Systemic antioxidant properties of L-carnitine in two different models of arterial hypertension

Alfonso Mate1, José L Miguel-Carrasco, María T Monserrat

  • 1Departamento de Fisiología y Zoología, Facultad de Farmacia, Universidad de Sevilla, CL Profesor García González, 2, 41012 Sevilla, Spain. mate@us.es

Insights

L-carnitine (LC) demonstrates systemic antioxidant effects, reducing oxidative stress and increasing nitric oxide (NO) availability in experimental hypertension models. This suggests LC may aid in managing arterial hypertension by improving antioxidant capacity.

Area of Science:

  • Cardiovascular Research
  • Oxidative Stress and Metabolism
  • Pharmacology

Background:

  • Arterial hypertension remains a significant clinical challenge despite available treatments.
  • Oxidative stress is increasingly recognized as a key factor in hypertension development and progression.
  • L-carnitine (LC) shows potential benefits in conditions associated with elevated oxidative stress.

Purpose of the Study:

  • To investigate the systemic antioxidant effects of L-carnitine (LC) in hypertension.
  • To evaluate the correlation between LC's antioxidant activity and blood pressure reduction.
  • To compare LC's effects with captopril in experimental models of hypertension.

Main Methods:

  • Utilized two rat models of hypertension: spontaneously hypertensive rats (SHR) and N(omega)-nitro-L-arginine methyl ester (L-NAME) induced hypertension.
  • Administered chronic oral L-carnitine (LC) treatment.
  • Measured antioxidant defense capacity, including enzyme activity, glutathione system, and plasma total antioxidant capacity.
  • Assessed blood pressure and nitric oxide (NO) levels.
  • Included a captopril treatment group in SHR for comparative analysis.

Main Results:

  • Hypertensive models (SHR and L-NAME) exhibited diminished antioxidant parameters.
  • L-carnitine (LC) treatment reversed these antioxidant alterations in both models.
  • LC significantly reduced systolic and diastolic blood pressure, though not to normal levels.
  • Captopril normalized blood pressure in SHR.
  • Both LC and captopril prevented the reduction in nitric oxide (NO) levels observed in hypertensive animals.

Conclusions:

  • L-carnitine (LC) decreases systemic oxidative stress and enhances nitric oxide (NO) availability in experimental hypertension.
  • These effects suggest L-carnitine (LC) may be a valuable therapeutic agent for managing arterial hypertension.
  • LC's antioxidant and NO-modulating properties offer a potential complementary strategy to existing antihypertensive treatments.

Related Concept Videos

Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Antihypertensive Drugs: Angiotensin II Receptor Blockers01:30

Antihypertensive Drugs: Angiotensin II Receptor Blockers

In the renin-angiotensin-aldosterone system, a hormone called angiotensin II plays a crucial role. It binds to the AT1 receptors in vascular smooth muscles coupled with Gq proteins. The activation of these receptors activates an enzyme called phospholipase C, which releases two molecules: inositol trisphosphate and diacylglycerol. These molecules cause a chain reaction that leads to the phosphorylation of myosin light chains and promotes interaction between actin and myosin, leading to smooth...
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...