BRUCKSCHLEGEL, G and HOLMER, SR and JANDELEIT, K and GRIMM, D and MUDERS, F and KROMER, EP and RIEGGER, GAJ and SCHUNKERT, H (1995) BLOCKADE OF THE RENIN-ANGIOTENSIN SYSTEM IN CARDIAC PRESSURE-OVERLOAD HYPERTROPHY IN RATS. HYPERTENSION, 25 (2). pp. 250-259. ISSN 0194-911X, 1524-4563
Full text not available from this repository.Abstract
Left ventricular hypertrophy in response to pressure overload may be modified by neurohumoral activation. To investigate the contribution of the renin-angiotensin system, we studied rats after banding of the ascending aorta that developed severe left ventricular hypertrophy associated with normal plasma renin but elevated cardiac angiotensin-converting enzyme (ACE) levels. Rats were treated with vehicle, ACE inhibitor (ramipril), angiotensin II type 1 receptor antagonist (losartan), or vasodilator (hydralazine) during weeks 7 through 12 after aortic banding. A significant regression of left ventricular mass index as determined by serial echocardiography was observed in ramipril- and losartan-treated groups during weeks 9 through 12 after banding, whereas hypertrophy further increased in vehicle- and hydralazine-treated groups. Twelve weeks after banding, relative left ventricular weights and myocyte widths were markedly increased in vehicle- and hydralazine-treated groups, whereas ramipril and losartan significantly reduced these parameters. In addition, molecular adaptations in left ventricular hypertrophy, such as upregulation of left ventricular atrial natriuretic peptide and downregulation of sarcoplasmic reticulum Ca2+-ATPase mRNA levels, were blunted by ramipril or losartan treatment. Hypertrophic regression was associated with reduced mortality in rats treated with ramipril (11%) and losartan (13%) versus hydralazine (20%) and vehicle (31%). Thus, the renin-angiotensin system may be involved in the maintenance of chronic left ventricular hypertrophy. Blockade of the system may result in regression of the hypertrophic phenotype and improve survival in rats despite persistent pressure overload.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CONVERTING-ENZYME-INHIBITION; LEFT-VENTRICULAR HYPERTROPHY; EXPERIMENTAL HEART-FAILURE; MESSENGER-RNA EXPRESSION; ANTIHYPERTENSIVE THERAPY; AORTIC-STENOSIS; GENE-EXPRESSION; MASS; HYPERPLASIA; CAPTOPRIL; HYPERTROPHY, LEFT VENTRICULAR; RAMIPRIL; RENIN-ANGIOTENSIN SYSTEM; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; RECEPTORS, ANGIOTENSIN |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/52762 |
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