PMID- 37154141 OWN - NLM STAT- MEDLINE DCOM- 20230510 LR - 20230510 IS - 1525-6006 (Electronic) IS - 1064-1963 (Linking) VI - 45 IP - 1 DP - 2023 Dec 31 TI - Folic acid enhances the cardiovascular protective effect of amlodipine in renal hypertensive rats with elevated homocysteine. PG - 2205058 LID - 10.1080/10641963.2023.2205058 [doi] AB - OBJECTIVES: To investigate the actions of amlodipine-folic acid (amlodipine-FA) preparation on hypertension and cardiovascular in renal hypertensive rats with hyperhomocysteinemia (HHcy), so as to provide experimental basis for clinical research of amlodipine folic acid tablets. METHODS: Rats model of renal hypertension with HHcy were established. The rats were randomly divided into groups of model, amlodipine, folic acid (FA) and amlodipine-FA of various dosages. Normal rats were used as normal control group. Blood pressure, Hcy as well as plasma NO, ET-1 and hemodynamics were assayed. Histological alterations of heart and abdominal aorta were also examined. RESULTS: Compared with the normal group, blood pressure, plasma Hcy, and NO of the rats in model group were significantly increased, while the plasma ET-1 was decreased. Compared with the normal group, the animals in the model group had reduced cardiac function, thickened wall of the aorta and narrowed lumen. In FA group and amlodipine group, the rat plasma NO was increased while ET-1 was decreased, the protective effect of amlodipine-FA group on endothelial cells was further enhanced. In amlodipine group, the rat hemodynamics (LVSP, LVEDP and +/-dp/dt(max), et al.) and vascular damage were significantly reduced, while in amlodipine-FA group, the heart function were further improved, and myocardial and vascular hypertrophy were significantly reduced. CONCLUSIONS: As compared to amlodipine alone, amlodipine -FA can lower both blood pressure and plasma Hcy, significantly enhancing vascular endothelial function to protect the heart and blood vessel in renal hypertensive rats with HHcy. FAU - Li, Li AU - Li L AD - College of Integrative Medicine, Anhui University of Chinese Medicine, Hefei, China. FAU - Tong, Xiaohui AU - Tong X AD - College of Integrative Medicine, Anhui University of Chinese Medicine, Hefei, China. FAU - Ma, Zebin AU - Ma Z AD - College of Integrative Medicine, Anhui University of Chinese Medicine, Hefei, China. FAU - Lv, Lei AU - Lv L AD - College of Integrative Medicine, Anhui University of Chinese Medicine, Hefei, China. FAU - Liu, Haipeng AU - Liu H AD - Institute of Pediatrics, Anhui Provincial Children's Hospital, Hefei, China. FAU - Chen, Guang Liang AU - Chen GL AD - College of Integrative Medicine, Anhui University of Chinese Medicine, Hefei, China. LA - eng PT - Journal Article PL - England TA - Clin Exp Hypertens JT - Clinical and experimental hypertension (New York, N.Y. : 1993) JID - 9305929 RN - 935E97BOY8 (Folic Acid) RN - 1J444QC288 (Amlodipine) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Rats MH - Animals MH - Folic Acid/pharmacology MH - Amlodipine/pharmacology MH - Endothelial Cells MH - *Hypertension/complications/drug therapy MH - Kidney MH - Homocysteine MH - *Hyperhomocysteinemia/complications/drug therapy OTO - NOTNLM OT - Amlodipine OT - cardiovascular protection OT - folic acid OT - homocysteine OT - hypertension EDAT- 2023/05/08 06:42 MHDA- 2023/05/10 06:42 CRDT- 2023/05/08 05:54 PHST- 2023/05/10 06:42 [medline] PHST- 2023/05/08 06:42 [pubmed] PHST- 2023/05/08 05:54 [entrez] AID - 10.1080/10641963.2023.2205058 [doi] PST - ppublish SO - Clin Exp Hypertens. 2023 Dec 31;45(1):2205058. doi: 10.1080/10641963.2023.2205058.