Hypertension, Vol 13, 741-748, Copyright © 1989 by American Heart Association
PF Mento, WF Holt, WR Murphy and BM Wilkes
The effects of combined renin inhibition and converting enzyme inhibition
on mean arterial pressure and the plasma renin-angiotensin system were
studied in conscious rats. In sodium-replete rats the infusion of the renin
inhibitor CP71362 (100 micrograms/kg/min) decreased blood pressure by 13
+/- 1 mm Hg (p less than 0.0001), reduced plasma renin activity to
undetectable levels, but did not lower plasma angiotensin II. In rats
treated chronically with enalapril (30 mg/kg/day), CP71362 decreased blood
pressure by an additional 5 +/- 2 mm Hg (p less than 0.025) and reduced
plasma renin activity and angiotensin II concentrations to undetectable
levels. The effects of renin inhibition were also tested under conditions
where the renin- angiotensin system was stimulated. In rats on a low sodium
diet, CP71362 decreased blood pressure by 15 +/- 2 mm Hg (p less than
0.0001), a decrease similar to that in rats on a normal diet. Plasma renin
activity was decreased below detectable limits, but plasma angiotensin II
concentrations were not reduced. In rats on a low sodium diet treated
chronically with enalapril, CP71362 did not further decrease blood pressure
although angiotensin II levels were significantly reduced. An additive
effect of combined converting enzyme and renin inhibition on blood pressure
lowering and inhibition of plasma angiotensin II was found in rats
anesthetized with Inactin.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Combined renin and converting enzyme inhibition in rats
Division of Nephrology and Hypertension, North Shore University Hospital, Manhasset, New York 11030.
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