Rizzoni Damiano, Rodella Luigi, Porteri Enzo, Rezzani Rita, Sleiman Intissar, Paiardi Silvia, Guelfi Daniele, De Ciuceis Carolina, Boari Gianluca E M, Bianchi Rossella, Agabiti-Rosei Enrico
Chair of Internal Medicine, Department of Medical and Surgical Sciences, University of Brescia, Italy.
Clin Exp Hypertens. 2003 Oct;25(7):427-41. doi: 10.1081/ceh-120024986.
We have evaluated the effects of an ACE inhibitor, enalapril (ENA) and of an angiotensin II receptor blocker, losartan (LOS), administered either at hypotensive or non-hypotensive dosage, on the cardiac and renal structure of spontaneously hypertensive rats (SHR). Forty-eight rats were included in the study: eight SHR were treated with low-dose (ld, 1 mg/kg/day) ENA; eight with low-dose (ld, 0.5 mg/kg/day) LOS; eight with high-dose (hd, 25 mg/kg/day) ENA; eight with high-dose (hd, 15 mg/kg/day) LOS; while eight Wistar-Kyoto (WKY) and eight SHR were kept untreated (unt). Treatment was given from the 4th to the 12th week of age. Systolic blood pressure (SBP) was measured non-invasively every week. The left ventricular weight to body weight (RLVM) and the left + right kidney weight (RKW) to body weight was measured, and the cardiac and glomerular interstitial collagen content was evaluated using sirius red staining and image analysis. In addition, cardiac metalloproteinases activity (43 kDa MMP, MMP-2, and MMP-9) was evaluated by zymography. A significant reduction in RLVM was observed in SHR given ENA hd or LOS hd. Cardiac collagen was significantly reduced in SHR ENA hd and SHR LOS hd as well as in SHR LOS ld, but not in SHR ENA ld. The 43 kDa MMP collagenase activity was greater in WKY unt compared with SHR unt, being normalized only in SHR ENA hd. The gelatinase activity of MMP-9 showed a trend similar to 43 kDa MMP, but differences between SHR and WKY unt were only of borderline statistical significance. No difference among groups was observed in MMP-2 activity. No significant differences in RKW was observed between groups. However, the collagen content in the glomerular perivascular space was significantly reduced in all treated groups, including those given ld, compared with SHR unt. In conclusion, LOS and ENA showed a similar preventive effect on the increase of RLVM in SHR, but, at least in part, different effects on the extracellular matrix in different organs, being cardiac collagen less sensitive to low dose (ld) ACE inhibition.
我们评估了血管紧张素转换酶(ACE)抑制剂依那普利(ENA)和血管紧张素II受体阻滞剂氯沙坦(LOS),以降压或非降压剂量给药,对自发性高血压大鼠(SHR)心脏和肾脏结构的影响。48只大鼠被纳入研究:8只SHR接受低剂量(ld,1毫克/千克/天)ENA治疗;8只接受低剂量(ld,0.5毫克/千克/天)LOS治疗;8只接受高剂量(hd,25毫克/千克/天)ENA治疗;8只接受高剂量(hd,15毫克/千克/天)LOS治疗;而8只Wistar-Kyoto(WKY)大鼠和8只SHR未接受治疗(unt)。从第4周龄至第12周龄进行治疗。每周无创测量收缩压(SBP)。测量左心室重量与体重之比(RLVM)以及左 + 右肾脏重量与体重之比(RKW),并使用天狼星红染色和图像分析评估心脏和肾小球间质胶原含量。此外,通过酶谱法评估心脏金属蛋白酶活性(43 kDa MMP、MMP-2和MMP-9)。接受高剂量ENA或高剂量LOS的SHR中观察到RLVM显著降低。高剂量ENA组的SHR、高剂量LOS组的SHR以及低剂量LOS组的SHR心脏胶原均显著减少,但低剂量ENA组的SHR未减少。与未治疗的SHR相比,未治疗的WKY中43 kDa MMP胶原酶活性更高,仅在高剂量ENA组的SHR中恢复正常。MMP-9的明胶酶活性呈现出与43 kDa MMP相似的趋势,但SHR与未治疗的WKY之间的差异仅具有临界统计学意义。各组之间在MMP-2活性方面未观察到差异。各组之间在RKW方面未观察到显著差异。然而,与未治疗的SHR相比,所有治疗组,包括低剂量治疗组,肾小球血管周围间隙中的胶原含量均显著降低。总之,LOS和ENA对SHR中RLVM的增加显示出相似的预防作用,但至少在部分程度上,对不同器官的细胞外基质有不同影响,心脏胶原对低剂量(ld)ACE抑制的敏感性较低。