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1 Department of Pharmacology and Toxicology, Vascular Biology Center, Medical College of Georgia, Augusta, Georgia 30912; and 2 The Second Swedish National Pension Fund AP2, Gothenburg, Sweden SE-40424
Recent studies have shown that
angiotensin-converting enzyme (ACE) inhibitors attenuate endothelin-1
(ET-1)-induced hypertension, but the mechanisms for this effect have
not been clarified. Initial experiments were conducted to contrast the
effect of the ACE inhibitor enalapril, the combined ACE-neutral
endopeptidase inhibitor omapatrilat, and the angiotensin II receptor
antagonist candesartan on the hypertensive and renal response to ET-1
in anesthetized Sprague-Dawley rats. Acute intravenous infusion of ET-1
(10 pmol · kg
1 · min
1)
for 60 min significantly increased mean arterial pressure (MAP) from
125 ± 8 to 145 ± 8 mmHg (P < 0.05) and
significantly decreased glomerular filtration rate (GFR) from 0.31 ± 0.09 to 0.13 ± 0.05 ml · min
1 · 100 g kidney wt
1. Pretreatment with enalapril (10 mg/kg iv)
before ET-1 infusion inhibited the increase in MAP (121 ± 4 vs.
126 ± 4 mmHg) before and during ET-1 infusion, respectively
(P < 0.05) without blocking the effect of ET-1 on GFR.
In contrast, neither omapatrilat (30 mg/kg) nor candesartan (10 mg/kg)
had any effect on ET-1-induced increases in MAP or decreases in GFR. To
determine whether the effect of enalapril was due to the decrease in
angiotensin II or increase in kinin formation, rats were given
REF-000359 (1 mg/kg iv), a selective B2 receptor
antagonist, with or without enalapril before ET-1 infusion. REF-000359
completely blocked the effect of enalapril on ET-1 infusion (MAP was
117 ± 5 vs. 135 ± 5 mmHg before and during ET-1 infusion,
respectively, P < 0.05). REF-000359 alone had no
effect on the response to ET-1 infusion (MAP was 117 ± 4 vs.
144 ± 4 mmHg before and during ET-1 infusion, respectively,
P < 0.05). REF-000359 with or without enalapril had no
significant effect on the ability of ET-1 infusion to decrease GFR.
These findings support the hypothesis that decreased catabolism of
bradykinin and its subsequent vasodilator activity oppose the actions
of ET-1 to increase MAP.
endothelin; angiotensin-converting enzyme inhibitors; bradykinin receptors; blood pressure; glomerular filtration rate
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