(Hypertension. 2001;37:1124.)
© 2001 American Heart Association, Inc.
Scientific Contributions |
From the Laboratoire de Pharmacologie, Université Catholique de Louvain, Brussels, Belgium (P.K., S.S., M.W., N.M., T.G.); and the Department of Pharmacology and Toxicology, Pharmaceutical Faculty of the Comenius University, Bratislava, Slovak Republic (J.K.).
Correspondence to Prof Théophile Godfraind, Université Catholique de Louvain, Laboratoire de Pharmacologie, UCL 54.10, Avenue Hippocrate 54, B-1200 Brussels, Belgium. E-mail godfraind{at}farl.ucl.ac.be
AbstractEndothelium-dependent vasorelaxation is defective in hypertensive rats, especially in conduit arteries. In the stroke-prone spontaneously hypertensive rat, impaired endothelium-dependent vasorelaxation appears to contribute to the pathogenesis of stroke independent of blood pressure. Because treatment with lacidipine, a long-acting calcium channel blocker, protects against stroke and cardiovascular remodeling in this model, we investigated the effect of this treatment on endothelium-dependent vasorelaxation in the aorta. Stroke-prone rats were exposed to a salt-rich diet (1% NaCl in drinking water) with or without lacidipine (1 mg · kg-1 · d-1) for 6 weeks. A high-sodium diet (1) increased systolic blood pressure, aortic weight, and wall thickness and plasma renin activity (P<0.05); (2) markedly reduced nitric oxide (NO)-mediated, endothelium-dependent relaxation of aortic rings to acetylcholine and the sensitivity to the relaxing effect of S-nitroso-N-acetylpenicillamine, an NO donor (P<0.001); and (3) induced an elevation of preproendothelin-1 mRNA levels in aortic tissue (P<0.01) without affecting endothelial NO synthase mRNA levels. Lacidipine treatment prevented the salt-dependent functional and structural alterations of the aorta, including the overexpression of the preproendothelin-1 gene, and increased endothelial NO synthase mRNA levels in aortic tissue (P<0.01). In conclusion, lacidipine protects stroke-prone hypertensive rats against the impairment of endothelium-dependent vasorelaxation evoked by a salt-rich diet, and this effect may contribute to its beneficial effect against end-organ damage and stroke.
Key Words: calcium channel blockers calcium antagonists hypertension, sodium-dependent endothelium endothelin nitric oxide
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