Blood pressure-decreasing effect of etamicastat alone and in combination with antihypertensive drugs in the spontaneously hypertensive rat

Hyperactivation of the sympathetic nervous system has an important role in the development and progression of arterial hypertension. This study evaluated the efficacy of etamicastat, a dopamine-β-hydroxylase (DβH) inhibitor, in controlling high blood pressure in the spontaneously hypertensive rat (S...

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Veröffentlicht in:Hypertension research 2015-01, Vol.38 (1), p.30-38
Hauptverfasser: Igreja, Bruno, Pires, Nuno Miguel, Bonifácio, Maria João, Loureiro, Ana Isabel, Fernandes-Lopes, Carlos, Wright, Lyndon Christopher, Soares-da-Silva, Patrício
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container_end_page 38
container_issue 1
container_start_page 30
container_title Hypertension research
container_volume 38
creator Igreja, Bruno
Pires, Nuno Miguel
Bonifácio, Maria João
Loureiro, Ana Isabel
Fernandes-Lopes, Carlos
Wright, Lyndon Christopher
Soares-da-Silva, Patrício
description Hyperactivation of the sympathetic nervous system has an important role in the development and progression of arterial hypertension. This study evaluated the efficacy of etamicastat, a dopamine-β-hydroxylase (DβH) inhibitor, in controlling high blood pressure in the spontaneously hypertensive rat (SHR), either alone or in combination with other classes of antihypertensives. SHRs were administered with etamicastat by gavage, and its pharmacodynamic and pharmacokinetic properties were evaluated. Etamicastat induced a time-dependent decrease in noradrenaline-to-dopamine ratios in the heart and kidney, and had no effect on catecholamine levels in the frontal cortex of SHRs. Cardiovascular pharmacodynamic effects following administration of etamicastat alone or in combination with other classes of antihypertensive drugs were assessed by telemetry. Etamicastat was evaluated in combination with captopril, losartan, hydrochlorothiazide, metoprolol, prazosin and/or diltiazem. Etamicastat monotherapy induced a dose-dependent reduction in blood pressure without reflex tachycardia. Combination therapy amplified the antihypertensive effects of all tested drugs. In conclusion, inhibition of peripheral DβH with etamicastat, as a monotherapy or combination therapy, may constitute a valid alternative treatment for high blood pressure.
doi_str_mv 10.1038/hr.2014.143
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subjects Animals
Antihypertensive Agents - pharmacokinetics
Antihypertensive Agents - therapeutic use
Antihypertensives
Benzopyrans - pharmacokinetics
Benzopyrans - therapeutic use
Blood pressure
Blood Pressure - drug effects
Catecholamines - metabolism
Disease Models, Animal
Dopamine
Dose-Response Relationship, Drug
Drug Evaluation, Preclinical
Drug Therapy, Combination
Hypertension
Hypertension - blood
Hypertension - drug therapy
Imidazoles - pharmacokinetics
Imidazoles - therapeutic use
Kidney - drug effects
Male
Rats, Inbred SHR
title Blood pressure-decreasing effect of etamicastat alone and in combination with antihypertensive drugs in the spontaneously hypertensive rat
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