Why the study?
Do AT1 receptor blockers (irbesartan, valsartan, EXP3174) inhibit TP receptors at therapeutic concentrations in human saphenous veins?
Do AT1 receptor blockers (irbesartan, valsartan, EXP3174) inhibit TP receptors at therapeutic concentrations in human saphenous veins?
The antagonistic properties of irbesartan, valsartan, and EXP3174 on TP receptors require much higher concentrations than AT1 receptor blockade, suggesting TP blockade does not contribute to their antihypertensive effects at therapeutic doses.
TP inhibition by these ARBs requires supratherapeutic concentrations; leaves open relevance in human saphenous veins.
We previously described on human vascular preparations that, in addition to its antagonistic properties on Angiotensin II type 1 (AT1) receptor, losartan could also inhibit the contraction elicited by the stable thromboxane A2 mimetic U46619. The present study was designed (1) to investigate, in human vascular preparations (the saphenous veins) whether these antagonistic properties on thromboxane A2/prostaglandin H2 (TP) receptor were shared by some other AT1 receptor antagonists (irbesartan and valsartan) and the active metabolite of losartan EXP3174, and (2) to compare their antagonistic properties on TP receptors to their antagonistic properties on AT1 receptors. In the presence of indomethacin (10 microM) and Nomega-nitro-L-arginine (100 microM), irbesartan, valsartan, and EXP3174 induced a rightward shift of U46619- and angiotensin II-induced contraction. The inhibitory effect of irbesartan, valsartan, and EXP3174 on U46619-induced contraction was significant from 100 microM while their inhibitory effect on the contraction elicited by angiotensin II was significant from 1 nM. With regard to the plasma therapeutic concentrations of irbesartan, valsartan, and EXP3174, these data suggest that TP receptor blockade does not account for the antihypertensive effects of these AT1 receptor blockers.
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Hakim et al. (2003) studied this question.
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