Key result
Olmesartan, but not hydralazine, normalized plasma TBARS levels and acetylcholine-induced vasorelaxation in high fat diet-fed Dahl salt-sensitive rats, despite similar blood pressure reductions.
Why the study?
Does olmesartan reduce high fat diet-induced vascular oxidative stress and endothelial dysfunction in Dahl salt-sensitive rats?
Does olmesartan reduce high fat diet-induced vascular oxidative stress and endothelial dysfunction in Dahl salt-sensitive rats?
Absolute Event Rate: 12.8% vs 16.2%
p-value: p=<0.05
Inhibition of angiotensin II AT1 receptors with olmesartan ameliorates high fat diet-induced hypertension, vascular oxidative stress, and endothelial dysfunction in genetically sodium-sensitive rats.
May support ARB vascular benefits beyond BP lowering in metabolic hypertension models; hypothesis-generating for human endothelial dysfunction.
We examined the effects of angiotensin II AT₁-receptor blockade with olmesartan on high fat (HF) diet-induced vascular oxidative stress and endothelial dysfunction in normal salt (NS) diet-fed Dahl salt-sensitive (DSS) rats. Treatment with NS + HF diet (32% crude fat, 0.3% NaCl) for 20 weeks significantly increased blood pressure in DSS rats. NS + HF diet-fed DSS rats also showed higher plasma levels of thiobarbituric acid-reactive substances, aortic superoxide production, and mRNA levels of p22(phox) and gp91(phox) in aortic tissues than NS diet-fed DSS rats. Furthermore, acetylcholine-induced vasorelaxation of aorta from NS + HF diet-fed DSS rats was significantly reduced. In NS + HF diet-fed DSS rats, treatment with olmesartan medoxomil (10 mg/kg per day, p.o.) and hydralazine (25 mg/kg per day, p.o.) similarly decreased blood pressure. However, in these animals, only olmesartan normalized plasma levels of thiobarbituric acid-reactive substances, vascular superoxide in aortic tissues, and acetylcholine-induced vasorelaxation. These data indicate that HF diet-induced hypertension is associated with vascular oxidative stress and endothelial dysfunction in NS diet-treated DSS rats. Inhibition of angiotensin II AT₁ receptors may elicit beneficial effects on HF-induced hypertension and vascular injury in subjects that have genetically enhanced sodium-sensitive blood pressure.
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Kosaka et al. (2013) studied High fat diet-induced hypertension and endothelial dysfunction (n=44). Olmesartan medoxomil vs. High fat diet alone or Hydralazine (25 mg/kg per day) was evaluated on Plasma TBARS levels (mmol/L) (p=<0.05). Olmesartan, but not hydralazine, normalized plasma TBARS levels and acetylcholine-induced vasorelaxation in high fat diet-fed Dahl salt-sensitive rats, despite similar blood pressure reductions.
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