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January 1, 2006Hypertension Research55 citationsOpen Access

Amlodipine-Induced Reduction of Oxidative Stress in the Brain Is Associated with Sympatho-Inhibitory Effects in Stroke-Prone Spontaneously Hypertensive Rats

YHYoshitaka HirookaYKYoshikuni KimuraMNMasatsugu Nozoe

Key Result

Amlodipine reduced oxidative stress in the brain and decreased urinary norepinephrine excretion in stroke-prone spontaneously hypertensive rats without inducing reflex sympathoexcitation.

Structured PICO

Does amlodipine reduce oxidative stress in the brains of stroke-prone spontaneously hypertensive rats?

P
Population
Stroke-prone spontaneously hypertensive rats (SHRSP) and Wistar-Kyoto rats (WKY)
I
Intervention
Amlodipine administered for 30 days in drinking water or via intracisternal infusion
C
Comparator
Nicardipine or hydralazine administered for 30 days in drinking water
O
Outcome
Levels of thiobarbituric acid-reactive substances (TBARS) in the brain (cortex, cerebellum, hypothalamus, and brainstem)surrogate

Amlodipine reduces brain oxidative stress and sympathetic nerve activity in stroke-prone spontaneously hypertensive rats, independent of its blood pressure-lowering effect.

Main Result

Absolute Event Rate: 0.87% vs 1.68%

p-value: p=<0.05

Limitations

  • Cannot exclude the possibility that amlodipine might act on the peripheral sympathetic nervous system.
  • Does not provide direct evidence that an increase in oxidative stress in the brain inhibits sympathetic nerve activity.
  • Used a high dose of amlodipine (10 mg/kg/day) to adjust the level of blood pressure reduction among the treatments.

Abstract

Amlodipine is a dihydropyridine calcium channel blocker that is widely used for the treatment of hypertensive patients and has an antioxidant effect on vessels in vitro. The aim of the present study was to examine whether treatment with amlodipine reduced oxidative stress in the brains of stroke-prone spontaneously hypertensive rats (SHRSP). The animals received amlodipine, nicardipine or hydralazine for 30 days in their drinking water. Levels of thiobarbituric acid-reactive substances (TBARS) in the brain (cortex, cerebellum, hypothalamus, and brainstem) were measured before and after each treatment. Systolic blood pressure decreased to similar levels in the amlodipine-, nicardipine-, and hydralazine-treated groups. Urinary norepinephrine excretion was significantly reduced in SHRSP after treatment with amlodipine, but not with nicardipine or hydralazine. Levels of TBARS in the cortex, cerebellum, hypothalamus, and brainstem were significantly higher in SHRSP than in Wistar-Kyoto rats (WKY), and were reduced in amlodipine-treated, but not in nicardipine- or hydralazine-treated, SHRSP. Electron spin resonance spectroscopy revealed increased levels of reactive oxygen species in the brains of SHRSP, which were reduced by treatment with amlodipine. Intracisternal infusion of amlodipine also reduced systolic blood pressure, urinary norepinephrine excretion, and the levels of TBARS in the brain. These results suggested that oxidative stress in the brain was enhanced in SHRSP compared with WKY rats. In addition, antihypertensive treatment with amlodipine reduced oxidative stress in all areas of the brain examined and decreased blood pressure without a reflex increase in sympathetic nerve activity in SHRSP.

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Cite This Study

Hirooka et al. (2006) studied Hypertension (Stroke-Prone Spontaneously Hypertensive Rats). Amlodipine vs. Nicardipine (10 mg/kg/day), Hydralazine (20 mg/kg/day), or vehicle was evaluated on Urinary norepinephrine excretion (μg/day) after treatment (p=<0.05). Amlodipine reduced oxidative stress in the brain and decreased urinary norepinephrine excretion in stroke-prone spontaneously hypertensive rats without inducing reflex sympathoexcitation.

synapsesocial.com/papers/6a1d756933e2df9c962f8d5chttps://doi.org/10.1291/hypres.29.49
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