Modulation of haemodynamics, endogeneous antioxidant enzymes, and pathophysiological changes by selective inhibition

Ghulam Moinuddin1, Mohammed Naseeruddin Inamdar, Kala S Kulkarni

  • 1Department of Pharmacology, Al-Ameen College of Pharmacy, Bangalore, India. moinuddin5@gmail.com

Insights

Angiotensin II receptor blockers improved blood pressure and antioxidant enzyme activity in rats with pressure-overload cardiac hypertrophy. These drugs also protected target organs from hypertension-induced damage.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Nephrology

Background:

  • Constriction of the thoracic or abdominal aorta models pressure-overload cardiac hypertrophy.
  • Blockade of angiotensin II type 1 (AT1) receptors mitigates target-organ damage in hypertension.

Purpose of the Study:

  • To investigate the effects of angiotensin II receptor antagonists on blood pressure.
  • To assess changes in endogenous antioxidant enzymes (catalase and superoxide dismutase).
  • To evaluate histopathological alterations in pressure-overload rat models.

Main Methods:

  • Cardiac hypertrophy was induced in male rats via abdominal aortic banding (AAB).
  • AAB-induced hypertensive rats received losartan, candesartan, or irbesartan for 16 weeks.
  • Measurements included non-invasive blood pressure, antioxidant enzyme activities, and organ histology.

Main Results:

  • AAB induced sustained hypertension and reduced catalase and superoxide dismutase (SOD) activity.
  • AT1 receptor antagonist treatment significantly lowered systolic blood pressure.
  • Treated rats exhibited increased serum SOD and catalase activities and attenuated target organ damage.

Conclusions:

  • AT1 receptor blockade enhances myocardial antioxidant capacity in hypertensive rats.
  • This blockade reduces oxidative stress, as evidenced by organ protection.
  • Angiotensin II receptor antagonists offer a protective effect against pressure-overload-induced organ damage.
Abstract

Related Concept Videos

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
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: Direct Renin Inhibitors01:25

Antihypertensive Drugs: Direct Renin Inhibitors

The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
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,...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...