BibTex RIS Cite

Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats

Year 2014, Volume: 18 Issue: 2, 66 - 72, 16.05.2014

Abstract

Epidemiological studies have shown that regular exercise and
increased aerobic fitness are associated with a decrease in allcause
mortality and morbidity, including diseases related with
high blood pressure. However, whether exercise has an antiinflammatory
impact on the pathogenesis of hypertension was
not elucidated yet. In the present study, to investigate the
potential protective and therapeutic effects of exercise training
(swimming for 30 min/day, 5 days/week for 9 weeks) on
renovascular hypertension (RVH) 10-week-old male Wistar
albino rats were divided into 4 groups as sham-operated
sedentary control group, sedentary group with RVH (2-Kidney,
1-Clip Goldblatt) and two exercised RVH groups, which had
9-week training either before the surgery or after the surgery.
Systolic blood pressures (SBP) were measured by the tail-cuff
method on a weekly basis and at the end of 12 weeks, rats were
decapitated to obtain kidneys. SBP were significantly higher in
the sedentary RVH group than the control group, whereas in
the trained RVH group measurements were not different than
those of the control animals. In the renal tissues of the
sedentary RVH group, malondialdehyde and myeloperoxidase
levels were increased with a concomitant decrease in
glutathione levels, while in the trained RVH group the levels
were not different than those of the control group. Moreover,
in the trained RVH group, superoxide dismutase and catalase
levels measured as antioxidant parameters, were also
significantly increased as compared with those of the
sedentary RVH group. Current results demonstrate that
regular moderate training controls high blood pressure in
RVH, while RVH-induced oxidative damage in renal tissue is
ameliorated through the modulation of oxidant-antioxidant
balance. Exercise training does not only improve the
circulatory functions, but it also initiates an anti-inflammatory
process to defend against the angiotensin-II-induced renal
injury.
Keywords: Exercise, hypertension, kidney, oxidative stress

