aged; Mi

2010
A randomized study of the beneficial effects of aldosterone antagonism on LV function, structure, and fibrosis markers in metabolic syndrome.
    JACC. Cardiovascular imaging, 2011, Volume: 4, Issue:12

    Topics: Aged; Analysis of Variance; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme I

2011

Other Studies

17 other studies available for spironolactone and Cardiometabolic Syndrome

ArticleYear
Long-term spironolactone treatment reduces coronary TRPC expression, vasoconstriction, and atherosclerosis in metabolic syndrome pigs.
    Basic research in cardiology, 2017, Volume: 112, Issue:5

    Topics: Animals; Calcium Signaling; Cells, Cultured; Coronary Artery Disease; Coronary Vessels; Disease Mode

2017
The effects of aldosterone on diet-induced fatty liver formation in male C57BL/6 mice: comparison of adrenalectomy and mineralocorticoid receptor blocker.
    European journal of gastroenterology & hepatology, 2013, Volume: 25, Issue:9

    Topics: Adrenalectomy; Aldosterone; Animals; Blood Glucose; Blood Pressure; Cells, Cultured; Cholesterol; Di

2013
Spironolactone prevents dietary-induced metabolic syndrome by inhibiting PI3-K/Akt and p38MAPK signaling pathways.
    Journal of endocrinological investigation, 2013, Volume: 36, Issue:11

    Topics: Aldosterone; Animals; Apoptosis; Diet, High-Fat; Dyslipidemias; Hypertension; Insulin-Secreting Cell

2013
Eplerenone ameliorates the phenotypes of metabolic syndrome with NASH in liver-specific SREBP-1c Tg mice fed high-fat and high-fructose diet.
    American journal of physiology. Endocrinology and metabolism, 2013, Dec-01, Volume: 305, Issue:11

    Topics: Animals; Cells, Cultured; Diet, High-Fat; Dietary Carbohydrates; Eplerenone; Fatty Liver; Fructose;

2013
Adipocyte Mineralocorticoid Receptor Activation Leads to Metabolic Syndrome and Induction of Prostaglandin D2 Synthase.
    Hypertension (Dallas, Tex. : 1979), 2015, Volume: 66, Issue:1

    Topics: 3T3-L1 Cells; Adipocytes, White; Aldosterone; Animals; Cell Line, Tumor; Dibenzocycloheptenes; Enzym

2015
Eplerenone restores 24-h blood pressure circadian rhythm and reduces advanced glycation end-products in rhesus macaques with spontaneous hypertensive metabolic syndrome.
    Scientific reports, 2016, Apr-01, Volume: 6

    Topics: Anesthesia, General; Animals; Antihypertensive Agents; Blood Pressure; Circadian Rhythm; Drug Evalua

2016
Salt excess causes left ventricular diastolic dysfunction in rats with metabolic disorder.
    Hypertension (Dallas, Tex. : 1979), 2008, Volume: 52, Issue:2

    Topics: Aldosterone; Animals; Blood Pressure Determination; Disease Models, Animal; Echocardiography, Dopple

2008
Clinical effects of eplerenone, a selective aldosterone blocker, in Japanese patients with essential hypertension.
    Journal of human hypertension, 2010, Volume: 24, Issue:6

    Topics: Aged; Albuminuria; Aldosterone; Angiotensin-Converting Enzyme Inhibitors; Antihypertensive Agents; A

2010
Spironolactone revisited.
    Journal of clinical hypertension (Greenwich, Conn.), 2011, Volume: 13, Issue:10

    Topics: Blood Pressure; Female; Humans; Hypertension; Male; Metabolic Syndrome; Mineralocorticoid Receptor A

2011
Aldosterone blockade in metabolic syndrome: hitting the target or still missing some links?
    JACC. Cardiovascular imaging, 2011, Volume: 4, Issue:12

    Topics: Female; Humans; Hypertrophy, Left Ventricular; Male; Metabolic Syndrome; Mineralocorticoid Receptor

2011
Espironolactone improves flow-mediated vasodilatation in subjects with the metabolic syndrome.
    Jornal brasileiro de nefrologia, 2011, Volume: 33, Issue:4

    Topics: Adolescent; Adult; Endothelium, Vascular; Female; Humans; Male; Metabolic Syndrome; Middle Aged; Min

2011
Spironolactone, but not eplerenone, impairs glucose tolerance in a rat model of metabolic syndrome.
    The Journal of veterinary medical science, 2012, Volume: 74, Issue:8

    Topics: Animals; Area Under Curve; Blood Glucose; Eplerenone; Glucose; Glucose Intolerance; Metabolic Syndro

2012
Eplerenone, an aldosterone blocker, is more effective in reducing blood pressure in patients with, than without, metabolic syndrome.
    Therapeutic advances in cardiovascular disease, 2012, Volume: 6, Issue:4

    Topics: Aged; Albuminuria; Antihypertensive Agents; Blood Pressure; Eplerenone; Female; Humans; Male; Metabo

2012
Clinical variability in approaches to polycystic ovary syndrome.
    Journal of pediatric and adolescent gynecology, 2012, Volume: 25, Issue:4

    Topics: Adolescent; Contraceptives, Oral; Cross-Sectional Studies; Data Collection; Exercise; Feeding Behavi

2012
Enhanced aldosterone signaling in the early nephropathy of rats with metabolic syndrome: possible contribution of fat-derived factors.
    Journal of the American Society of Nephrology : JASN, 2006, Volume: 17, Issue:12

    Topics: Adipocytes; Adrenal Glands; Aldosterone; Animals; Cyclic N-Oxides; Disease Models, Animal; Eplerenon

2006
Pivotal role of the mineralocorticoid receptor in corticosteroid-induced adipogenesis.
    FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2007, Volume: 21, Issue:9

    Topics: Adipocytes, White; Adipogenesis; Adipose Tissue, White; Aldosterone; Animals; Cell Differentiation;

2007
Salt-induced nephropathy in obese spontaneously hypertensive rats via paradoxical activation of the mineralocorticoid receptor: role of oxidative stress.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 50, Issue:5

    Topics: Aldosterone; Animals; Antioxidants; Cyclic N-Oxides; Disease Models, Animal; Eplerenone; Hypertensio

2007