K. Atarashi et al., Effects of alacepril and amlodipine on the renal injury induced by a high-cholesterol diet in rats, J HYPERTENS, 17(12), 1999, pp. 1983-1986
Citations number
14
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Background A high-cholesterol (HC) diet increases blood pressure and induce
s renal injury in rats. We compared the effects of alacepril, an ACE inhibi
tor, and amlodipine, a Ca antagonist, on the renal injury induced by an HC
diet in rats.
Design and methods Male Sprague-Dawley rats were given either an HC diet on
ly (n = 5), an HC diet and amlodipine (n = 10) or an HC diet and alacepril
(n = 10), The control rats (n = 5) were given a normal diet. Systolic blood
pressure (SBP) was measured by a tail-cuff method. Serum lipids, malondial
dehyde (MDA) as a parameter for lipid peroxidation and urinary protein excr
etion were determined at 0, 4 and 8 weeks. The renal injury was evaluated h
istologically by the glomeruli sclerosing score.
Results The HC diet increased SEP. Amlodipine lowered SEP more significantl
y than alacepril. Serum total cholesterol was increased by the HC diet and
was not affected by either anti-hypertensive agent. HDL-cholesterol was sim
ilarly decreased in the three HC diet groups. Alacepril, but not amlodipine
, completely attenuated the MDA elevation induced by the HC diet. Urinary p
rotein excretion was decreased by the two anti-hypertensive agents at a sim
ilar rate. The renal histological injury assessed by the sclerosing score w
as ameliorated more significantly by alacepril than by amlodipine.
Conclusions Both amlodipine and alacepril decreased blood pressure and urin
ary protein, and ameliorated the renal injury induced by the HC diet in rat
s. The renal effect of alacepril seems to be mediated by the decrease in ox
idative stress as well as by reduction of blood pressure, since alacepril l
owered the sclerosing score more than amlodipine and completely attenuated
MDA, although the blood pressure reduction by alacepril was less than that
by amlodipine. (C) Lippincott Williams & Wilkins.