References

  • Textor SC, LermanL. Renovascular hypertension and ischemic nephropathy. Am J Hypertens 2010;23: 1159-69.
  • Higashi Y, Sasaki S, Nakagawa K, Matsuura H, Oshima T, Chayama K.Endothelial function and oxidative stress in renovascular hypertension. N Engl J Med 2002;346: 1954-62.
  • Schnackenberg CG, Welch WJ, Wilcox CS. Normalization of blood pressure and renal vascular resistance in SHR with a membranepermeable superoxide dismutase mimetic: role of nitric oxide. Hypertension 1998;32: 59-64.
  • Queiroz TM, Guimarães DD, Mendes-Junior LG, Braga VA.α-lipoic acid reduces hypertension and increases baroreflex sensitivity in renovascular hypertensive rats. Molecules 2012;17: 13357-67.
  • Cau SB, Guimaraes DA, Rizzi E, Ceron CS, Souza LL, Tirapelli CR, Gerlach RF, Tanus-Santos JE. Pyrrolidine dithiocarbamate downregulates vascular matrix metalloproteinases and ameliorates vascular dysfunction and remodelling in renovascular hypertension. Br J Pharmacol 2011;164: 372-81.
  • Kalani R, Judge S, Carter C, Pahor M, Leeuwenburgh C. Effects of caloric restriction and exercise on age-related, chronic inflammation assessed by CRP and interleukin-6. J Gerontol A Biol Sci Med Sci 2006;61: 211-7.
  • Navarro A, Gomez C, Lopez-Cepero JM, Boveris A. Beneficial effects of moderate exercise on mice aging: survival, behavior, oxidative stress, and mitochondrial electron transfer. Am J Physiol Regul Integr Comp Physiol 2004;286: R505-11.
  • (Hayashi A, Kobayashi A, Takahashi R, Suzuki F, Nakagawa T, Kimotro K. Effects of voluntary running exercise on blood pressure and renin-angiotensin system in spontaneously hypertensive rats and normotensive Wistar-Kyoto rats. J Nutr Sci Vitaminol (Tokyo) 2000;46: 165-70.
  • Melo RM, Martinho E Jr, Michelini LC. Training-induced, pressurelowering effect in SHR: wide effects on circulatory profile of exercised and nonexercised muscles. Hypertension 2003; 42: 851-7.
  • Hagg U, Andersson I, Naylor AS, Gronros J, Jonsdottir IH, Bergstrom G, Gan LM. Voluntary physical exercise-induced vascular effects in spontaneously hypertensive rats. Clin Sci (Lond) 2004;107: 571-81.
  • Agarwal D, Elks CM, Reed SD, Mariappan N, Majid DS, Francis J. Chronic exercise preserves renal structure and hemodynamics in spontaneously hypertensive rats. Antioxid Redox Signal 2012;16: 139Evenwel R, Struyker-Boudier H. Effect of physical training on the development of hypertension in the spontaneously hypertensive rat. Pflügers Arch. 1979; 381: 19–24.
  • Arakawa K. Exercise, a measure to lower blood pressure and reduce other risks. Clin Exp Hypertens 1999;21: 797-803.
  • Heath GW. Exercise training improves lipoprotein profiles in patients with coronary artery disease. Am Heart J 1983;105:889-95.
  • Zinman B, Vranic M. Diabetes and exercise. Med Clin North Am 1985;69: 45-52.
  • Wasserman K. Physiology of Exercise. In: Wasserman K, Hansen JE, Sue DY, Whipp BJ (editors):Principles of exercise testing and interpretation. Philadelphia: Lippincott Williams & Wilkins; 1999;10–61.
  • Goldberg AP, Geltman EM, Gavin JR. Exercise training reduces coronary risk and effectively rehabilitates hemodialysis patients. Nephron 1986; 42: 311–315.
  • Cardoso AM, Martins CC, FiorinFda S, Schmatz R, Abdalla FH, Gutierres J, Zanini D, Fiorenza AM, Stefanello N, Serres JD, Carvalho F, Castro VP, Mazzanti CM, Royes LF, Belló-Klein A, Goularte JF, Morsch VM, Bagatini MD, Schetinger MR. Physical training prevents oxidative stress in L-NAME-induced hypertension rats. Cell Biochem Funct 2013;31:136-51. de Souza PS1, da Rocha LG, Tromm CB, Scheffer DL, Victor EG, da Silveira PC, de Souza CT, Silva LA, Pinho RA. Therapeutic action of physical exercise on markers of oxidative stress induced by chronic kidney disease. Life Sci. 2012;21;91:132-6.
  • Erşahin M, Sehirli O, Toklu HZ, Süleymanoglu S, Emekli-Alturfan E, Yarat A,Tatlidede E, Yeğen BC, SenerG.Melatonin improves cardiovascular function and ameliorates renal, cardiac and cerebral damage in rats with renovascular hypertension. J Pineal Res. 2009;47:97-106.
  • Cakır B, Kasımay O, Kolgazi M, Ersoy Y, Ercan F, YeğenBC.Stressinduced multiple organ damage in rats is ameliorated by the antioxidant and anxiolytic effects of regular exercise.Cell Biochem Funct. 2010;28:469-79.
  • Lima FD, Oliveira MS, Furian AF, et al. Adaptation to oxidative challenge induced by chronic physical exercise prevents Na+, K+ATPase activity inhibition after traumatic brain injury. Brain Res 2009; 1279: 147–55.
  • Martinez-Maldonado M. Pathophysiology of renovascular hypertension. Hypertension 1991;17:707-19.
