Journal
JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY
Volume 43, Issue 4, Pages 479-486Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.yjmcc.2007.07.047
Keywords
angiotensin; hemodynamics; heart failure; brain; autonomic nervous system
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In rats, blockade of the brain renin-angiotensin-aidosterone system prevents sympathetic hyperactivity and markedly attenuates LV dysfunction post-Mi. We evaluated whether peripheral administration of an AT, receptor blocker has similar effects. In the first experiment, Wistar rats were injected subcutaneously (sc) daily with losartan at a regular or high dose (15 or 100 mg/kg/day) starting 2 days post-MI. At 4 weeks, sympathetic reactivity to air stress was enhanced, baroreflex function was impaired and cardiac function clearly decreased. Increased AT, receptor binding densities post-Mi were decreased by losartan towards (regular dose) or well below (high dose) levels of sham rats. Losartan at the high dose prevented sympathetic hyperactivity and baroreflex impairment, and lowered LVEDP but further decreased LVPSP and dP/dt(max). In the second experiment, as of 2 days post-MI, losartan (1 mg/kg/day), spironolactone (10 mu g/kg/day) or vehicle was infused intracerebroventricularly (icv), or losartan (100 mg/kg/day) was injected se for 4 weeks. LV dysfunction and increased fibrosis and cardiomyocyte diameter were clearly present at 4 weeks. Icv losartan or spironolactone improved or normalized LV diastolic and systolic function, LV dimensions, fibrosis and myocyte diameter. In contrast, although sc losartan similarly improved fibrosis and LVEDP, again it did not improve LV systolic function. These data indicate that specific central and general AT, receptor blockade can similarly improve sympathetic hyperactivity, cardiac fibrosis and LVEDP, but only central blockade improves LV systolic function, possibly due to differences in the extent of blockade of AT, receptors in cardiac myocytes and/or peripheral sympathetic nerves. (C) 2007 Elsevier Inc. All rights reserved.
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