Key result
Pharmacological and dietary interventions, including candesartan and enalapril, induced significant, drug-, diet-, and tissue-specific changes in the mRNA levels of RAS and associated genes (P<0.05).
Why the study?
Do pharmacological and dietary interventions alter tissue mRNA levels of the renin-angiotensin system and associated genes in male rats?
Do pharmacological and dietary interventions alter tissue mRNA levels of the renin-angiotensin system and associated genes in male rats?
p-value: p=<0.05
Candesartan and enalapril induce differential gene expression profiles in the local renin-angiotensin system in vivo despite similar blood pressure reductions, highlighting distinct pharmacological properties.
Hypothesis-generating for tissue-specific RAS modulation by RAS inhibitors in rats; human relevance and clinical implications remain undetermined.
To address the multiplicity of the renin-angiotensin system (RAS) with particular interest in its local, synergistic regulation, we investigate dynamic changes of the RAS and associated systems in response to external stimuli in the rat. We tested influences of the RAS blockade (candesartan and enalapril), diuretics (hydrochlorothiazide), high lipid diet, and salt loading on tissue mRNA level of 12 principal genes. Under the hemodynamic conditions appropriately predetermined, we quantitatively evaluated mRNA level changes with and without each intervention in five organs-the brain, heart, kidney, liver, and adipose tissues-of male rats (n = 5 each). A total of 250 tissues were examined by real-time PCR. Significant changes in mRNA level (P < 0.05) were found in a drug-, diet- and tissue-specific manner. For instance, 29% of genes (14 out of 48 tissues showing detectable mRNA levels) were differentially regulated by candesartan and enalapril, although both drugs reduced blood pressure to similar extents. When the overall interactions among 12 genes were compared between interventions, the RAS and associated systems appeared to change in the opposite direction between candesartan and high lipid diet in the adipose tissue and between candesartan and salt loading in the heart. Enalapril, however, induced unique patterns of perturbation in the local RAS under the corresponding conditions. Thus, this study provides a fundamental picture of gene expression profile in vivo in the RAS and associated systems. In particular, our data highlight differential regulation between candesartan and enalapril, which may reflect the individual pharmacological properties regarding clinical implications.
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Ochiai et al. (2008) studied this question. RAS blockade (candesartan and enalapril), diuretics, high lipid diet, and salt loading vs. Without intervention was evaluated on Tissue mRNA level of 12 principal genes (p=<0.05). Pharmacological and dietary interventions, including candesartan and enalapril, induced significant, drug-, diet-, and tissue-specific changes in the mRNA levels of RAS and associated genes (P<0.05).
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