Losartan but not verapamil inhibits angiotensin II-induced tissue endothelin-1 increase: role of blood pressure and endothelial function

Hypertension. 1998 Jun;31(6):1305-10. doi: 10.1161/01.hyp.31.6.1305.

Abstract

Endothelin partially mediates angiotensin (Ang) II-induced vascular changes in vivo. This study investigated the effects of the angiotensin type 1 receptor antagonist losartan and the calcium channel blocker verapamil on vascular reactivity and tissue endothelin-1 levels in aortas of Wistar-Kyoto rats treated for 2 weeks with Ang II (200 ng x kg(-1) x min(-1)). Ang II increased systolic blood pressure (39+/-4 mm Hg, P<0.05). Concomitant treatment with losartan abolished the Ang II-induced pressure increase (P<0.05), whereas verapamil reduced it only partially (P<0.05). In the aortas of rats with Ang II-induced hypertension, tissue endothelin-1 content was increased threefold and contractions to endothelin-1 were impaired (P<0.05). Interestingly, these alterations were normalized by losartan (P<0.05) but not by verapamil. Hence, there was a strong, negative correlation between contractions to endothelin-1 and tissue endothelin-1 content (r=-0.733, P<0.0001). In contrast, both antihypertensive drugs normalized impaired endothelium-dependent relaxations to acetylcholine and reduced the sensitivity of vascular smooth muscle to sodium nitroprusside compared with Ang II-treated rats (P<0.05). Ang II-induced hypertension enhanced endothelium-dependent contractions to acetylcholine, and these were normalized by either drug. In conclusion, these findings suggest that long-term treatment with Ang II modulates endothelin-1 protein expression in the rat aorta. Although both antihypertensive agents lowered blood pressure and normalized endothelial function, only losartan prevented the increase in tissue endothelin-1 content, suggesting that angiotensin type 1 receptor antagonists but not calcium antagonists modulate tissue endothelin-1 in vivo.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin II
  • Animals
  • Antihypertensive Agents / pharmacology*
  • Aorta, Thoracic / chemistry
  • Aorta, Thoracic / drug effects
  • Blood Pressure / physiology
  • Calcium Channel Blockers / pharmacology*
  • Data Interpretation, Statistical
  • Endothelin Receptor Antagonists
  • Endothelin-1 / analysis
  • Endothelin-1 / physiology*
  • Endothelium, Vascular / drug effects
  • Endothelium, Vascular / physiology*
  • Hypertension / chemically induced
  • Hypertension / physiopathology*
  • In Vitro Techniques
  • Losartan / pharmacology*
  • Male
  • Muscle, Smooth, Vascular / chemistry
  • Muscle, Smooth, Vascular / drug effects
  • Nitroprusside / pharmacology
  • Rats
  • Rats, Inbred WKY
  • Receptors, Endothelin / drug effects
  • Time Factors
  • Vasoconstriction / drug effects
  • Vasoconstriction / physiology
  • Vasodilation / drug effects
  • Vasodilation / physiology
  • Vasodilator Agents / pharmacology
  • Verapamil / pharmacology*

Substances

  • Antihypertensive Agents
  • Calcium Channel Blockers
  • Endothelin Receptor Antagonists
  • Endothelin-1
  • Receptors, Endothelin
  • Vasodilator Agents
  • Angiotensin II
  • Nitroprusside
  • Verapamil
  • Losartan