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April 1, 2002Journal of Hypertension

Inhibition of left ventricular fibrosis by tranilast in rats with renovascular hypertension

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Key result

Tranilast significantly reduced cardiac fibrosis (hydroxyproline content 3.97 vs 4.92 mg/mg; P<0.05) in a blood-pressure-independent manner in rats with renovascular hypertension.

Why the study?

Does tranilast reduce cardiac fibrosis in rats with renovascular hypertension?

Population

Rats with two-kidney, one-clip renovascular hypertension, and in-vitro cardiac myocytes and non-myocyte cells

Comparison

Tranilast (400 mg/kg per day) for 12 weeks vs Untreated 2K1C rats, sham-operated controls, and…

Design

Preclinical

Follow-up

12 weeks

Authors

BHBerthold HocherMGMichael GodesJOJan Olivier

Discussion

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Overview

May attenuate experimental cardiac fibrosis; leaves open clinical translation from in vitro data.

Key Points

  • To examine whether tranilast reduces cardiac fibrosis in rats with renovascular hypertension and its in-vitro effects on cardiac cells.
  • Analyzed hearts from sham-operated controls and three groups of rats with 2K1C renovascular hypertension, treated with either quinapril or tranilast for 12 weeks.
  • Measured systolic blood pressure, left ventricular weight, and cardiac hydroxyproline content.
  • Conducted cell culture experiments to assess the effects of tranilast on cardiac myocytes and non-myocyte cells.
  • Tranilast significantly reduced cardiac fibrosis compared to untreated 2K1C rats (P < 0.01), with a notable reduction in hydroxyproline content (P < 0.05).
  • Systolic blood pressure was lowered by quinapril, but tranilast did not significantly alter blood pressure levels.
  • The antiproliferative effect of tranilast on cardiac non-myocyte cells likely contributed to the reduction of cardiac fibrosis.

Structured PICO

Does tranilast reduce cardiac fibrosis in rats with renovascular hypertension?

P
Population
Rats with two-kidney, one-clip (2K1C) renovascular hypertension treated for 12 weeks.
I
Intervention
Tranilast (400 mg/kg per day) for 12 weeks
C
Comparator
Untreated 2K1C rats, sham-operated controls, and 2K1C rats treated with quinapril (6 mg/kg per day) for 12 weeks
O
Outcome
Cardiac fibrosis (measured by computer-aided image analysis and cardiac hydroxyproline content)surrogate

Main Result

Absolute Event Rate: 3.97% vs 4.92%

p-value: p=<0.05

Long-term treatment with tranilast markedly attenuated left ventricular fibrosis in a rat model of renovascular hypertension, likely via an antiproliferative effect on cardiac non-myocyte cells.

Cite This Study

Hocher et al. (2002) studied Renovascular hypertension. Tranilast vs. Untreated 2K1C rats and quinapril was evaluated on Cardiac hydroxyproline content (cardiac fibrosis) (p=<0.05). Tranilast significantly reduced cardiac fibrosis (hydroxyproline content 3.97 vs 4.92 mg/mg; P<0.05) in a blood-pressure-independent manner in rats with renovascular hypertension.

synapsesocial.com/papers/6a6b3f6945e10bb5bcf2e348https://doi.org/10.1097/00004872-200204000-00034
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Tranilast Suppresses Vascular Chymase Expression and Neointima Formation in Balloon-Injured Dog Carotid Artery1999 · 74 citations
  2. 2Myocardial Remodeling in Hypertensive Ren-2 Transgenic Rats1995 · 46 citations
  3. 3Fibrosis-induced reduction of endomyocardium in the rat after isoproterenol treatment.1989 · 75 citations
  4. 4Pathological hypertrophy and cardiac interstitium. Fibrosis and renin-angiotensin-aldosterone system.1991 · 2,037 citations
  5. 5Proinflammatory consequences of transgenic Fas ligand expression in the heart2000 · 87 citations