Effects of Early Treatment of Spontaneously Hypertensive Rats with an Angiotensin Converting Enzyme Inhibitor on Blood Pressure, Baroreflex Function and Cardiac Hypertrophy.
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The purpose of the current study was to define the critical phase in the development of genetic hypertension during which time application of an angiotensin converting enzyme inhibitor, captopril, would produce long-term antihypertensive effects. In addition, we evaluated two potential mechanisms underlying the long-term antihypertensive effect of early treatment with captopril: alterations in baroreflex sensitivity and cardiovascular remodeling. Separate groups of SHR were placed on captopril in utero, or at 1, 7 or 30 days post birth. The length of therapy was 1-2 months. We also removed captopril from SHR treated in utero at 1, 7 and 30days post birth. Mean arterial pressures and heart weights were monitored in all rats between 3-4 months of age. Tests of baroreflex function (control of heart rate) were performed in 4- and 9- month old rats using intravenous infusion of phenylephrine and nitroprusside to raise and lower blood pressure, respectively. Mean arterial pressures of SHR placed on captopril at 1 (145±9), 7(141±4) and 30 days (129±4) for 1month were significantly lower than control SHR (176± 7, mmHg), but higher than SHR treated in utero with captopril and maintained on therapy for two months (114±4mmHg). Similarly, SHR treated with captopril in utero with treatment discontinued at 1, 7 or 30 days post birth showed significantly lower mean arterial pressures than untreated SHR. None of these groups showed blood pressures as low as SHR treated in utero until 2 months of age. These rats continued to show normotensive mean arterial pressures even at 9months of age. In 4- and 9-month-old captopril treated SHR the sensitivities of baroreflex control of heart rate (slope of the relationship between changes in mean arterial pressure and change in pulse interval) were significantly greater than in untreated SHR. Additionally, the heart weight to body weight ratios of these rats were significantly lower than control rats. These results indicate that early treatment with captopril enhances baroreflex control of heart rate in SHR. This enhancement of baroreflex function may be permanent since it persisted even after captopril had been stopped for 7 months; moreover, the effect of captopril on baroreflex sensitivity may be due to mechanisms other than lowering arterial blood pressure. Our data suggest that captopril treatment applied in short-term intervals from in utero to 2 months of age is effective in lowering the magnitude of hypertension in SHR. Augmentation of baroreflex function and prevention of remodeling of the cardiovascular system may contribute to the permanent prevention of the evelopment of hypertension in SHR treated with captopril. (Hypertens Res 1994; 17: 243-251)
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日本高血圧学会 | 論文
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