Tanaka Masakazu, Umemoto Seiji, Kawahara Shinji, Kubo Makoto, Itoh Shinichi, Umeji Kyoko, Matsuzaki Masunori
Department of Cardiovascular Medicine, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Hypertens Res. 2005 Jan;28(1):67-77. doi: 10.1291/hypres.28.67.
Although angiotensin II type 1 (AT1) receptor antagonists and angiotensin-converting enzyme (ACE) inhibitors are known to reduce both reactive oxygen species (ROS) generated by activated NAD(P)H oxidase and vascular remodeling in hypertension, the effects of AT1 receptor antagonists or ACE inhibitors on ROS-scavenging enzymes remain unclear. We hypothesized that AT1 receptor antagonists or ACE inhibitors may modulate vascular remodeling via superoxide dismutase (SOD) in hypertension. Male stroke-prone spontaneously hypertensive rats (SHRSP) were treated for 6 weeks with a vehicle, an AT1 receptor antagonist (E4177; 30 mg/kg/day), or an ACE inhibitor (cilazapril; 10 mg/kg/day). We evaluated protein expression using immunoblots, determined SOD activities with a spectrophotometric assay, and measured NAD(P)H oxidase activity by a luminescence assay. The two drugs showed equipotent effects on blood pressure, left ventricular hypertrophy and fibrosis, and endothelial NO synthase in the SHRSP hearts. The wall-to-lumen ratio of the intramyocardial arteries and the NAD(P)H oxidase essential subunit p22(phox) and its activity were significantly reduced, whereas Cu/Zu-containing SOD (Cu/ZnSOD) expression and activity were significantly increased in the SHRSP hearts. Furthermore, E4177 reduced vascular remodeling more than did cilazapril not only by reducing p22(phox) expression and NAD(P)H oxidase activity but also by upregulating the Cu/ ZnSOD expression and its activity in the SHRSP hearts. Thus, both the AT1 receptor antagonist and the ACE inhibitor inhibited vascular remodeling and reduced ROS in SHRSP via not only a reduction in NAD(P)H oxidase but also an upregulation of Cu/ZnSOD.
尽管已知1型血管紧张素II(AT1)受体拮抗剂和血管紧张素转换酶(ACE)抑制剂可减少由活化的NAD(P)H氧化酶产生的活性氧(ROS)以及高血压中的血管重塑,但AT1受体拮抗剂或ACE抑制剂对ROS清除酶的影响仍不清楚。我们推测,AT1受体拮抗剂或ACE抑制剂可能通过高血压中的超氧化物歧化酶(SOD)调节血管重塑。雄性易卒中型自发性高血压大鼠(SHRSP)分别用赋形剂、AT1受体拮抗剂(E4177;30mg/kg/天)或ACE抑制剂(西拉普利;10mg/kg/天)治疗6周。我们使用免疫印迹评估蛋白质表达,用分光光度法测定SOD活性,并用发光法测量NAD(P)H氧化酶活性。这两种药物对SHRSP心脏的血压、左心室肥厚和纤维化以及内皮型一氧化氮合酶具有等效作用。SHRSP心脏中心肌内动脉的壁腔比以及NAD(P)H氧化酶必需亚基p22(phox)及其活性显著降低,而含铜/锌的SOD(Cu/ZnSOD)表达和活性显著增加。此外,E4177比西拉普利更能减少血管重塑,这不仅是通过降低p22(phox)表达和NAD(P)H氧化酶活性,还通过上调SHRSP心脏中的Cu/ZnSOD表达及其活性。因此,AT1受体拮抗剂和ACE抑制剂不仅通过降低NAD(P)H氧化酶,还通过上调Cu/ZnSOD来抑制SHRSP中的血管重塑并减少ROS。