  • Bradley PP, Priebat DA, Christensen RD, Rothstein G. Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Invest Dermatol. 1982;78(3):206-9.
  • Aykaç G, Uysal M, Yalçin AS, Koçak-Toker N, Sivas A, Oz H. The effect of chronic ethanol ingestion on hepatic lipid peroxide, glutathione, glutathione peroxidase and glutathione transferase in rats. Toxicology. 1985;36:71-6.
  • Casini AF, Ferrali M, Pompella A, Maellaro E, Comporti M. Lipid peroxidation and cellular damage in extrahepatic tissues of bromobenzene-intoxicated mice. Am J Pathol 1986;123:520-31.
  • Mylroie AA et al. Erythrocyte superoxide dismutase activity and other parameters of copper status in rats ingesting lead acetate. Toxicol Appl Pharmacol. 1986; 82: 512–20.
  • Aebi H. Catalase in vitro. Methods Enzymol, 1984; 105: 121–126.
  • Johansen KL Exercise and chronic kidney disease: current recommendations. Sports Med 2005;35: 485–99.
  • Silva GJ, Brum PC, Negrao CE, Krieger EM Acute and chronic effects of exercise on baroreflexes in spontaneously hypertensive rats. Hypertension 1997;30: 714–19.
  • Winnick JJ, Sherman WM, Habash DL, Stout MB, Failla ML, et al. Short-term aerobic exercise training in obese humans with type 2 diabetes mellitus improves whole-body insulin sensitivity through gains in peripheral, not hepatic insulin sensitivity. J Clin Endocrinol Metab 2008;93: 771–78.
  • Boor P, Celec P, Behuliak M, Grancic P, Kebis A, Kukan M, Pronayová N, Liptaj T, Ostendorf T, Sebeková K. Regular moderate exercise reduces advanced glycation and ameliorates early diabetic nephropathy in obese Zucker rats. Metabolism. 2009;58:1669-77.
  • Bronas UG. Exercise training and reduction of cardiovascular disease risk factors in patients with chronic kidney disease. Adv Chronic Kidney Dis. 2009;16:449-58.
  • Hamilton KL. Antioxidants and cardioprotection. Medicine and science in sports and exercise. 2007;39:1544–53., Gorce-Dupuy AM, Vela C, Badiou S, Bargnoux AS, Josse C, Roagna N, Delage M, Michel F, Vernet MH, Destizons D, CristolJP. Antioxidant and oligonutrient status, distribution of amino acids, muscle damage, inflammation, and evaluation of renal function in elite rugby players.Clin Chem Lab Med 2012;50:1777-89.
  • H. Miyzaki, S. Oh-ishi, T. Ookawara, T. Kizaki, K. Toshinai, S. Ha, S. Haga, L.L. Ji, H. Ohno Strenuous endurance training in humans reduces oxidative stress following exhausting exercise Eur J Appl Physiol 2001;84, 1–6.
  • Nakatani K1, Komatsu M, Kato T, Yamanaka T, Takekura H, Wagatsuma A, Aoyama K, Xu B, Hirano T, Kasai H, Ando S, Takeuchi T. Habitual exercise induced resistance to oxidative stress. Free Radic Res. 2005;39:905-11.
  • Peeri M, Habibian M, Azarbayjani MA, HedayatiM.Protective effect of aerobic exercise against L-NAME-induced kidney damage in rats. Arh Hig Rada Toksikol 2013;64:43-9.
  • Donnahoo KK, Meng X, Ayala A, Cain MP, Harken AH, Meldrum DR. Early kidney TNF-a expression mediates neutrophil infiltration and injury after renal ischemia-reperfusion. Am J Physiol 1999;277:R922–9.
  • Kang C, Chung E, Diffee G, Ji LL. Exercise training attenuates aging-associated mitochondrial dysfunction in rat skeletal muscle: role of PGC-1α. Exp Gerontol. 2013;48:1343-50.
  • Pietrelli A, Lopez-Costa J, Goñi R, Brusco A, Basso N.Aerobic exercise prevents age-dependent cognitive decline and reduces anxiety-related behaviors in middle-aged and old rats. Neuroscience. 2012;202:252-66.
  • Radahmadi M, Alaei H, Sharifi MR, Hosseini N.The Effect of Synchronized Forced Running with Chronic Stress on Short, Mid and Long- term Memory in Rats. Asian J Sports Med 2013; 4:54-62.
  • Masini CV, Nyhuis TJ, Sasse SK, Day HE, Campeau S. Effects of voluntary wheel running on heart rate, body temperature, and locomotor activity in response to acute and repeated stressor exposures in rats. Stress 2011;14:324-34.
  • Bansal A, Dai Q, Chiao YA, Hakala KW, Zhang JQ, Weintraub ST, Lindsey ML. Proteomic analysis reveals late exercise effects on cardiac remodeling following myocardial infarction. J Proteomics. 2010;73:2041-9.
  • Hung CH, Tzeng JI, Chang CN, Chen YW, Cho CY, Wang JJ. Treadmill exercise preconditioning attenuates lung damage caused by systemic endotoxemia in type 1 diabetic rats. J Diabetes Res 2013; 2013:527090.
  • LuizRda S, Silva KA, Rampaso RR, Antônio EL, Montemor J, Bocalini DS, Dos Santos L, Moura L, Tucci PJ, de Abreu NP, Schor N. Exercise attenuates renal dysfunction with preservation of myocardial function in chronic kidney disease.PLoS One 2013;8(2):e55363.
Year 2014, Volume: 18 Issue: 2, 66 - 72, 16.05.2014

