Why the study?
Does SA446 reduce blood pressure and inhibit the renin-angiotensin system in normotensive and renal hypertensive dogs?
Does SA446 reduce blood pressure and inhibit the renin-angiotensin system in normotensive and renal hypertensive dogs?
SA446 is a potent, orally active ACE inhibitor that effectively lowers blood pressure in renal hypertensive dogs, with a longer duration of action than captopril.
Answers are grounded in this paper and cite their sources.
Should not change clinical practice; leaves open translation of SA446 advantages to human hypertension trials.
Hypotensive effects of SA446, an angiotensin converting enzyme (ACE) inhibitor, and effects on the renin-angiotensin system were evaluated in conscious normotensive and 2-kidney, 1 -clip renal hypertensive dogs. SA446 (1 mg/kg, p.o.) remarkably inhibited the pressor response to angiotensin (Ang) I between 1 and 6 hr after the administration in normotensive dogs. SA446 significantly decreased blood pressure at 10 mg/kg, p.o., in normotensive dogs. During repeated administration of SA446 (100 mg/kg/day, p.o.) for 13 weeks, the blood pressure was lowered, and the pressor response to Ang I and plasma ACE activity were strongly inhibited. ACE activities in the aorta and kidney were also inhibited. Plasma renin activity and plasma Ang I concentration increased by repeated SA446 application, while plasma aldosterone concentration decreased. The hypotensive effect of SA446 (5 mg/kg, p.o.) was more potent in 2-kidney, 1 -clip renal hypertensive dogs than in normotensive dogs. SA446 had longer inhibitory effects on the pressor response to Ang I and more potent hypotensive effects than captopril. The hypotension caused by SA446 appears to be associated mainly with an inhibition of ACE in plasma and also in the vascular wall.
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Nishimura et al. (1987) studied this question.
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