Key result
In healthy dogs with induced RAAS activation, benazepril and spironolactone combination therapy upregulated adaptive immune and cardioprotective proteins (P < .05).
Why the study?
The effects of renin-angiotensin-aldosterone system inhibitors on proteomic biomarkers of cardiovascular disease in dogs remain poorly characterized.
Does benazepril and spironolactone combination therapy alter circulating proteomic biomarkers in healthy dogs with RAAS activation?
RCT (n=18)
randomly assigned
Does benazepril and spironolactone combination therapy alter circulating proteomic biomarkers in healthy dogs with RAAS activation?
p-value: p=<.05
In a canine model of RAAS activation, benazepril and spironolactone combination therapy modulates proteomic markers of inflammation and fibrosis.
RAAS activation was associated with downregulation of cardioprotective proteins in healthy dogs; hypothesis-generating and should not yet change practice.
BACKGROUND: The effects of renin-angiotensin-aldosterone system (RAAS) inhibitors on proteomic biomarkers of cardiovascular disease in dogs remain poorly characterized. HYPOTHESIS/OBJECTIVES: To evaluate the effect of RAAS activation and treatment with a combination of benazepril and spironolactone on circulating proteomic biomarkers in healthy dogs. ANIMALS: Eighteen healthy beagle dogs. METHODS: Prospective experimental study. Dogs were fed a low-sodium diet to induce RAAS activation and randomly assigned to 1 of 3 dosing regimens for 14 days: (1) benazepril 0.25 mg/kg + spironolactone 2 mg/kg PO q24h (label dose); (2) benazepril 0.25 mg/kg + spironolactone 2 mg/kg PO q12h; or (3) benazepril 0.5 mg/kg + spironolactone 4 mg/kg PO q12h. Plasma samples were collected at multiple time points, and the concentrations of 177 unique proteins were quantified using multiplexed proximity extension assay technology via the Olink Target 96 Inflammation and Cardiovascular II panels. Differences between sampling days and groups were assessed using linear mixed models. RESULTS: Renin-angiotensin-aldosterone system activation was associated with downregulation of proteins associated with cardioprotection, adaptive immunity, and tissue repair (eg, ACE2, FGF-5, CCL4, and MMP-10; P < .05 for all comparisons). Treatment with benazepril and spironolactone led to upregulation of adaptive immune proteins (eg, CCL4, TSLP) and proteins with cardioprotective functions (eg, ACE2). Dose-related differences were observed for a subset of biomarkers. CONCLUSIONS AND CLINICAL IMPORTANCE: In this experimental model of RAAS activation, benazepril/spironolactone combination therapy exerts effects on markers of inflammation and fibrosis in dogs.
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Ward et al. (2026) conducted an RCT in healthy dogs (n=18). benazepril and spironolactone vs. different dosing regimens was evaluated on concentrations of 177 unique circulating proteomic biomarkers (p=<.05). In healthy dogs with induced RAAS activation, benazepril and spironolactone combination therapy upregulated adaptive immune and cardioprotective proteins (P < .05).
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