PMID- 22759780 OWN - NLM STAT- MEDLINE DCOM- 20121226 LR - 20131121 IS - 1473-5598 (Electronic) IS - 0263-6352 (Linking) VI - 30 IP - 9 DP - 2012 Sep TI - Persistent effect of early, brief angiotensin-converting enzyme inhibition on segmental pressure dependency of aortic stiffness in spontaneously hypertensive rats. PG - 1782-90 LID - 10.1097/HJH.0b013e3283562e35 [doi] AB - OBJECTIVE: The effect of brief, prehypertensive therapy by angiotensin-converting enzyme inhibition (ACEi) with perindopril on the structure and function of large arteries was studied in rats. METHODS: Spontaneously hypertensive rats (SHR) received perindopril (3 mg/kg per day) between the ages of either 6 and 10 weeks (early) or 20 and 24 weeks (late) and compared with nonmedicated SHR and normotensive (Wistar-Kyoto) controls (n = 6 per group). Haemodynamic parameters and segmental aortic stiffness assessed by pulse wave velocity (PWV) were measured under urethane anaesthesia [1.3 g/kg, intraperitonealy (i.p.)] at 25 weeks. Aortic elastin and collagen content were determined by histomorphometry and calcium content by atomic absorption spectrophotometry. RESULTS: Rats receiving brief, early perindopril therapy had lower tail-cuff SBP than nonmedicated SHR (121 +/- 1 mmHg, 179 +/- 5 mmHg, respectively, P < 0.05), reflected in lower thoracic and abdominal aortic pulse pressures. Aortic pulse pressure amplification was lower with early perindopril treatment (early treated 10 +/- 5%, nonmedicated 20 +/- 10%, P < 0.05). No blood pressure (BP) differences were observed between late treated and nonmedicated SHR. Isobaric thoracic PWV was lower when treated early but not later in life. Treatment did not alter abdominal PWV. Early treatment was associated with reduction in total aortic calcification (48%, P < 0.001) and reduction in medial cross-sectional area (40%, P < 0.05) of abdominal aorta compared with nonmedicated rats. Treatment increased the wall thickness/diameter ratio, but only early treated rats had a 46% higher elastin/collagen ratio compared with SHR controls. CONCLUSIONS: Early but not late brief ACEi decreased arterial pressure and isobaric wall stiffness in SHR. This was associated with marked alteration of wall structure and the effects persisted after cessation of early treatment. The structural mechanisms responsible for this change varied segmentally along the aortic trunk. FAU - Ng, Keith AU - Ng K AD - Australian School of Advanced Medicine, Macquarie University, Sydney, Australia. FAU - Butlin, Mark AU - Butlin M FAU - Avolio, Alberto P AU - Avolio AP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Hypertens JT - Journal of hypertension JID - 8306882 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - Y5GMK36KGY (Perindopril) SB - IM MH - Angiotensin-Converting Enzyme Inhibitors/*pharmacology MH - Animals MH - Aorta/*drug effects/physiopathology MH - Blood Pressure/drug effects MH - Heart Rate/drug effects MH - Hypertension/drug therapy MH - Male MH - Perindopril/therapeutic use MH - Rats MH - Rats, Inbred SHR MH - Rats, Inbred WKY MH - *Vascular Stiffness EDAT- 2012/07/05 06:00 MHDA- 2012/12/27 06:00 CRDT- 2012/07/05 06:00 PHST- 2012/07/05 06:00 [entrez] PHST- 2012/07/05 06:00 [pubmed] PHST- 2012/12/27 06:00 [medline] AID - 10.1097/HJH.0b013e3283562e35 [doi] PST - ppublish SO - J Hypertens. 2012 Sep;30(9):1782-90. doi: 10.1097/HJH.0b013e3283562e35.