Shen Fu-ming, Xie He-hui, Ling Gang, Xu Li-ping, Su Ding-feng
Department of Pharmacology, Second Military Medical University, Shanghai 200433, China.
Acta Pharmacol Sin. 2005 Nov;26(11):1303-8. doi: 10.1111/j.1745-7254.2005.00185.x.
To test the synergistic effects of atenolol and amlodipine on lowering blood pressure (BP) and reducing blood pressure variability (BPV) in 2-kidney, one-clip (2K1C) renovascular hypertensive rats.
Forty-eight 2K1C renovascular hypertensive rats were randomly divided into 6 groups. They were respectively given 0.8% carboxymethylcellulose sodium (control), atenolol (10.0 mg/kg), amlodipine (1.0 mg/kg), and combined atenolol and amlodipine (low dose: 5.0+0.5 mg/kg; intermediate dose: 10.0+1.0 mg/kg; high dose: 20.0+2.0 mg/kg). The drugs were given via a catheter in a gastric fistula. BP was recorded for 25 h from 1 h before drug administration to 24 h after administration.
Compared with BP before medication, all 3 doses of combined atenolol and amlodipine significantly decreased the BP at 24 h after administration, except for the low dose on diastolic BP. Compared with the control group, all 3 doses of combined atenolol and amlodipine significantly reduced the average BP levels for the 24 h period after administration; furthermore, the high and intermediate doses also significantly decreased the BPV levels for the same period. The q values calculated by probability sum analysis for systolic and diastolic BP for the 24 h period after administration were 2.29 and 1.45, respectively, and for systolic and diastolic BPV for the same period they were 1.41 and 1.60, respectively.
There is significant synergism between atenolol and amlodipine in lowering and stabilizing BP in 2K1C renovascular hypertensive rats.
检测阿替洛尔和氨氯地平联合应用对两肾一夹(2K1C)肾血管性高血压大鼠降压及降低血压变异性(BPV)的协同作用。
将48只2K1C肾血管性高血压大鼠随机分为6组。分别给予0.8%羧甲基纤维素钠(对照组)、阿替洛尔(10.0 mg/kg)、氨氯地平(1.0 mg/kg)以及阿替洛尔与氨氯地平联合用药(低剂量:5.0 + 0.5 mg/kg;中剂量:10.0 + 1.0 mg/kg;高剂量:20.0 + 2.0 mg/kg)。通过胃瘘导管给药。从给药前1小时至给药后24小时记录25小时的血压。
与用药前血压相比,除低剂量组对舒张压外,阿替洛尔与氨氯地平联合用药的所有3个剂量在给药后24小时均显著降低血压。与对照组相比,阿替洛尔与氨氯地平联合用药的所有3个剂量在给药后24小时均显著降低平均血压水平;此外,高剂量和中剂量组在同一时期也显著降低了BPV水平。给药后24小时收缩压和舒张压概率和分析计算的q值分别为2.29和1.45,同一时期收缩压和舒张压BPV的q值分别为1.41和1.60。
阿替洛尔和氨氯地平在降低和稳定2K1C肾血管性高血压大鼠血压方面存在显著协同作用。