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June 7, 2005Journal of Hypertension

Co-administration of lower doses of azelnidipine (0.1 mg/kg a day) and olmesartan (1 mg/kg a day) significantly inhibited the atherosclerotic area and oxidative stress, whereas azelnidipine or olmesartan alone at these doses did not affect these parameters.

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Why the study?

Does the co-administration of azelnidipine and olmesartan prevent atherosclerosis in apolipoprotein E-deficient mice?

Population

Apolipoprotein E-deficient mice maintained on a 1.25% high-cholesterol diet for 10 weeks, and cultured…

Comparison

Co-administration of azelnidipine and olmesartan vs Azelnidipine alone or olmesartan alone

Design

Preclinical

Follow-up

10 weeks

Authors

JSJun SuzukiMIMasaru IwaiZLZhen Li

Discussion

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Overview

Supports synergistic anti-atherosclerotic effects of low-dose combination in mice; hypothesis-generating and requires clinical validation before human use.

Structured PICO

Does the co-administration of azelnidipine and olmesartan prevent atherosclerosis in apolipoprotein E-deficient mice?

P
Population
Apolipoprotein E-deficient mice maintained on a 1.25% high-cholesterol diet for 10 weeks, and cultured vascular smooth muscle cells
I
Intervention
Co-administration of azelnidipine (0.1 mg/kg a day) and olmesartan (1 mg/kg a day)
C
Comparator
Azelnidipine alone (0.1 mg/kg a day) or olmesartan alone (1 mg/kg a day)
O
Outcome
Atherosclerotic area and oxidative stress (expression of NAD(P)H oxidase subunits p22 and p47, and superoxide anion production)surrogate

The combination of a calcium antagonist and an ARB synergistically blunts oxidative stress and enhances anti-atherosclerotic effects compared to monotherapy in a mouse model.

Cite This Study

Suzuki et al. (2005) studied this question.

synapsesocial.com/papers/6a70fcbb35aa2c282ce24f7dhttps://doi.org/10.1097/01.hjh.0000173521.91104.5f
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Also Consider

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

  1. 1Calcium Channel Blocker Azelnidipine Enhances Vascular Protective Effects of AT <sub>1</sub> Receptor Blocker Olmesartan2004 · 76 citations
  2. 2Prevention of Vascular Injury by Combination of an AT1 Receptor Blocker, Olmesartan, With Various Calcium Antagonists2008 · 25 citations
  3. 3Anti-Atherogenic Effects of the Combination Therapy with Olmesartan and Azelnidipine in Diabetic Apolipoprotein E-Deficient Mice2012 · 9 citations
  4. 4Calcium Channel Blockers, More than Diuretics, Enhance Vascular Protective Effects of Angiotensin Receptor Blockers in Salt-Loaded Hypertensive Rats2012 · 8 citations
  5. 5Synergistic neuroprotective effects of combined treatment with olmesartan plus azelnidipine in stroke‐prone spontaneously hypertensive rats2014 · 9 citations