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January 1, 1980Clinical Science88 citations

Vasodepressor Property of the Converting Enzyme Inhibitor Captopril (SQ 14 225): The Role of Factors other than Renin-Angiotensin Blockade in the Rat

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EMEric S MarksUniformed Services University of the Health SciencesRBR. F. BingNew York UniversityHTH. ThurstonUniversity Hospitals of Leicester NHS Trust

Key Result

Captopril lowered blood pressure in normal, nephrectomized, and hypertensive rats, including those with blocked renin-angiotensin systems, suggesting an additional mechanism such as bradykinin potentiation.

Key Points

  • The study aims to explore the vasodepressor effects of captopril and potential mechanisms beyond renin-angiotensin blockade.
  • Captopril was administered intravenously to normal and nephrectomized rats, as well as those with renovascular and deoxycorticosterone hypertension.
  • Blood pressure responses were measured, including tests with bradykinin infusion and angiotensin II antagonist saralasin.
  • Different states of salt loading and depletion were assessed to evaluate captopril's effects.
  • Captopril significantly lowered blood pressure in early Goldblatt two-kidney one-clip hypertension after more than 4 months of hypertension (exact metrics not specified).
  • In salt-depleted rats, captopril lowered blood pressure even with renin-angiotensin blockade, indicating effects independent of this system.
  • Bradykinin infusion in nephrectomized rats further enhanced the vasodepressor action of captopril.

Structured PICO

Does captopril lower blood pressure through mechanisms other than renin-angiotensin blockade in rat models?

P
Population
Rats (normal, nephrectomized, and hypertensive models) treated with captopril to assess blood pressure changes.
I
Intervention
Captopril 1.25 mg/kg intravenously
C
Comparator
Baseline blood pressure or different physiological states (e.g., with/without bradykinin infusion, with/without saralasin infusion)
O
Outcome
Blood pressure fallsurrogate

Captopril lowers blood pressure through mechanisms additional to angiotensin blockade, likely including bradykinin potentiation.

Abstract

The peptide converting enzyme inhibitor captopril was given (1·25 mg/kg intravenously) to normal and nephrectomized rats and rats with renovascular and deoxycorticosterone hypertension. 2. Captopril lowered blood pressure to a small extent in normal and nephrectomized rats. Bradykinin infusion in nephrectomized animals, however, potentiated the vasodepressor action of captopril. 3. Captopril produced a major blood pressure fall in the early stages of Goldblatt two-kidney one-clip hypertension: even when hypertension had been present for more than 4 months, a substantial vasodepressor action was seen. Rats with deoxycorticosterone-induced hypertension also showed a significant blood pressure fall. 4. Captopril was given to salt-loaded and salt-depleted rats in which the renin-angiotensin system had been blocked by infusion of the competitive angiotensin II antagonist saralasin. Captopril still lowered blood pressure in the salt-depleted group. 5. Captopril lowers blood pressure in situations where the renin-angiotensin system is not responsible for blood pressure maintenance. Further, the fall in blood pressure produced in Goldblatt two-kidney one-clip hypertension is greater than would be predicted on the basis of renin-angiotensin blockade. It is likely therefore that captopril lowers blood pressure by an action additional to angiotensin blockade. Bradykinin potentiation is one possible mechanism by which this may take place.

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Cite This Study

Marks et al. (1980) studied Hypertension. Captopril was evaluated on Blood pressure fall. Captopril lowered blood pressure in normal, nephrectomized, and hypertensive rats, including those with blocked renin-angiotensin systems, suggesting an additional mechanism such as bradykinin potentiation.

synapsesocial.com/papers/6a23708ddfc351f7823a142dhttps://doi.org/10.1042/cs0580001
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