Dagenais F, Buluran J, Cartier R
Service de Chirurgie, Institut de Cardiologie de Montréal, Québec, Canada.
Ann Chir. 1997;51(8):899-905.
The vascular endothelial function is altered in certain vascular pathology such as arterial hypertension. However, the endothelial effect of the pharmacologic treatment of this pathology with angiotensin converting enzyme (ACE) inhibitor is poorly understood. To evaluate the effects of long-term treatment of captopril on the rat aortic vascular reactivity, 2 groups of spontaneously hypertensive rats (SHR) (n = 6) were studied for 12 weeks: the first group was treated with captopril (CAP) (2 g/l of water) while group 2 (OCAP) received no treatment. A third group without hypertension was considered as control group (CTL). At the end of the experiments, isolated aortic rings were studied in organ chambers for endothelial and smooth muscle vascular reactivity. The endothelial-dependent relaxations (EDR) to cumulative doses of acetylcholine, histamine or adenosine diphosphate were significantly decreased in the aortic segments of CTL compared to CAP (p < 0.05). Aortic segments from OCAP group demonstrated intermediate EDR responses between CAP and CTL groups. Smooth muscle relaxation to sodium nitroprusside was comparable among the 3 groups. Maximal smooth muscle contraction to progressive doses of norepinephrine was significantly higher in the CTL group compared to the hypertensive groups.
Spontaneously hypertensive rats have an increased basal vascular tone. The increased EDR observed with hypertension partially compensates this hypercontractility. Chronic hypertension treatment with captopril partially normalizes EDR responses in the rat aorta suggesting the lost of the endothelial compensatory mechanism by ACE inhibitors.
在某些血管病变如动脉高血压中,血管内皮功能会发生改变。然而,用血管紧张素转换酶(ACE)抑制剂对这种病变进行药物治疗的内皮效应却知之甚少。为了评估卡托普利长期治疗对大鼠主动脉血管反应性的影响,对两组自发性高血压大鼠(SHR)(n = 6)进行了为期12周的研究:第一组用卡托普利(CAP)(2 g/l水)治疗,而第二组(OCAP)未接受治疗。第三组无高血压的大鼠作为对照组(CTL)。实验结束时,在器官腔中研究分离的主动脉环的内皮和平滑肌血管反应性。与CAP组相比,CTL组主动脉段对累积剂量的乙酰胆碱、组胺或二磷酸腺苷的内皮依赖性舒张(EDR)明显降低(p < 0.05)。OCAP组的主动脉段显示出介于CAP组和CTL组之间的EDR反应。三组对硝普钠的平滑肌舒张作用相当。与高血压组相比,CTL组对递增剂量去甲肾上腺素的最大平滑肌收缩明显更高。
自发性高血压大鼠的基础血管张力增加。高血压时观察到的EDR增加部分补偿了这种过度收缩。用卡托普利长期治疗高血压可使大鼠主动脉的EDR反应部分恢复正常,提示ACE抑制剂使内皮补偿机制丧失。