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[Antiatherosclerotic hopes of calcium channel blockers]
Yuzaburo Uetake1, Tatsuo Shimosawa
1Graduate school of Medicine, Department of Internal Medicine, Nephrology and Endocrinology, The University of Tokyo.
Abstract:
The antiatherosclerotic effects of a calcium channel blockers have been attracting attention for some time. It is shown by the animal studies that especially dihydropyridine calcium channel blockers have the antiatherosclerotic effects by an anti-oxidative properties and the direct action on vascular cells in addition to an original decrease blood pressure, and the validity is being further proved by the results of randomized clinical trials such as PREVENT and CAMELOT.
Insights
Dihydropyridine calcium channel blockers demonstrate antiatherosclerotic effects beyond blood pressure reduction. These effects stem from antioxidant properties and direct actions on vascular cells, supported by clinical trials.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Cell Biology
Context:
- Atherosclerosis is a significant cardiovascular disease.
- Calcium channel blockers (CCBs) are widely used antihypertensive drugs.
- Emerging evidence suggests CCBs may possess direct antiatherosclerotic properties.
Purpose:
- To review the antiatherosclerotic effects of CCBs.
- To elucidate the mechanisms underlying these effects.
- To discuss the clinical relevance of these findings.
Summary:
- Animal studies indicate that dihydropyridine CCBs exhibit antiatherosclerotic effects.
- Mechanisms include antioxidant properties and direct actions on vascular cells, independent of blood pressure lowering.
- Randomized clinical trials like PREVENT and CAMELOT provide further evidence supporting these effects.
Impact:
- Highlights the potential of CCBs in managing atherosclerosis.
- Suggests a broader therapeutic role for CCBs in cardiovascular disease.
- Informs future research and clinical practice regarding CCB use in atherosclerosis prevention and treatment.
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