The local vessel wall can produce angiotensin II to regulate vascular tone, and the relaxing effect of ACE inhibition is mediated by inhibition of angiotensin II formation rather than bradykinin degradation.
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ACEI vasodilation requires intact endothelium in rodent carotids; leaves open whether local angiotensin II regulates human vascular tone.
To investigate the relation between the tissue renin–angiotensin system (RAS) and the local vasomotor tone of large arteries, we used in vitro isolated carotid arteries from 14-week-old Wistar-Kyoto rats (WKY; n=80) and spontaneously hypertensive rats (SHR; n=80). Diameters were measured with the use of an ultrasonic echo-tracking system (12 MHz) under flow (2 mL/min) (F+) or no-flow (Fo) conditions, with intact endothelium (Endo+) or after endothelium removal (Endo−). The role of tissue RAS was assessed by incubating isolated carotid arteries with an angiotensin-converting enzyme inhibitor (ACE I; lisinopril, 10 −6 mol/L) or with a specific antagonist of angiotensin II AT 1 receptors (AT 1A ; losartan, 10 −6 mol/L). In addition, maximal dilation of carotid arteries was measured after poisoning with KCN (100 mg/L). In all experiments, KCN significantly increased carotid diameters (WKY, 23±0.9%; SHR, 19±0.8%; P <.001 versus control conditions). In intact carotid arteries, flow caused significant dilation in WKY (7±0.5%, P <.001) but had no effect in SHR. In the presence or absence of flow, ACE I and AT 1A induced similar dilations in both strains, and a specific antagonist of bradykinin B 2 receptors (Hoe 140, 10 −7 mol/L) had no effect on ACE I–induced dilation. After endothelium removal, carotid artery diameters were significantly increased ( P <.001) in both strains, although more in SHR (13±0.8%) than in WKY (8±1.1%) ( P <.001). Also, flow did not modify the diameter of deendothelialized vessels and ACE I had no effect in either strain. In contrast, AT 1A increased diameters further (WKY, 4±0.4%; SHR, 3±0.6%; P <.01). The results of the present study suggest that in in vitro isolated intact carotid artery, (1) the endothelium exerts a basal vasoconstrictor effect that is larger in SHR than in WKY, which could participate in the relative insensitivity to flow in SHR; (2) in the absence of exogenous substrate the vessel wall is able to produce angiotensin II, which is active locally on the vascular tone; and (3) inhibition of angiotensin II formation, not degradation of bradykinin, appears to be responsible for the local relaxing effect of ACE inhibition.
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Caputo et al. (1995) studied this question.
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