Synergistic interaction between enalapril, L‐arginine and tetrahydrobiopterin in smooth muscle cell apoptosis and aortic remodeling induction in SHR

Smooth muscle cell (SMC) apoptosis occurs at the onset of enalapril‐induced regression of aortic hypertrophy in SHR. A potential mechanism is the correction of endothelial dysfunction (ED) leading to reduced production of reactive oxygen species and enhanced bioavailability of nitric oxide (NO), a p...

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Veröffentlicht in:British journal of pharmacology 2004-07, Vol.142 (5), p.912-918
Hauptverfasser: Sarkissian, Shant Der, Marchand, Eve‐Lyne, Duguay, David, DeBlois, Denis
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container_title British journal of pharmacology
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creator Sarkissian, Shant Der
Marchand, Eve‐Lyne
Duguay, David
DeBlois, Denis
description Smooth muscle cell (SMC) apoptosis occurs at the onset of enalapril‐induced regression of aortic hypertrophy in SHR. A potential mechanism is the correction of endothelial dysfunction (ED) leading to reduced production of reactive oxygen species and enhanced bioavailability of nitric oxide (NO), a potent apoptosis inducer. Stimulants of NO include the precursor L‐arginine and the NO synthase cofactor tetrahydrobiopterin (BH4), which correct ED in several models. The objective was to examine the relationships between ED and the cell growth/death balance during vascular remodeling induced by enalapril in SHR. SHR, 10‐week‐old, received enalapril (ENA: 30 mg.kg−1.day−1 p.o.) for 1 or 2 weeks, or a co‐treatment of L‐arginine (2.0 g.kg−1.day−1 p.o.) and BH4 (5.4 mg.kg−1.day−1 i.p. twice daily) administered alone (group: LB) or in combination with enalapril (ENA+LB) for 1 week. Controls received vehicle. After 1 week, ED was completely corrected with LB but not affected significantly by ENA, whereas both treatments failed to induce SMC apoptosis or aortic remodeling. The correction of ED and the induction of SMC apoptosis (3.3‐fold increase in TUNEL labeling) required 2 weeks of ENA treatment. The combination of LB with ENA for 1 week, however, was additive for the reduction of SMC proliferation, and synergistic for the induction of apoptosis and regression of vascular hypertrophy. These interactions were independent of blood pressure regulation. Our results suggest that the correction of ED is not sufficient to induce SMC apoptosis and vascular remodeling, although it facilitates these responses during enalapril treatment. British Journal of Pharmacology (2004) 142, 912–918. doi:10.1038/sj.bjp.0705830
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A potential mechanism is the correction of endothelial dysfunction (ED) leading to reduced production of reactive oxygen species and enhanced bioavailability of nitric oxide (NO), a potent apoptosis inducer. Stimulants of NO include the precursor L‐arginine and the NO synthase cofactor tetrahydrobiopterin (BH4), which correct ED in several models. The objective was to examine the relationships between ED and the cell growth/death balance during vascular remodeling induced by enalapril in SHR. SHR, 10‐week‐old, received enalapril (ENA: 30 mg.kg−1.day−1 p.o.) for 1 or 2 weeks, or a co‐treatment of L‐arginine (2.0 g.kg−1.day−1 p.o.) and BH4 (5.4 mg.kg−1.day−1 i.p. twice daily) administered alone (group: LB) or in combination with enalapril (ENA+LB) for 1 week. Controls received vehicle. After 1 week, ED was completely corrected with LB but not affected significantly by ENA, whereas both treatments failed to induce SMC apoptosis or aortic remodeling. The correction of ED and the induction of SMC apoptosis (3.3‐fold increase in TUNEL labeling) required 2 weeks of ENA treatment. The combination of LB with ENA for 1 week, however, was additive for the reduction of SMC proliferation, and synergistic for the induction of apoptosis and regression of vascular hypertrophy. These interactions were independent of blood pressure regulation. Our results suggest that the correction of ED is not sufficient to induce SMC apoptosis and vascular remodeling, although it facilitates these responses during enalapril treatment. 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A potential mechanism is the correction of endothelial dysfunction (ED) leading to reduced production of reactive oxygen species and enhanced bioavailability of nitric oxide (NO), a potent apoptosis inducer. Stimulants of NO include the precursor L‐arginine and the NO synthase cofactor tetrahydrobiopterin (BH4), which correct ED in several models. The objective was to examine the relationships between ED and the cell growth/death balance during vascular remodeling induced by enalapril in SHR. SHR, 10‐week‐old, received enalapril (ENA: 30 mg.kg−1.day−1 p.o.) for 1 or 2 weeks, or a co‐treatment of L‐arginine (2.0 g.kg−1.day−1 p.o.) and BH4 (5.4 mg.kg−1.day−1 i.p. twice daily) administered alone (group: LB) or in combination with enalapril (ENA+LB) for 1 week. Controls received vehicle. After 1 week, ED was completely corrected with LB but not affected significantly by ENA, whereas both treatments failed to induce SMC apoptosis or aortic remodeling. 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subjects Acetylcholine - pharmacology
Angiotensin-Converting Enzyme Inhibitors - pharmacology
Animals
Aorta, Thoracic - cytology
Aorta, Thoracic - drug effects
Aorta, Thoracic - physiology
apoptosis
Apoptosis - drug effects
Arginine - pharmacology
Biological and medical sciences
Biopterins - analogs & derivatives
Biopterins - pharmacology
Blood Pressure - drug effects
Body Weight - drug effects
DNA Fragmentation - drug effects
Drug Synergism
enalapril
Enalapril - pharmacology
Endothelial dysfunction
Endothelium, Vascular - drug effects
Endothelium, Vascular - pathology
Endothelium, Vascular - physiopathology
hypertension
In Situ Nick-End Labeling
Male
Medical sciences
Muscle, Smooth, Vascular - drug effects
Muscle, Smooth, Vascular - pathology
nitric oxide
Nitric Oxide - metabolism
Pharmacology. Drug treatments
Rats
Rats, Inbred SHR
Reactive Oxygen Species - metabolism
tetrahydrobiopterin
Vasodilator Agents - pharmacology
title Synergistic interaction between enalapril, L‐arginine and tetrahydrobiopterin in smooth muscle cell apoptosis and aortic remodeling induction in SHR
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