Regression of ventricular and vascular hypertrophy:Are there differences between structurally different angiotensin-converting enzyme inhibitors?

Walter Raasch*, Torsten Bartels, Christopher Schwartz, Walter Häuser, Hartmut Rütten, Peter Dominiak

*Corresponding author for this work
24 Citations (Scopus)

Abstract

Objectives: It is well established that angiotensin-converting enzyme (ACE) inhibitors (ACEI) reduce blood pressure (BP) and hypertrophy of the left ventricle and vessels. The aim of our study was to compare chemically different ACEIs regarding their ability to modulate left ventricular and media hypertrophy, ACE activity and plasma endothelin-1 concentrations in spontaneously hypertensive rats (SHRs). Design: After establishing equi-effective dose regimes, SHRs were treated (3 months) with captopril, enalapril, fosinopril or ramipril (2 × 25, 10, 20 or 1 mg/kg per day or corresponding 1% doses for studying blood pressure-independent effects). Methods and results: Systolic blood pressure was reduced in SHRs receiving high doses of captopril, enalapril, fosinopril or ramipril (-61, -54, -35 and -47 mmHg), whereas low doses were ineffective. Left ventricular weight was decreased in animals treated with high doses (captopril/enalapril/fosinopril/ramipril: -17/-19/-17/-19%), but not low doses of agents. Media thickness of thoracal aorta was reduced by administering high doses (captopril/enalapril/fosinopril/ramipril: -31/-32/-27/-26%) and low doses (-16/-22/-22/-19%) of agents. ACE activity was reduced in heart, aorta and kidney of rats treated with high and low doses of all ACE inhibitors, whereby high doses showed more pronounced effects. Plasma endothelin-1 concentrations were not altered. A blood-pressure-ineffective treatment with an AT1-antagonist revealed similar effects on cardiovascular hypertrophy. Conclusions: ACEIs reduce cardiovascular hypertrophy uniformly via an AT1-receptor- mediated mechanism, reinforcing the opinion that ACEI effects are indeed class effects. The significance of local renin-angiotensin systems was confirmed by antihypertrophic effects in the aorta that were apparent in the absence of any blood pressure reduction.

Original languageEnglish
JournalJournal of Hypertension
Volume20
Issue number12
Pages (from-to)2495-2504
Number of pages10
ISSN0263-6352
DOIs
Publication statusPublished - 01.12.2002

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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