A sartan derivative with a very low angiotensin II receptor affinity ameliorates ischemic cerebral damage.

Abstract

Angiotensin II receptor blockers (ARBs) have a potent ability to inhibit oxidative stress and advanced glycation, in addition to their protective effects originated from blood pressure lowering and angiotensin II type 1 receptor (AT(1))-blockade. To obtain a pharmacological tool to dissect the mechanisms of ARBs' protective benefits in experimental stroke, we synthesized a novel ARB-derivative, R-147176, which is 6,700 times less potent than olmesartan in AT(1)-binding inhibition and therefore has a minimal antihypertensive effect, but retains marked inhibitory effects on oxidative stress and advanced glycation. We evaluated the effect of R-147176 (10-30 mg/kg per day), administered orally or intravenously, on brain infarct volume in transient thread occlusion and photothrombotic models in rats. The antioxidative and antiinflammatory properties were also investigated. R-147176 significantly reduced infarct volume, without influence on blood pressure, in both models. R-147176 significantly reduced the numbers of ED-1-positive cells and of TUNEL-positive cells, and protein carbonyl formation in the damaged brain. This ARB derivative, despite its significantly lower AT1 affinity and virtually no antihypertensive effect, ameliorated ischemic cerebral damage through antioxidative and antiinflammatory properties. These findings suggest potential usefulness of R-147176 as a pharmacological tool to investigate the ARBs' protective effect in experimental stroke and open new therapeutic avenues.

• Authors: Shunya Takizawa, Takashi Dan, Tsuyoshi Uesugi, Eiichiro Nagata, Shigeharu Takagi, Charles van Ypersele de Strihou, Toshio Miyata
• Journal: Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism (J Cereb Blood Flow Metab) Vol. 29 Issue 10 Pg. 1665-72 (Oct 2009) ISSN: 1559-7016 [Electronic] United States
• PMID: 19536069 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Angiotensin II Type 1 Receptor Blockers
• Angiotensin Receptor Antagonists
• Anti-Inflammatory Agents
• Antioxidants
• Glycation End Products, Advanced
• Imidazoles
• R 147176
• Receptors, Angiotensin
• Thiazolidinediones

Topics

• Angiotensin II Type 1 Receptor Blockers (pharmacology, therapeutic use)
• Angiotensin Receptor Antagonists
• Animals
• Anti-Inflammatory Agents (pharmacology)
• Antioxidants (pharmacology)
• Brain Ischemia (drug therapy, prevention & control)
• Drug Evaluation, Preclinical
• Glycation End Products, Advanced
• Hypertension
• Imidazoles (pharmacology, therapeutic use)
• Male
• Oxidative Stress
• Protein Binding
• Rats
• Rats, Sprague-Dawley
• Receptors, Angiotensin (metabolism)
• Thiazolidinediones (pharmacology, therapeutic use)