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TRC120038, a Novel Dual AT(1)/ET(A) Receptor Blocker for Control of Hypertension, Diabetic Nephropathy, and
Anookh Mohanan1, Ram Gupta, Amita Dubey
1Torrent Research Centre, Torrent Pharmaceuticals Ltd., Gujarat, Gandhinagar 382428, India.
Abstract:
In hypertensive subjects, angiotensin II and endothelin participate in a manner involving closely interwoven pathways in increasing blood pressure (BP) and inducing end organ damage. The primary objective of this study was to determine the effect of TRC120038, a novel dual AT(1)/ET(A) receptor blocker on BP, in obese Zucker spontaneously hypertensive fatty rats (ob-ZSF1), an animal model of moderate hypertension, diabetes with progressive renal and cardiac dysfunction. Ob-ZSF1 rats loaded with 0.5% salt were treated with TRC120038 (11.8 mg/kg bid.) or candesartan cilexetil (0.3 mg/kg od.) or vehicle control. Blood pressure (by radio-telemetry) and renal functional markers were monitored throughout the study. Cardiac function was assessed terminally by pressure volume catheter. Markers for renal dysfunction were measured and changes were evaluated histopathologically. TRC120038 showed greater fall in both systolic and diastolic BP in comparison to candesartan at its maximum antihypertensive dose. TRC120038 also reduced the severity of renal dysfunction and preserved cardiac function in ob-ZSF1 rat.
Insights
A novel dual angiotensin II/endothelin receptor blocker, TRC120038, effectively lowered blood pressure and protected against kidney and heart damage in hypertensive rats. This compound shows promise for treating complex cardiovascular and renal conditions.
Area of Science:
- Cardiovascular Pharmacology
- Renal Physiology
- Hypertension Research
Background:
- Angiotensin II and endothelin pathways are critical in elevating blood pressure and causing end-organ damage in hypertensive individuals.
- Obese Zucker spontaneously hypertensive fatty rats (ob-ZSF1) serve as a relevant model for studying moderate hypertension, diabetes, and associated renal and cardiac dysfunction.
Purpose of the Study:
- To evaluate the efficacy of TRC120038, a novel dual AT(1)/ET(A) receptor blocker, in reducing blood pressure and mitigating organ damage.
- To compare the effects of TRC120038 with candesartan cilexetil in the ob-ZSF1 rat model.
Main Methods:
- Ob-ZSF1 rats were administered TRC120038, candesartan cilexetil, or vehicle control with a 0.5% salt load.
- Blood pressure was continuously monitored using radio-telemetry.
- Renal function markers and cardiac function were assessed, with terminal histopathological evaluation for renal changes.
Main Results:
- TRC120038 demonstrated a superior reduction in both systolic and diastolic blood pressure compared to candesartan at its maximal antihypertensive dose.
- Treatment with TRC120038 significantly reduced the severity of renal dysfunction.
- TRC120038 effectively preserved cardiac function in the ob-ZSF1 rat model.
Conclusions:
- TRC120038 exhibits potent antihypertensive effects superior to candesartan in a model of complex hypertension.
- This dual-acting receptor blocker offers significant renoprotective and cardioprotective benefits.
- TRC120038 represents a promising therapeutic agent for managing hypertension with associated diabetes and organ damage.
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