PMID- 7508058 OWN - NLM STAT- MEDLINE DCOM- 19940308 LR - 20131121 IS - 0160-2446 (Print) IS - 0160-2446 (Linking) VI - 22 Suppl 6 DP - 1993 TI - Comparative effects of indapamide and hydrochlorothiazide on cardiac hypertrophy and vascular smooth-muscle phenotype in the stroke-prone, spontaneously hypertensive rat. PG - S29-34 AB - The effects of two diuretics, indapamide (3 mg/kg/day) and hydrochlorothiazide (20 mg/kg/day), were analyzed over a 44-day period on the cardiovascular hypertrophy of stroke-prone spontaneously hypertensive rats (SHR-SP). Untreated SHR-SP developed severe hypertension and cardiac hypertrophy when compared to normotensive Wistar-Kyoto (WKY) rats after 8 weeks on 1% sodium chloride. In diuretic-treated animals, systolic blood pressure was moderately decreased by the end of the treatment when compared with untreated SHR-SP (-13 and -18%, respectively, p < or = 0.05). Morphometric analysis of myocyte cross-sectional areas evidenced that indapamide was the most effective in preventing myocyte hypertrophy (-33%, p < or = 0.0001). Small coronary artery wall thickness was efficiently prevented in the two treated groups, but medial hypertrophy was prevented by hydrochlorothiazide only. Among markers of smooth-muscle cell phenotype (contractile or extracellular matrix proteins) EIIIA-fibronectin (FN), one FN cellular isoform, was shown to be the most sensitive marker by an immunohistochemical technic. Medial expression of EIIIA-FN, which was characteristic of SHR-SP coronary arteries, was prevented by the two treatments. The two diuretic treatments, despite similar effects on blood pressure and smooth-muscle phenotype, prevent SHR-SP cardiovascular hypertrophy with a drug-specific efficiency. FAU - Contard, F AU - Contard F AD - Unite 127 INSERM, Hopital Lariboisiere, Paris, France. FAU - Glukhova, M AU - Glukhova M FAU - Sabri, A AU - Sabri A FAU - Marotte, F AU - Marotte F FAU - Sartore, S AU - Sartore S FAU - Narcisse, G AU - Narcisse G FAU - Schatz, C AU - Schatz C FAU - Guez, D AU - Guez D FAU - Rappaport, L AU - Rappaport L FAU - Samuel, J L AU - Samuel JL LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0J48LPH2TH (Hydrochlorothiazide) RN - F089I0511L (Indapamide) SB - IM MH - Animals MH - Blood Pressure/drug effects MH - Cardiomegaly/etiology/*prevention & control MH - Coronary Vessels/*drug effects/pathology MH - Hydrochlorothiazide/pharmacology/*therapeutic use MH - Hypertension/complications/*drug therapy MH - Indapamide/pharmacology/*therapeutic use MH - Male MH - Muscle Contraction/drug effects MH - Muscle, Smooth, Vascular/*drug effects/pathology/physiopathology MH - Myocardium/pathology MH - Phenotype MH - Random Allocation MH - Rats MH - Rats, Inbred SHR MH - Rats, Inbred WKY EDAT- 1993/01/01 00:00 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PHST- 1993/01/01 00:00 [pubmed] PHST- 1993/01/01 00:01 [medline] PHST- 1993/01/01 00:00 [entrez] PST - ppublish SO - J Cardiovasc Pharmacol. 1993;22 Suppl 6:S29-34.