Key result
Delapril, unlike nilvadipine, improves contractile function and beta-receptor responsiveness in rats with RV hypertrophy.
Why the study?
Does delapril or nilvadipine improve intracellular calcium transients in a rat model of monocrotaline-induced right ventricular hypertrophy?
Does delapril or nilvadipine improve intracellular calcium transients in a rat model of monocrotaline-induced right ventricular hypertrophy?
In a rat model of right ventricular hypertrophy, the ACE inhibitor delapril improved contractile function and calcium transients, whereas the calcium antagonist nilvadipine did not, despite similar reductions in right ventricular pressure.
Hypothesis-generating for ACE inhibitor effects on RV calcium handling; leaves open translation to human pulmonary hypertension and requires clinical validation.
OBJECTIVE: The aim was to examine the effects of an angiotensin converting enzyme (ACE) inhibitor and a calcium antagonist on intracellular calcium transients in isolated cardiac myocytes from a monocrotaline induced right ventricular hypertrophy model. METHODS: One week after monocrotaline injection, Sprague-Dawley rats were given either an ACE inhibitor (delapril-HCl) or a calcium antagonist (nilvadipine) for two weeks. Using fura-2/AM, calcium transients were measured in single myocytes separated from the right ventricle. RESULTS: The severe right ventricular hypertrophy observed in untreated rats was significantly reduced in drug treated animals. The inhibitory effects of delapril were more prominent than those of nilvadipine, although both drugs reduced right ventricular pressure to the same extent. Calcium transients in delapril treated rats were similar to those in control rats. On the other hand, the calcium transient in nilvadipine treated rats was decreased and its time course was prolonged. The changes were similar to those found in monocrotaline treated rats. The responsiveness of calcium transients to isoprenaline in delapril treated rats was similar to that in control rats. The responsiveness in nilvadipine treated rats was decreased, and was similar to that in monocrotaline treated rats. Delapril improved developed tension and the beta adrenoreceptor responsiveness of developed tension to isoprenaline. CONCLUSIONS: Although delapril and nilvadipine inhibited cardiac hypertrophy in monocrotaline treated rats, significant improvement of contractile function and beta adrenoreceptor responsiveness was observed only in the delapril treated rats. This improvement was partially due to the improvement in calcium transients and the restoration of the beta adrenoreceptor responsiveness of the calcium transient to beta adrenergic stimulation.
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Kuramochi et al. (1994) studied Monocrotaline induced right ventricular hypertrophy. Delapril-HCl vs. Nilvadipine and untreated control was evaluated on Intracellular calcium transients and right ventricular hypertrophy. Delapril, but not nilvadipine, significantly improved contractile function and beta-adrenoreceptor responsiveness of calcium transients in rats with monocrotaline-induced right ventricular hypertrophy.
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