Key result
V1a antagonist OPC 21268 fails to reduce ACTH-induced blood pressure rises.
Why the study?
The role of arginine vasopressin at the V1a receptor in adrenocorticotrophin-induced hypertension was unclear.
RCT (n=46)
randomly divided
AVP V1a antagonism fails to blunt ACTH hypertension in rats; leaves open any role for vasopressin in glucocorticoid hypertension.
The role of arginine vasopressin (AVP) was examined in adrenocorticotrophin (ACTH)-induced hypertension in Sprague-Dawley rats using the non-peptide AVP V1a receptor antagonist OPC 21268. 2. In an acute study, six rats were pretreated with ACTH for 11 days and direct arterial blood pressure (4 h), plasma osmolality and electrolyte concentrations were measured after OPC 21268 gavage. In a chronic study, 40 rats were randomly divided into four groups: (i) sham injection + sham gavage; (ii) ACTH + sham gavage; (iii) sham injection + OPC 21268; or (iv) ACTH + OPC-21268 for 16 days. Systolic blood pressure (SBP), water intake, urine volume (UV), urine osmolality and electrolytes, food intake, bodyweight and plasma osmolality and electrolyte concentrations were measured. 3. In the acute study, direct mean arterial blood pressure did not change with OPC 21268 (122+/-2 and 120+/-3 mmHg at 0 and 240 min, respectively). 4. In the chronic study, OPC 21268 did not affect ACTH-induced rises in blood pressure (from 125+/-2 (control) to 145+/-5 mmHg (group 4) compared with 122+/-3 (control) to 149+/-5 mmHg (group2)). Water intake and UV increased (from 29+/-2 to 83+/-6 mL/day; and from 5+/-1 to 36+/-5 mL/day, respectively) and the change in bodyweight decreased from 0+/-2 to -107+/-7 g. 5. These results suggest that AVP (at the V1a receptor) does not play a significant role in the maintenance of ACTH-induced hypertension.
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Fraser et al. (2000) conducted an RCT in ACTH-induced hypertension (n=46). OPC 21268 vs. Sham injection + sham gavage was evaluated on Blood pressure. The AVP V1a receptor antagonist OPC 21268 did not affect ACTH-induced rises in blood pressure compared with sham control in rats (145±5 mmHg vs 149±5 mmHg).
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