We conducted the present study to propose a rabbit model of puImonary
edema (PE) induced by angiotensin II (AII) and to test the preventive
effect of losartan on this form of PE. AII was administered to rabbits
intravenously at 50, 100, 150 or 300 mu g/kg, either by continuous in
fusion (10 min) or by bolus injection (30 sec). Continuously administe
red AII (150 mu g/kg) induced PE in most cases, while a bolus injectio
n of the same dosage did not. Additionally, the incidence of PE increa
sed with higher dosages of AII when it was infused continuously. A new
ly established parameter, the area under the systolic blood pressure-t
ime curve corrected by baseline (cAUC), was prone to rise as the incid
ence of PE increased. Moreover, cAUC significantly correlated with the
wet-dry lung weight ratio (r=0.66, P <0.05). Subsequently, 0.5 or 3.0
mg/kg of losartan was given before continuous infusion of 150 mu g/kg
of AII. The higher dosage of losartan prevented PE completely, while
the lower one did so moderately. We concluded that intravenous adminis
tration of AII induces PE, probably as a result of increasing afterloa
d. Furthermore, an adequate dosage of losartan can prevent PE because
it reduces the presser effect of AII.