Why the study?
Does nitric oxide synthesis inhibition attenuate the acute antihypertensive effect of AT1 angiotensin receptor blockers in spontaneously hypertensive rats?
Does nitric oxide synthesis inhibition attenuate the acute antihypertensive effect of AT1 angiotensin receptor blockers in spontaneously hypertensive rats?
The acute antihypertensive effect of AT1 receptor blockers in spontaneously hypertensive rats is partially dependent on a mechanism mediated by nitric oxide and/or cGMP.
Supports NO mediation of acute ARB effects in SHR; hypothesis-generating with no clinical implications yet.
The acute vasodepressor effect of AT1 angiotensin receptor blockers losartan and CL329167 was compared in spontaneously hypertensive rats (SHR) pretreated and not pretreated with NG-monomethyl-L-arginine (LNMMA; 15 mg/kg i.v. bolus plus infusion at 10 mg/kg/h), an inhibitor of nitric oxide (NO) synthesis. The antihypertensive effect of losartan (30 mg/kg, i.v.) in SHR pretreated with LNMMA (-13 +/- 4 mmHg) was greatly diminished (P < 0.01) relative to the antihypertensive effect of losartan in SHR not pretreated with LNMMA (-44 +/- 8 mmHg). Similarly, the antihypertensive effect of CL329167 (5 mg/kg, i.v.) in SHR pretreated with LNMMA (-12 +/- 3 mmHg) was surpassed (P < 0.01) by the antihypertensive effect in SHR not pretreated with LNMMA. (-41 +/- 4 mmHg). However, pretreatment of SHR with LNMMA did not minimize the vasodepressor effect of prazosin, isoproterenol or sodium nitroprusside. The impairment in vasodepressor responsiveness to losartan in rats pretreated with LNMMA was not demonstrable in rats concurrently receiving sodium nitroprusside to correct for the loss of endogenous NO, or atrial natriuretic peptide which also increases vascular cGMP. These data suggest that a mechanism mediated by NO and/or cGMP is necessary for the full expression of the acute antihypertensive effect of AT1 angiotensin receptor blockers in SHR.
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Cachofeiro et al. (1997) studied this question.
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