Alamandine attenuates hypertension and cardiac hypertrophy in hypertensive rats

Chi Liu1, Chuan-Xi Yang1, Xi-Ru Chen1

  • 1Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.

Amino Acids
|May 13, 2018
PubMed

Insights

Subcutaneous alamandine injection effectively reduces hypertension and cardiac hypertrophy in spontaneously hypertensive rats. This peptide improves left ventricle function and involves protein kinase A signaling pathways.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Molecular Biology

Background:

  • Hypertension frequently leads to cardiac damage, including left ventricle (LV) hypertrophy and impaired function.
  • The peptide alamandine has demonstrated antihypertensive and anti-fibrotic properties via oral administration in previous studies.
  • Investigating alternative administration routes like subcutaneous injection is crucial for therapeutic development.

Purpose of the Study:

  • To evaluate the efficacy of subcutaneous alamandine injection in attenuating hypertension and cardiac hypertrophy in spontaneously hypertensive rats (SHRs).
  • To assess the impact of alamandine on left ventricle (LV) function in SHRs.
  • To explore the underlying molecular mechanisms, including Mas-related G protein-coupled receptor, member D and protein kinase A (PKA) signaling.

Main Methods:

  • In vivo studies involved 6-week subcutaneous alamandine or saline infusion in SHRs and normotensive rats.
  • In vitro studies used H9C2 cells and primary neonatal rat cardiomyocytes treated with angiotensin II to model cardiac hypertrophy.
  • Measurements included tail artery blood pressure, transthoracic echocardiography, cardiac/lung mass, cardiomyocyte size, and gene/protein expression analysis.

Main Results:

  • Subcutaneous alamandine significantly ameliorated hypertension and impaired LV function in SHRs.
  • Alamandine administration reduced heart and lung mass, suppressed cardiomyocyte hypertrophy, and decreased atrial natriuretic peptide and brain natriuretic peptide mRNA levels.
  • Increased expression of the alamandine receptor (MrgD) and inhibition of PKA levels were observed in response to alamandine treatment.

Conclusions:

  • Subcutaneous alamandine administration is a viable strategy to attenuate hypertension, cardiac hypertrophy, and improve LV function in SHRs.
  • The therapeutic effects of alamandine appear to be mediated, at least in part, through the modulation of PKA signaling pathways.
  • Further research into alamandine's role in cardiovascular protection is warranted.

Related Concept Videos

Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
953
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,...
1.0K
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
482
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
4.5K
Pulmonary Hypertension: Classification and Pathogenesis01:30

Pulmonary Hypertension: Classification and Pathogenesis

Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
664
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
608