Abstract

References

  • Textor SC, LermanL. Renovascular hypertension and ischemic nephropathy. Am J Hypertens 2010;23: 1159-69.
  • Higashi Y, Sasaki S, Nakagawa K, Matsuura H, Oshima T, Chayama K.Endothelial function and oxidative stress in renovascular hypertension. N Engl J Med 2002;346: 1954-62.
  • Schnackenberg CG, Welch WJ, Wilcox CS. Normalization of blood pressure and renal vascular resistance in SHR with a membranepermeable superoxide dismutase mimetic: role of nitric oxide. Hypertension 1998;32: 59-64.
  • Queiroz TM, Guimarães DD, Mendes-Junior LG, Braga VA.α-lipoic acid reduces hypertension and increases baroreflex sensitivity in renovascular hypertensive rats. Molecules 2012;17: 13357-67.
  • Cau SB, Guimaraes DA, Rizzi E, Ceron CS, Souza LL, Tirapelli CR, Gerlach RF, Tanus-Santos JE. Pyrrolidine dithiocarbamate downregulates vascular matrix metalloproteinases and ameliorates vascular dysfunction and remodelling in renovascular hypertension. Br J Pharmacol 2011;164: 372-81.
  • Kalani R, Judge S, Carter C, Pahor M, Leeuwenburgh C. Effects of caloric restriction and exercise on age-related, chronic inflammation assessed by CRP and interleukin-6. J Gerontol A Biol Sci Med Sci 2006;61: 211-7.
  • Navarro A, Gomez C, Lopez-Cepero JM, Boveris A. Beneficial effects of moderate exercise on mice aging: survival, behavior, oxidative stress, and mitochondrial electron transfer. Am J Physiol Regul Integr Comp Physiol 2004;286: R505-11.
  • (Hayashi A, Kobayashi A, Takahashi R, Suzuki F, Nakagawa T, Kimotro K. Effects of voluntary running exercise on blood pressure and renin-angiotensin system in spontaneously hypertensive rats and normotensive Wistar-Kyoto rats. J Nutr Sci Vitaminol (Tokyo) 2000;46: 165-70.
  • Melo RM, Martinho E Jr, Michelini LC. Training-induced, pressurelowering effect in SHR: wide effects on circulatory profile of exercised and nonexercised muscles. Hypertension 2003; 42: 851-7.
  • Hagg U, Andersson I, Naylor AS, Gronros J, Jonsdottir IH, Bergstrom G, Gan LM. Voluntary physical exercise-induced vascular effects in spontaneously hypertensive rats. Clin Sci (Lond) 2004;107: 571-81.
  • Agarwal D, Elks CM, Reed SD, Mariappan N, Majid DS, Francis J. Chronic exercise preserves renal structure and hemodynamics in spontaneously hypertensive rats. Antioxid Redox Signal 2012;16: 139Evenwel R, Struyker-Boudier H. Effect of physical training on the development of hypertension in the spontaneously hypertensive rat. Pflügers Arch. 1979; 381: 19–24.
  • Arakawa K. Exercise, a measure to lower blood pressure and reduce other risks. Clin Exp Hypertens 1999;21: 797-803.
  • Heath GW. Exercise training improves lipoprotein profiles in patients with coronary artery disease. Am Heart J 1983;105:889-95.
  • Zinman B, Vranic M. Diabetes and exercise. Med Clin North Am 1985;69: 45-52.
  • Wasserman K. Physiology of Exercise. In: Wasserman K, Hansen JE, Sue DY, Whipp BJ (editors):Principles of exercise testing and interpretation. Philadelphia: Lippincott Williams & Wilkins; 1999;10–61.
  • Goldberg AP, Geltman EM, Gavin JR. Exercise training reduces coronary risk and effectively rehabilitates hemodialysis patients. Nephron 1986; 42: 311–315.
  • Cardoso AM, Martins CC, FiorinFda S, Schmatz R, Abdalla FH, Gutierres J, Zanini D, Fiorenza AM, Stefanello N, Serres JD, Carvalho F, Castro VP, Mazzanti CM, Royes LF, Belló-Klein A, Goularte JF, Morsch VM, Bagatini MD, Schetinger MR. Physical training prevents oxidative stress in L-NAME-induced hypertension rats. Cell Biochem Funct 2013;31:136-51. de Souza PS1, da Rocha LG, Tromm CB, Scheffer DL, Victor EG, da Silveira PC, de Souza CT, Silva LA, Pinho RA. Therapeutic action of physical exercise on markers of oxidative stress induced by chronic kidney disease. Life Sci. 2012;21;91:132-6.
  • Erşahin M, Sehirli O, Toklu HZ, Süleymanoglu S, Emekli-Alturfan E, Yarat A,Tatlidede E, Yeğen BC, SenerG.Melatonin improves cardiovascular function and ameliorates renal, cardiac and cerebral damage in rats with renovascular hypertension. J Pineal Res. 2009;47:97-106.
  • Cakır B, Kasımay O, Kolgazi M, Ersoy Y, Ercan F, YeğenBC.Stressinduced multiple organ damage in rats is ameliorated by the antioxidant and anxiolytic effects of regular exercise.Cell Biochem Funct. 2010;28:469-79.
  • Lima FD, Oliveira MS, Furian AF, et al. Adaptation to oxidative challenge induced by chronic physical exercise prevents Na+, K+ATPase activity inhibition after traumatic brain injury. Brain Res 2009; 1279: 147–55.
  • Martinez-Maldonado M. Pathophysiology of renovascular hypertension. Hypertension 1991;17:707-19.
