Effectiveness of Angiotensin-Converting Enzyme Inhibitor or Angiotensin II Receptor Blocker on Atrial Natriuretic Peptide

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概要

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• The aim of this study was to evaluate the effectiveness of an angiotensin-converting enzyne inhibitor (ACEI, quinapril) or angiotensin II receptor blocker (ARB, candesartan) on atrial natriuretic peptide (ANP) activity in rats with hypertension induced by nitric oxide (NO) inhibition. ACEI and ARB have a number of pharmacologic effects, including blood pressure reduction, myocardial preservation, and an unknown effect in the circulation. The changes in ANP in NO inhibitor-induced hypertensive rats were evaluated in order to elucidate the interaction between ANP and NO in the regulation of blood pressure. Thirty-six rats were divided into 4 groups and administered the experimental agents for 8 weeks: group Control was given regular food (n=9), group N^G-nitro-L-arginine (L-NNA) was administered L-NNA (25mg.kg^<-1>.day^<-1>, n=9), group ACEI was administered L-NNA and quinapril (10 mg.kg^<-1>.day^<-1>, n=9), and group ARB was administered L-NNA and candesartan (10mg.kg^<-1>.day^<-1>, n=9). Blood pressure, plasma ANP, atrial ANP, ANP mRNA, and ANP granules were measured. A significant elevation in blood pressure was observed in group L-NNA. However, there were no increases in plasma ANP (L-NNA: 138.8±64.4, Control: 86.7±36.4), ANP mRNA (L-NNA: 2.2±1.0, Control: 1.7±0.5) or ANP granules (L-NNA: 61.1±10.2, Control: 64.5±8.5). No increase in blood pressure was seen in groups ACEI and ARB. However, plasma ANP (ACEI: 1,392.3±1,034.4, ARB: 1,142.8±667.3), ANP mRNA (ACEI: 52.8±29.1, ARB: 42.9±21.2), and ANP granules (ACEI: 122.5+23.4 ARB: 136.3±33.2) increased significantly. NO inhibitor-induced hypertension caused no changes in ANP concentrations. However, the ACEI and ARB had a direct effect on the induction of ANP secretion. The findings suggest that ANP secretion is directly effected by ACEI and ARB, which seems to play a key role in lowering blood pressure, relieving heart failure symptoms, and preserving the myocardium. (Circ J 2003; 67: 1053-1058)

• 社団法人日本循環器学会の論文
• 2003-11-20

著者

• Tanaka Yasuhiro

  Department Of Digestive And Life-style Related Diseases Kagoshima University Graduate School Of Medi

• NAKAMURA Kazuo

  Department of Management and Information Systems Science Nagaoka University of Technology

• MIYAHARA Kenkichi

  Division of Cardiology Shinkyo Hospital

• TANAKA Yasuhiro

  Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University

• Suzuki S

  Laboratory Of Veterinary Anatomy Faculty Of Agriculture Kagoshima University

• Suzuki Shusaku

  Lab. Of Veterinary Anatomy Dep. Of Veterinary Medicine

• Kamimura R

  Frontier Science Research Center Kagoshima University

• Suzuki S

  Department Of Veterinary Medicine Faculty Of Agriculture Kagoshima University

• Suzuki Syusaku

  Division Of Laboratory Animal Sciences Research Center For Life Science Resources Kagoshima Universi

• Miyahara Kenkichi

  Department of Internal Medicine 2, School of Medicine, Kagoshima University

• ARIMA Terukatsu

  Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University

• MIFUNE Hiroharu

  Institute of Animal Experiment, School of Medicine, Kurume University

• KAMIMURA Ryouzou

  Division of Laboratory Animal Science, Research Center for Life Science Resources, Kagoshima Univers

• Sata Naoyuki

  Second Department of Internal Medicine, Kagoshima University

• Mifune H

  Kurume Univ. School Of Medicine Kurume Jpn

• Mifune Hiroharu

  Institute Of Animal Experiment Kurume University School Of Medicine

• MIYAHARA Kenkichi

  Sinkyo Hospital

• Kamimura Ryouzou

  Frontier Science Research Center Kagoshima University

• Suzuki Syusaku

  Laboratory Of Veterinary Anatomy Department Of Veterinary Medicine Faculty Of Agriculture Kagoshima

• Miyahara Kenkichi

  Department Of Cardiology And Cardiovascular Surgery Shinkyo Hospital

• Miyahara Kenkichi

  The Second Department Of Internal Medicine Kagoshima University School Of Medicine

• Sata Naoyuki

  Department Of Digestive And Life-style Related Diseases Kagoshima University Graduate School Of Medi

• Sata Naoyuki

  Division Of Cardiology(2) Life-style Related Disease University Of Kagoshima

• Arima Terukatsu

  Second Department Of Internal Medicine Kagoshima University

• Arima Terukatsu

  Second Department Of Internal Medicine Faculty Of Medicine Kagoshima University

• Sata Naoyuki

  Division Of Cardiology Shinkyo Hospital

• Miyahara Kenkichi

  Department Of Cardiology Shinkyo Hospital

• Miyahara Kenkichi

  The Second Dept. Of Intern. Med. Kagoshima Univ. School Of Med.

• Tanaka Yasuhiro

  Division Of 2nd Cardiology National Hospital Organization Kagoshima Medical Center

• Nakamura Kazuo

  Department Of Clinical Pharmacy And Pharmacology Graduate School Of Medical And Dental Sciences Kago

• Nakamura Kazuo

  Department Of Hospatal Pharmacy Faculty Of Medicine Kagoshima University

• Nakamura Kazuo

  Department Of Biochemistry Kitasato University School Of Medicine

• Nakamura Kazuo

  Department of Applied Chemistry and Biotechnology, Faculty of Engineering, Yamanashi University

• SUZUKI Syusaku

  Division of Laboratory Animal Science, Research Center for Life Science Resources, Kagoshima University

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