Chen S C, Chen D G, Bao Y D, Jing X Q, Lin Y Q, Wang H J
Hypertension Division, First Affiliated Hospital, Fujian Medical College, Fuzhou, China.
Zhongguo Yao Li Xue Bao. 1995 May;16(3):217-22.
To explore the mechanisms by which angiotensin converting enzyme inhibitor (ACEI) prevents the development of left ventricular hypertrophy (LVH).
Captopril (Cap 100 mg.kg(-1).d(-1)) was given orally to male spontaneously hypertensive rats from intrauterine period to 16 wk of age. Experiments were performed at 40 wk of age. SBP, left ventricular weight to body weight ratio (LVW/BW) were assessed. The levels of c-myc and c-fos mRNA in the left ventricle were measured by Northern blot.
Early-onset Cap therapy significantly decreased SBP. After discontinuance of treatment for 24 wk, SBP of SHRcap was still maintained at a lower level. LVW/BW in SHRcap was markedly reduced. The expression of myocardial c-myc mRNA was decreased by 72% in SHRcap compared with that in the untreated SHR, but the expression of myocardial c-fos mRNA was not different between the untreated SHR, SHRcap, and WKY rats.
Early Cap treatment may permanently prevent the development of hypertension, inhibit LVH. Furthermore, the prevention of LVH is associated with a decrease in c-myc mRNA levels, and the development and regression of left ventricular hypertrophy may be irrelevant to c-fos expression.
探讨血管紧张素转换酶抑制剂(ACEI)预防左心室肥厚(LVH)发生发展的机制。
从宫内期至16周龄,对雄性自发性高血压大鼠口服卡托普利(Cap 100 mg·kg⁻¹·d⁻¹)。在40周龄时进行实验。评估收缩压(SBP)、左心室重量与体重比(LVW/BW)。通过Northern印迹法检测左心室中c-myc和c-fos mRNA的水平。
早期开始卡托普利治疗可显著降低收缩压。停药24周后,SHRcap的收缩压仍维持在较低水平。SHRcap的LVW/BW明显降低。与未治疗的SHR相比,SHRcap中心肌c-myc mRNA的表达降低了72%,但未治疗的SHR、SHRcap和WKY大鼠之间心肌c-fos mRNA的表达无差异。
早期卡托普利治疗可能永久性预防高血压的发生发展,抑制左心室肥厚。此外,左心室肥厚的预防与c-myc mRNA水平降低有关,左心室肥厚的发生和消退可能与c-fos表达无关。