Department of Cardiology, First Affiliated Hospital, Nanjing Medical University, China.
Acta Pharmacol Sin. 2011 Nov;32(11):1345-50. doi: 10.1038/aps.2011.96. Epub 2011 Oct 3.
To investigate the possible effects of telmisartan and losartan on cardiac function in adriamycin (ADR)-induced heart failure in rats, and to explore the changes in plasma level of angiotensin-(1-7)[Ang-(1-7)] and myocardial expression of angiotensin II type 1/2 receptors (AT(1)R / AT(2)R) and Mas receptor caused by the two drugs.
Male Sprague-Dawley rats were randomly divided into 4 groups: the control group, ADR-treated heart failure group (ADR-HF), telmisartan plus ADR-treated group (Tel+ADR) and losartan plus ADR-treated group (Los+ADR). ADR was administrated (2.5 mg/kg, ip, 6 times in 2 weeks). The rats in the Tel+ADR and Los+ADR groups were treated orally with telmisartan (10 mg/kg daily po) and losartan (30 mg/kg daily), respectively, for 6 weeks. The plasma level of Ang-(1-7) was determined using ELISA. The mRNA and protein expression of myocardial Mas receptor, AT(1)R and AT(2)R were measured using RT-PCR and Western blotting, respectively.
ADR significantly reduced the plasma level of Ang-(1-7) and the expression of myocardial Mas receptor and myocardial AT(2)R, while significantly increased the expression of myocardial AT(1)R. Treatment with telmisartan and losartan effectively increased the plasma level of Ang-(1-7) and suppressed myocardial AT(1)R expression, but did not influence the expression of Mas receptor and AT(2)R.
The protective effects of telmisartan and losartan in ADR-induced heart failure may be partially due to regulation of circulating Ang-(1-7) and myocardial AT(1)R expression.
探讨替米沙坦和氯沙坦对阿霉素(ADR)诱导的心力衰竭大鼠心功能的可能影响,并探讨两种药物引起的血浆血管紧张素-(1-7)[Ang-(1-7)]水平和心肌血管紧张素 II 型 1/2 受体(AT1R/AT2R)和 Mas 受体表达的变化。
雄性 Sprague-Dawley 大鼠随机分为 4 组:对照组、ADR 致心力衰竭组(ADR-HF)、替米沙坦加 ADR 组(Tel+ADR)和氯沙坦加 ADR 组(Los+ADR)。ADR(2.5mg/kg,ip,2 周内 6 次)给药。Tel+ADR 和 Los+ADR 组大鼠分别给予替米沙坦(10mg/kg 每日 po)和氯沙坦(30mg/kg 每日 po)口服治疗 6 周。采用 ELISA 法测定血浆 Ang-(1-7)水平。采用 RT-PCR 和 Western blot 法分别测定心肌 Mas 受体、AT1R 和 AT2R 的 mRNA 和蛋白表达。
ADR 显著降低了血浆 Ang-(1-7)水平和心肌 Mas 受体及心肌 AT2R 的表达,同时显著增加了心肌 AT1R 的表达。替米沙坦和氯沙坦治疗可有效提高血浆 Ang-(1-7)水平,并抑制心肌 AT1R 表达,但不影响 Mas 受体和 AT2R 的表达。
替米沙坦和氯沙坦在 ADR 诱导的心力衰竭中的保护作用可能部分归因于对循环 Ang-(1-7)和心肌 AT1R 表达的调节。