Oda M, Suzuki K, Ino Y, Sato T, Iwaki M
Research Laboratories, Torii & Co., Ltd., Chiba, Japan.
Nihon Yakurigaku Zasshi. 1989 Apr;93(4):235-43. doi: 10.1254/fpj.93.235.
MK-0521 and captopril were orally administered to acute (6 to 8 days after unilateral renal artery constriction) and chronic (2 to 2.5 months after the constriction) 2-kidney Goldblatt hypertensive dogs for 7 to 21 days. MK-0521 lowered the blood pressure to similar extents in the acute and chronic stages of hypertension. The antihypertensive effect of MK-0521 was dose-dependent and persistent even after its cessation. Captopril also produced an antihypertensive effect, although the effect in the chronic stage of hypertension was less prominent than that in the acute stage of hypertension. MK-0521 was more inhibitory on the renin-angiotensin system than captopril. In the acute stage of hypertension, the dogs treated with MK-0521 had increased angiotensin converting enzyme (ACE) activity, while they had decreased plasma angiotensin II level and elevated plasma angiotensin I level and plasma renin activity. These results clarified the inhibitory effect of MK-0521 on ACE. In contrast, in the chronic stage of hypertension, MK-0521 showed no depression of plasma angiotensin II. There were no significant changes in daily urinary volume, and renal clearances of sodium, potassium and creatinine. These results suggest that the major mechanism of the antihypertensive effect of MK-0521 in 2-kidney Goldblatt hypertensive dogs is an inhibition of the ACE. In addition, the different effects in the acute and chronic hypertensive dogs suggest that some differences exist in the mechanisms of maintaining blood pressure between the two stages of 2-kidney Goldblatt hypertensive dogs.
将MK-0521和卡托普利口服给予急性(单侧肾动脉缩窄后6至8天)和慢性(缩窄后2至2.5个月)双肾型戈德布拉特高血压犬,持续7至21天。MK-0521在高血压的急性和慢性阶段将血压降低至相似程度。MK-0521的降压作用呈剂量依赖性,且即使在停药后仍持续存在。卡托普利也产生了降压作用,尽管其在高血压慢性阶段的作用不如急性阶段显著。MK-0521对肾素-血管紧张素系统的抑制作用比卡托普利更强。在高血压急性阶段,用MK-0521治疗的犬血管紧张素转换酶(ACE)活性增加,而血浆血管紧张素II水平降低,血浆血管紧张素I水平和血浆肾素活性升高。这些结果阐明了MK-0521对ACE的抑制作用。相比之下,在高血压慢性阶段,MK-0521并未使血浆血管紧张素II降低。每日尿量以及钠、钾和肌酐的肾清除率均无显著变化。这些结果表明,MK-0521对双肾型戈德布拉特高血压犬降压作用的主要机制是对ACE的抑制。此外,在急性和慢性高血压犬中的不同作用表明,双肾型戈德布拉特高血压犬两个阶段维持血压的机制存在一些差异。