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10.1161/JAHA.117.006617

http://scihub22266oqcxt.onion/10.1161/JAHA.117.006617
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suck abstract from ncbi


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pmid29042424      J+Am+Heart+Assoc 2017 ; 6 (10): ä
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  • Angiotensin II Receptor-Neprilysin Inhibitor Sacubitril/Valsartan Improves Endothelial Dysfunction in Spontaneously Hypertensive Rats #MMPMID29042424
  • Seki T; Goto K; Kansui Y; Ohtsubo T; Matsumura K; Kitazono T
  • J Am Heart Assoc 2017[Oct]; 6 (10): ä PMID29042424show ga
  • BACKGROUND: We have previously demonstrated that antihypertensive treatment with renin-angiotensin system inhibitors restores the impaired endothelium-dependent hyperpolarization (EDH)-mediated responses in spontaneously hypertensive rats (SHRs). Herein, we investigated whether the angiotensin II receptor-neprilysin inhibitor sacubitril/valsartan (LCZ696) would improve reduced EDH-mediated responses and whether LCZ696 would exert additional effects on endothelium-dependent and endothelium-independent vasorelaxation compared with an angiotensin II type 1 receptor blocker alone during hypertension. METHODS AND RESULTS: SHRs were treated for 3 months with either LCZ696 or valsartan, from the age of 8 to 11 months. Age-matched, untreated SHRs and Wistar-Kyoto rats served as controls. Membrane potentials and contractile responses were recorded from the isolated superior mesenteric arteries. Acetylcholine-induced, EDH-mediated responses were impaired in untreated SHRs compared with Wistar-Kyoto rats. EDH-mediated responses were similarly improved in the LCZ696- and valsartan-treated SHRs. No difference was observed in acetylcholine-induced, nitric oxide-mediated relaxations among the 4 groups. Endothelium-independent relaxations in response to a nitric oxide donor, sodium nitroprusside, and those to levcromakalim, an ATP-sensitive K(+)-channel opener, were similar among the 4 groups; however, the sensitivities to levcromakalim were significantly higher in both LCZ696- and valsartan-treated SHRs. CONCLUSIONS: LCZ696 appears to be as effective as valsartan in improving the impaired EDH-mediated responses during hypertension. LCZ696 and valsartan exert similar beneficial effects on endothelium-independent relaxation via enhanced sensitivity of the ATP-sensitive K(+) channel. However, the dual blockade of renin-angiotensin system and neutral endopeptidase with LCZ696 does not appear to provide additional benefit over valsartan alone on vasomotor function in mesenteric arteries of SHRs.
  • |Aminobutyrates/*pharmacology[MESH]
  • |Angiotensin II Type 1 Receptor Blockers/*pharmacology[MESH]
  • |Animals[MESH]
  • |Antihypertensive Agents/*pharmacology[MESH]
  • |Biphenyl Compounds[MESH]
  • |Blood Pressure/*drug effects[MESH]
  • |Disease Models, Animal[MESH]
  • |Dose-Response Relationship, Drug[MESH]
  • |Drug Combinations[MESH]
  • |Endothelium, Vascular/*drug effects/enzymology/physiopathology[MESH]
  • |Hypertension/*drug therapy/enzymology/genetics/physiopathology[MESH]
  • |KATP Channels/agonists/metabolism[MESH]
  • |Male[MESH]
  • |Membrane Potentials/drug effects[MESH]
  • |Mesenteric Artery, Superior/*drug effects/enzymology/physiopathology[MESH]
  • |Neprilysin/*antagonists & inhibitors/metabolism[MESH]
  • |Protease Inhibitors/*pharmacology[MESH]
  • |Rats, Inbred SHR[MESH]
  • |Renin-Angiotensin System/drug effects[MESH]
  • |Signal Transduction/drug effects[MESH]
  • |Tetrazoles/*pharmacology[MESH]
  • |Time Factors[MESH]
  • |Valsartan[MESH]
  • |Vasodilation/*drug effects[MESH]


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