Hypertension, Vol 24, 671-678, Copyright © 1994 by American Heart Association
P Janiak, O Libert and JP Vilaine
We investigated the role of the renin-angiotensin system in neointima
formation in a species in which converting enzyme inhibitors have been so
far ineffective in suppressing abnormal vascular repair. The effects of
converting enzyme inhibition by perindopril and selective blockade of
angiotensin subtype 1 receptor by DuP 753 were assessed on neointima
formation after balloon injury of rabbit carotid artery. Myointimal growth
was measured by histomorphometric analysis. In rabbits treated 6 days
before and for 14 days after injury, perindopril (2 mg/kg per day PO, n =
7) significantly reduced neointima formation (-51%, P < .01). DuP 753 (1
mg/d, n = 8) infused perivascularly for 14 days in the vicinity of injured
carotid artery also markedly suppressed myointimal thickening (-60%, P <
.01). To determine whether angiotensin subtype 2 receptor was implicated in
this vascular response, we infused CGP 42112A, a specific subtype 2
receptor ligand, continuously for 14 days according to the same protocol of
DuP 753 administration. CGP 42112A (1 mg/d) did not change the
neointima-media ratio, indicating that angiotensin subtype 2 receptors were
not involved in myointimal hyperplasia in rabbits. Thus in rabbits, the
renin-angiotensin system plays a major role in neointima formation, and the
protective effect of perindopril appears to be mediated mainly by
inhibition of angiotensin II production, because blockade of the subtype 1
receptor reduced myointimal growth in a manner similar to that of
converting enzyme inhibition and because intracarotid infusion of
angiotensin II (500 ng/min) at the site of injury enhanced the vascular
response (+39%, P < .05). Bradykinin (500 ng/min) administered in the
same conditions as angiotensin II did not modify neointima formation.
ARTICLES
Role of the renin-angiotensin system in neointima formation after injury in rabbits
Institut de Recherches Servier, Suresnes, France.
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