Comparative Effects of Indapamide and Hydrochlorothiazide on Cardiac Hypertrophy and Vascular SmoothMuscle Phenotype in the StrokeProne Spontaneously Hypertensive Rat

Autor: Contard, Francis, Glukhova, Marina, Sabri, Abdelkarim, Marotte, Francoise, Sartore, Saverio, Narcisse, Guy, Schatz, Christian, Guez, David, Rappaport, Lydie, Samuel, Jane-Lyse
Zdroj: Journal of Cardiovascular Pharmacology; December 1993, Vol. 22 Issue: 12 p29-34, 6p
Abstrakt: 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< 0.05). Morphometric analysis of myocyte cross-sectional areas evidenced that indapamide was the most effective in preventing myocyte hypertrophy ( −33, p< 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.
Databáze: Supplemental Index