  • Bradley PP, Priebat DA, Christensen RD, Rothstein G. Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Invest Dermatol. 1982;78(3):206-9.
  • Aykaç G, Uysal M, Yalçin AS, Koçak-Toker N, Sivas A, Oz H. The effect of chronic ethanol ingestion on hepatic lipid peroxide, glutathione, glutathione peroxidase and glutathione transferase in rats. Toxicology. 1985;36:71-6.
  • Casini AF, Ferrali M, Pompella A, Maellaro E, Comporti M. Lipid peroxidation and cellular damage in extrahepatic tissues of bromobenzene-intoxicated mice. Am J Pathol 1986;123:520-31.
  • Mylroie AA et al. Erythrocyte superoxide dismutase activity and other parameters of copper status in rats ingesting lead acetate. Toxicol Appl Pharmacol. 1986; 82: 512–20.
  • Aebi H. Catalase in vitro. Methods Enzymol, 1984; 105: 121–126.
  • Johansen KL Exercise and chronic kidney disease: current recommendations. Sports Med 2005;35: 485–99.
  • Silva GJ, Brum PC, Negrao CE, Krieger EM Acute and chronic effects of exercise on baroreflexes in spontaneously hypertensive rats. Hypertension 1997;30: 714–19.
  • Winnick JJ, Sherman WM, Habash DL, Stout MB, Failla ML, et al. Short-term aerobic exercise training in obese humans with type 2 diabetes mellitus improves whole-body insulin sensitivity through gains in peripheral, not hepatic insulin sensitivity. J Clin Endocrinol Metab 2008;93: 771–78.
  • Boor P, Celec P, Behuliak M, Grancic P, Kebis A, Kukan M, Pronayová N, Liptaj T, Ostendorf T, Sebeková K. Regular moderate exercise reduces advanced glycation and ameliorates early diabetic nephropathy in obese Zucker rats. Metabolism. 2009;58:1669-77.
  • Bronas UG. Exercise training and reduction of cardiovascular disease risk factors in patients with chronic kidney disease. Adv Chronic Kidney Dis. 2009;16:449-58.
  • Hamilton KL. Antioxidants and cardioprotection. Medicine and science in sports and exercise. 2007;39:1544–53., Gorce-Dupuy AM, Vela C, Badiou S, Bargnoux AS, Josse C, Roagna N, Delage M, Michel F, Vernet MH, Destizons D, CristolJP. Antioxidant and oligonutrient status, distribution of amino acids, muscle damage, inflammation, and evaluation of renal function in elite rugby players.Clin Chem Lab Med 2012;50:1777-89.
  • H. Miyzaki, S. Oh-ishi, T. Ookawara, T. Kizaki, K. Toshinai, S. Ha, S. Haga, L.L. Ji, H. Ohno Strenuous endurance training in humans reduces oxidative stress following exhausting exercise Eur J Appl Physiol 2001;84, 1–6.
  • Nakatani K1, Komatsu M, Kato T, Yamanaka T, Takekura H, Wagatsuma A, Aoyama K, Xu B, Hirano T, Kasai H, Ando S, Takeuchi T. Habitual exercise induced resistance to oxidative stress. Free Radic Res. 2005;39:905-11.
  • Peeri M, Habibian M, Azarbayjani MA, HedayatiM.Protective effect of aerobic exercise against L-NAME-induced kidney damage in rats. Arh Hig Rada Toksikol 2013;64:43-9.
  • Donnahoo KK, Meng X, Ayala A, Cain MP, Harken AH, Meldrum DR. Early kidney TNF-a expression mediates neutrophil infiltration and injury after renal ischemia-reperfusion. Am J Physiol 1999;277:R922–9.
  • Kang C, Chung E, Diffee G, Ji LL. Exercise training attenuates aging-associated mitochondrial dysfunction in rat skeletal muscle: role of PGC-1α. Exp Gerontol. 2013;48:1343-50.
  • Pietrelli A, Lopez-Costa J, Goñi R, Brusco A, Basso N.Aerobic exercise prevents age-dependent cognitive decline and reduces anxiety-related behaviors in middle-aged and old rats. Neuroscience. 2012;202:252-66.
  • Radahmadi M, Alaei H, Sharifi MR, Hosseini N.The Effect of Synchronized Forced Running with Chronic Stress on Short, Mid and Long- term Memory in Rats. Asian J Sports Med 2013; 4:54-62.
  • Masini CV, Nyhuis TJ, Sasse SK, Day HE, Campeau S. Effects of voluntary wheel running on heart rate, body temperature, and locomotor activity in response to acute and repeated stressor exposures in rats. Stress 2011;14:324-34.
  • Bansal A, Dai Q, Chiao YA, Hakala KW, Zhang JQ, Weintraub ST, Lindsey ML. Proteomic analysis reveals late exercise effects on cardiac remodeling following myocardial infarction. J Proteomics. 2010;73:2041-9.
  • Hung CH, Tzeng JI, Chang CN, Chen YW, Cho CY, Wang JJ. Treadmill exercise preconditioning attenuates lung damage caused by systemic endotoxemia in type 1 diabetic rats. J Diabetes Res 2013; 2013:527090.
  • LuizRda S, Silva KA, Rampaso RR, Antônio EL, Montemor J, Bocalini DS, Dos Santos L, Moura L, Tucci PJ, de Abreu NP, Schor N. Exercise attenuates renal dysfunction with preservation of myocardial function in chronic kidney disease.PLoS One 2013;8(2):e55363.
There are 43 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Zarife Özdemir Kumral This is me

