PMID- 10069682 OWN - NLM STAT- MEDLINE DCOM- 19990503 LR - 20190724 IS - 0160-2446 (Print) IS - 0160-2446 (Linking) VI - 33 IP - 3 DP - 1999 Mar TI - Comparison of irbesartan with captopril effects on cardiac hypertrophy and gene expression in heart failure-prone male SHHF/Mcc-fa(cp) rats. PG - 451-60 AB - Angiotensin-converting enzyme (ACE) inhibitors have proven an effective means to control hypertension and manage cardiac hypertrophy. It is presently unknown if newer specific angiotensin II subtype 1 receptor (AT1R) antagonists are as effective or more effective in treating these conditions compared with ACE inhibitors. There is evidence that these classes of drugs may affect cardiac hypertrophy by different mechanisms. This study compared the effect of irbesartan, an AT1R antagonist, with that of captopril, an ACE inhibitor, on expression of early genetic markers of cardiac hypertrophy in lean male SHHF/Mcc-fa(cp) rats. SHHF/Mcc-fa(cp) rats (n = 10/group) were given captopril (100 mg/kg/day), irbesartan (50 mg/kg/day), or placebo for 16 weeks. Irbesartan and captopril significantly reduced systolic pressure and produced similar rightward shifts in the angiotensin I dose-response curve. Renal renin gene expression was increased 8.6-fold by irbesartan and 17.7-fold by captopril. The only effect on echocardiographic findings was a similar decrease in aortic peak velocity, an index of systolic function, by both treatments. Early markers of cardiac hypertrophy were significantly attenuated by both drugs. Both drugs produced marked and equivalent reductions in left ventricular atrial natriuretic peptide (ANP) messenger RNA (mRNA) levels compared with controls. This decrease in ANP gene expression was accompanied by a decrease in plasma ANP concentration in the treatment groups. The shift from V1 to V3 myosin isozymes was similarly decreased in both treatment groups, compared with controls. These data suggest that captopril and irbesartan are similarly effective in controlling expression of genes associated with ventricular hypertrophy in heart failure-prone SHHF/Mcc-fa(cp) rat. FAU - Carraway, J W AU - Carraway JW AD - Department of Veterinary Biosciences, The Ohio State University, Columbus, USA. FAU - Park, S AU - Park S FAU - McCune, S A AU - McCune SA FAU - Holycross, B J AU - Holycross BJ FAU - Radin, M J AU - Radin MJ LA - eng GR - HL48835/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Antihypertensive Agents) RN - 0 (Biphenyl Compounds) RN - 0 (Isoenzymes) RN - 0 (RNA, Messenger) RN - 0 (Receptor, Angiotensin, Type 1) RN - 0 (Receptor, Angiotensin, Type 2) RN - 0 (Tetrazoles) RN - 11128-99-7 (Angiotensin II) RN - 85637-73-6 (Atrial Natriuretic Factor) RN - 9041-90-1 (Angiotensin I) RN - 9G64RSX1XD (Captopril) RN - EC 3.4.23.15 (Renin) RN - EC 3.6.4.1 (Myosin Heavy Chains) RN - J0E2756Z7N (Irbesartan) SB - IM MH - Angiotensin I/pharmacology MH - Angiotensin II/pharmacology MH - Angiotensin Receptor Antagonists MH - Angiotensin-Converting Enzyme Inhibitors/pharmacology MH - Animals MH - Antihypertensive Agents/*pharmacology/therapeutic use MH - Atrial Natriuretic Factor/blood/drug effects/genetics MH - Biphenyl Compounds/*pharmacology/therapeutic use MH - Blood Pressure/drug effects MH - Body Weight/drug effects MH - Captopril/*pharmacology/therapeutic use MH - Cardiomegaly/pathology/*prevention & control MH - Dose-Response Relationship, Drug MH - Echocardiography/drug effects MH - Gene Expression/drug effects MH - Heart Failure/metabolism/physiopathology/*prevention & control MH - Irbesartan MH - Isoenzymes/drug effects MH - Male MH - Myosin Heavy Chains/drug effects MH - Organ Size/drug effects MH - RNA, Messenger/drug effects/metabolism MH - Rats MH - Rats, Inbred Strains MH - Receptor, Angiotensin, Type 1 MH - Receptor, Angiotensin, Type 2 MH - Renin/genetics MH - Systole MH - Tetrazoles/*pharmacology/therapeutic use EDAT- 1999/03/09 00:00 MHDA- 1999/03/09 00:01 CRDT- 1999/03/09 00:00 PHST- 1999/03/09 00:00 [pubmed] PHST- 1999/03/09 00:01 [medline] PHST- 1999/03/09 00:00 [entrez] AID - 10.1097/00005344-199903000-00016 [doi] PST - ppublish SO - J Cardiovasc Pharmacol. 1999 Mar;33(3):451-60. doi: 10.1097/00005344-199903000-00016.