To determine whether chronic angiotensin-converting enzyme (ACE) inhib
ition produces functional changes in the aorta of normotensive rats, f
our groups of rats were studied in parallel for 6 weeks. Group 1 orall
y received ramipril 10 mg/kg per day for 6 weeks; group 2, ramipril 10
mg/kg per day for 4 weeks and then a cotreatment with ramipril and be
ta(2)-kinin antagonist HOE140 500 mu g/kg per day SC by injection for
the remaining 2 weeks; group 3, hydralazine 100 mg/kg per day PO for 6
weeks; group 4, (control), subcutaneous injections of saline solution
during the last 2 of 6 weeks. In aorta isolated from group 1 the rela
xations induced by bradykinin, acetylcholine, and histamine were signi
ficantly potentiated compared with those of group 4. In group 3, despi
te a decrease in systolic blood pressure similar to that induced by ra
mipril treatment, the responses to these three endothelium-dependent v
asodilators were not different from those of group 4. In group 2, brad
ykinin-induced relaxations were completely abolished whereas acetylcho
line-induced and histamine-induced relaxations were similar to those o
f group 4. The inhibitory effect of the endothelium on serotonin-induc
ed contractions was significantly increased in preparations of group 1
compared with those of groups 2 through 4. Indirect measurements of n
itric oxide formation such as contractions evoked by N-G-monomethyl-L-
arginine (L-NMMA) and aortic cGMP content were also significantly enha
nced in preparations from group 1 compared with those of groups 2 and
4. Moreover, because the relaxations to nitroglycerin and nitroprussid
e were similar in groups 1, 2, and 4 an alteration of the guanylate cy
clase activity by ramipril treatment is quite unlikely. Thus long-term
treatment with ramipril potentiates the endothelium-dependent respons
es in the rat aorta by enhancing nitric oxide availability. This effec
t seems to involve an inhibition of bradykinin breakdown facilitating
nitric oxide release via endothelial beta(2)-receptors.