| Autor: |
Säynävälammi P; a From the Department of Biomedical Sciences , University of Tampere , Tampere , Finland., Pörsti I; a From the Department of Biomedical Sciences , University of Tampere , Tampere , Finland., Nurmi AK; a From the Department of Biomedical Sciences , University of Tampere , Tampere , Finland., Seppälä E; a From the Department of Biomedical Sciences , University of Tampere , Tampere , Finland., Laitinen LA; b Research Institute of Military Medicine , Central Military Hospital , Helsinki , Finland., Manninen V; c First Department of Medicine , Helsinki University Central Hospital , Helsinki , Finland., Ylitalo P; a From the Department of Biomedical Sciences , University of Tampere , Tampere , Finland., Vapaatalo H; a From the Department of Biomedical Sciences , University of Tampere , Tampere , Finland. |
| Abstrakt: |
The effects of two angiotensin I convening enzyme inhibitors on the kallikrein-kinin system and prostanoids were studied in spontaneously hypertensive rats. The doses of captopril were 20, 50 and 100 mg/kg×day given twice daily, and those of CI-906 20 and 40 mg/kg once daily. Both drugs were equally effective in reducing the systolic blood pressure. Captopril increased urine volume dose-dependently (up to 3-fold with the largest dose). Only the larger dose of CI-906 was slightly diuretic. Captopril decreased the 24-h urinary excretion of kallikrein, while the excretion of the prostacyclin metabolite 6-keto-PGF 1α was increased markedly and that of T × B 2 to a lesser extent. CI-906 had no effect on the 24-h urinary excretion of kallikrein, 6-keto-PGF 1α and T × B 2 . Both drugs tended to reduce PGE 2 excretion. Captopril and CI-906 did not alter plasma kininogen levels. The marked renal effects of captopril may be caused by a strong local inhibition of converting enzyme in the kidneys. Captopril is mainly excreted unchanged in urine, and it is secreted actively by the proximal tubular cells. CI-906 is eliminated predominantly by biliary excretion. It is also possible that direct stimulation of prostacyclin formation by captopril may be involved in the diuretic action of the drug. However, as it was shown with CI-906, the increase in urine flow and the associated changes in urinary kallikrein and prostanoids are not necessary for the antihypertensive effect caused by the inhibition of converting enzyme. |