Göksel Şener This is me

Berrak Yeğen This is me

Publication Date May 16, 2014
Published in Issue Year 2014 Volume: 18 Issue: 2

Cite

APA Özdemir Kumral, Z., Şener, G., & Yeğen, B. (2014). Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats. Marmara Pharmaceutical Journal, 18(2), 66-72. https://doi.org/10.12991/mpj.2014186122
AMA Özdemir Kumral Z, Şener G, Yeğen B. Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats. J Res Pharm. May 2014;18(2):66-72. doi:10.12991/mpj.2014186122
Chicago Özdemir Kumral, Zarife, Göksel Şener, and Berrak Yeğen. “Regular Swimming Exercise Performed Either before or After the Induction of Renovascular Hypertension Alleviates Oxidative Renal Injury in Rats”. Marmara Pharmaceutical Journal 18, no. 2 (May 2014): 66-72. https://doi.org/10.12991/mpj.2014186122.
EndNote Özdemir Kumral Z, Şener G, Yeğen B (May 1, 2014) Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats. Marmara Pharmaceutical Journal 18 2 66–72.
IEEE Z. Özdemir Kumral, G. Şener, and B. Yeğen, “Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats”, J Res Pharm, vol. 18, no. 2, pp. 66–72, 2014, doi: 10.12991/mpj.2014186122.
ISNAD Özdemir Kumral, Zarife et al. “Regular Swimming Exercise Performed Either before or After the Induction of Renovascular Hypertension Alleviates Oxidative Renal Injury in Rats”. Marmara Pharmaceutical Journal 18/2 (May 2014), 66-72. https://doi.org/10.12991/mpj.2014186122.
JAMA Özdemir Kumral Z, Şener G, Yeğen B. Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats. J Res Pharm. 2014;18:66–72.
MLA Özdemir Kumral, Zarife et al. “Regular Swimming Exercise Performed Either before or After the Induction of Renovascular Hypertension Alleviates Oxidative Renal Injury in Rats”. Marmara Pharmaceutical Journal, vol. 18, no. 2, 2014, pp. 66-72, doi:10.12991/mpj.2014186122.
Vancouver Özdemir Kumral Z, Şener G, Yeğen B. Regular swimming exercise performed either before or after the induction of renovascular hypertension alleviates oxidative renal injury in rats. J Res Pharm. 2014;18(2):66-72.

.