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血管紧张素转换酶抑制剂依那普利对幼鼠体重及身体组成的影响。

Effect of angiotensin converting enzyme inhibitor enalapril on body weight and composition in young rats.

作者信息

Santos Edson L, de Picoli Souza Kely, Guimarães Paola Bianchi, Reis Felipe Castellani Gomes, Silva Sylvia Maria Affonso, Costa-Neto Claudio M, Luz Jacqueline, Pesquero João B

机构信息

Department of Biophysics, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, 04023-062 São Paulo, SP, Brazil.

出版信息

Int Immunopharmacol. 2008 Feb;8(2):247-53. doi: 10.1016/j.intimp.2007.07.021. Epub 2007 Aug 14.

Abstract

Obesity is considered a worldwide public health problem showing an increased prevalence in developing countries, with urgent need for new and more efficient drugs and therapies. Enalapril, an angiotensin-I converting enzyme inhibitor (ACEi), is classically used in anti-hypertensive therapies, however, earlier publications have shown that this drug could also have significant impact on body weight in rats as well as in humans, besides reducing blood pressure. The effect of this drug in the white adipose tissue has been neglected for long time, even considering that most components of the renin-angiotensin and kallikrein-kinin system are expressed in this tissue. Furthermore, the adipose tissue is considered today as one of the most important sites for endocrine/inflammatory regulation of appetite and energy output and AngII has been linked to the metabolism in this tissue. Therefore, we analyzed the influence of chronic enalapril treatment in normotensive rats at earlier ages, evaluating body weight, energy homeostasis, lipid profile and serum levels of the hormones leptin and insulin, in the presence of a standard or a palatable hyperlipidic diet regimen for one month. Our results show that enalapril treatment is able to reduce body fat on both diets, without alteration in serum lipid profile. Furthermore, animals receiving enalapril showed reduction in food intake, leptin level and energy intake. In summary, these findings show for the first time that the ACEi enalapril reduces body fat in young normotensive rats and highlights a novel target to treat obesity and associated diseases.

摘要

肥胖被视为一个全球性的公共卫生问题,在发展中国家的患病率呈上升趋势,迫切需要新的、更有效的药物和疗法。依那普利是一种血管紧张素转换酶抑制剂(ACEi),传统上用于抗高血压治疗,然而,早期的出版物表明,这种药物除了降低血压外,对大鼠和人类的体重也可能有显著影响。长期以来,这种药物在白色脂肪组织中的作用一直被忽视,尽管肾素-血管紧张素和激肽释放酶-激肽系统的大多数成分都在该组织中表达。此外,如今脂肪组织被认为是食欲和能量输出的内分泌/炎症调节的最重要部位之一,血管紧张素II与该组织的代谢有关。因此,我们分析了早期慢性依那普利治疗对正常血压大鼠的影响,在标准或美味高脂饮食方案下持续一个月,评估体重、能量稳态、血脂谱以及瘦素和胰岛素等激素的血清水平。我们的结果表明,依那普利治疗能够在两种饮食条件下减少体脂,而不改变血脂谱。此外,接受依那普利治疗的动物食物摄入量、瘦素水平和能量摄入量均降低。总之,这些发现首次表明ACEi依那普利可降低年轻正常血压大鼠的体脂,并突出了一个治疗肥胖及相关疾病的新靶点。

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