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Hypertension. 2003;42:798-801
Published online before print July 21, 2003, doi: 10.1161/01.HYP.0000085782.99773.B6
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(Hypertension. 2003;42:798.)
© 2003 American Heart Association, Inc.


Scientific Contributions

Low-Dose Angiotensin II Enhances Pressor Responses Without Causing Sustained Hypertension

Laura I. Pelaez; Melissa C. Manriquez; Karl A. Nath; Juan C. Romero; Luis A. Juncos

From the Departments of Family Medicine (L.A.P.), and Physiology (M.C.M., J.C.R.), and the Division of Nephrology (K.A.N., L.A.J.), Mayo School of Medicine, Mayo Clinic, Rochester, Minn.

Correspondence to Luis A. Juncos, Division of Nephrology, Mayo Clinic, Guggenheim Building 942A, 200 First Street SW, Rochester, MN 55905. E-mail Juncos.Luis{at}Mayo.Edu

Subpressor doses of angiotensin II (SP-Ang II) cause a slow increase in blood pressure in rats as assessed by tail cuff plethysmography (TCP), reflecting either sustained hypertension or an exaggerated pressor response to diverse stimuli. We examined whether subpressor doses of Ang II enhance blood pressure responses to simple stress (handling of trained rats for TCP). We implanted telemetry in Sprague-Dawley rats. After 10 days of recovery and TCP training, we implanted osmotic minipumps with either SP-Ang II (50 ng/kg per minute) or vehicle, and then measured systolic blood pressure continuously in unrestrained rats for 13 days. We also recorded telemetry readings while obtaining TCP measurements every 2 days. SP-Ang II increased blood pressure from 134±19 to 159±22 mm Hg by TCP, which matched the simultaneous telemetry readings of 131±20 to 154±25 mm Hg. In contrast, SP-Ang II did not change the blood pressure in the unrestrained rats (measured with continuous telemetry: 124±2 versus 127±1 mm Hg). The blood pressure in the control rats did not change in the unrestrained state (125±3 versus 128±5 mm Hg on days 0 and 12, respectively), and only slightly increased during TCP (11±5 and 6±4 mm Hg by TCP and simultaneous telemetry, respectively; P=NS). In summary, SP-Ang II, although unable to provoke sustained hypertension, nonetheless magnifies the pressor response to otherwise trivial stimuli. We speculate that even modestly elevated Ang II levels may contribute to hypertensive complications because such levels promote the punctuation of an apparent normotensive state by episodic hypertension occasioned by seemingly innocuous stimuli.


Key Words: angiotensin II • hypertension, experimental • blood pressure • vasculature




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