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Published on: September 17, 2015
Enalapril and valsartan improve cyclosporine A-induced vascular dysfunction in spontaneously hypertensive rats
M Lassila1, P Finckenberg, A K Pere
1Department of Pharmacology and Toxicology, Institute of Biomedicine, University of Helsinki, P.O. Box 8, FIN-00014, Helsinki, Finland.
Insights
Cyclosporine A impairs renal artery function in hypertensive rats. Blocking the renin-angiotensin system with enalapril or valsartan protected against this vascular toxicity.
Area of Science:
- Pharmacology
- Nephrology
- Cardiovascular Science
Background:
- Cyclosporine A is known to induce hypertension and nephrotoxicity.
- Its effects on arterial function, particularly in the context of high sodium intake during hypertension development, require further investigation.
Purpose of the Study:
- To investigate the impact of long-term cyclosporine A treatment on in vitro arterial function in spontaneously hypertensive rats (SHR).
- To evaluate the protective effects of angiotensin-converting enzyme (ACE) inhibition and angiotensin AT(1) receptor antagonism against cyclosporine A-induced vascular dysfunction.
Main Methods:
- Spontaneously hypertensive rats (SHR) were treated with cyclosporine A and a high-sodium diet for six weeks.
- Concomitant treatment with enalapril (ACE inhibitor) or valsartan (AT(1) receptor antagonist) was administered to separate groups.
- In vitro vascular preparations were used to assess arterial contractile and relaxation responses.
Main Results:
- Cyclosporine A significantly impaired renal artery contractile responses to noradrenaline and angiotensin II.
- Endothelium-dependent (acetylcholine) and endothelium-independent (sodium nitroprusside) relaxation responses in renal arteries were also severely reduced.
- A trend towards mesenteric artery dysfunction was observed but did not reach statistical significance.
- Both enalapril and valsartan significantly improved the impaired renal arterial functions.
Conclusions:
- Cyclosporine A-induced hypertension and nephrotoxicity in SHR on a high-sodium diet are associated with significant renal arterial dysfunction.
- Antagonism of the renin-angiotensin system, via ACE inhibition or AT(1) receptor blockade, offers protection against the vascular toxicity of cyclosporine A.
Abstract:
Cyclosporine A causes hypertension and nephrotoxicity in spontaneously hypertensive rats (SHR). In the present study, arterial function was investigated using in vitro vascular preparations after long-term treatment with cyclosporine A. SHR received cyclosporine A (5 mg kg(-1) day(-1) s.c.) and high-Na(+) diet for 6 weeks during the developmental phase of hypertension. Part of the rats were treated concomitantly either with the angiotensin converting enzyme inhibitor enalapril (30 mg kg(-1) day(-1) p.o.) or with an angiotensin AT(1) receptor antagonist valsartan (3 or 30 mg kg(-1) day(-1) p.o.). In renal arteries, contractile responses to noradrenaline and angiotensin II, as well as relaxation responses to acetylcholine (endothelium-dependent) and to sodium nitroprusside (endothelium-independent), were severely impaired by cyclosporine A-treatment. There was also a trend for the dysfunction of the mesenteric arteries, but the impairment did not reach statistical difference. Enalapril and valsartan improved the impaired renal arterial functions. Cyclosporine A-induced hypertension and nephrotoxicity seem to be associated with renal arterial dysfunction in SHR on high-Na(+) diet. Antagonism of the renin-angiotensin system protects from vascular toxicity of cyclosporine A.
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