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Olmesartan attenuates cardiac hypertrophy and improves cardiac diastolic function in spontaneously hypertensive rats through inhibition of calcineurin pathway.

AbstractOBJECTIVE:
To test whether olmesartan ameliorates cardiac diastolic dysfunction in spontaneously hypertensive rats (SHRs) through calcineurin pathway.
METHODS:
Twenty-four male SHRs of 6 months were divided into saline- (n = 12) and olmesartan-treated (n = 12) groups. Age-matched WKY (n = 12) rats served as controls. Saline (10 mL·kg·d) or the same volume of olmesartan liquor (2.5 mg·kg·d) was administered by gavage for 3 months. Heart rate, systolic blood pressure, cardiac structure, and function and histological studies were determined. Expression of calcineurin and downstream NFAT3 were also detected.
RESULTS:
Compared with age-matched Wistar Kyoto rats, SHRs of 6 months exhibited evident cardiac hypertrophy and diastolic dysfunction as demonstrated by elevated systolic blood pressure and E/E', decreased E/A and E'/A', while F, left ventricular ejection fraction and fractional shortening remained unimpaired. Treatment with olmesartan significantly decreased systolic blood pressure and ventricular hypertrophy, attenuated fibrosis, and improved diastolic function (all P < 0.05). Meanwhile, both calcineurin and NFAT3 expressions were downregulated in olmesartan group compared with the other 2 groups (both P < 0.05).
CONCLUSIONS:
These data suggest the beneficial effect of olmesartan on cardiac structure and diastolic dysfunction, and it may be mediated through calcineurin pathway. This indicates a new therapeutic target for diastolic dysfunction.
AuthorsMingqiang Fu, Jingmin Zhou, Jianfeng Xu, Hongmin Zhu, Jianquan Liao, Xiaotong Cui, Aijun Sun, Michael Fu, Yunzeng Zou, Kai Hu, Junbo Ge
JournalJournal of cardiovascular pharmacology (J Cardiovasc Pharmacol) Vol. 63 Issue 3 Pg. 218-26 (Mar 2014) ISSN: 1533-4023 [Electronic] United States
PMID24603116 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Angiotensin II Type 1 Receptor Blockers
  • Imidazoles
  • NFATC Transcription Factors
  • Tetrazoles
  • olmesartan
  • Calcineurin
Topics
  • Angiotensin II Type 1 Receptor Blockers (pharmacology)
  • Animals
  • Blood Pressure (drug effects)
  • Calcineurin (genetics, metabolism)
  • Cardiomegaly (drug therapy, pathology)
  • Diastole
  • Down-Regulation (drug effects)
  • Fibrosis
  • Heart Rate (drug effects)
  • Hypertension (drug therapy, physiopathology)
  • Imidazoles (pharmacology)
  • Male
  • NFATC Transcription Factors (genetics)
  • Rats
  • Rats, Inbred SHR
  • Rats, Inbred WKY
  • Tetrazoles (pharmacology)

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