The effects of the
angiotensin-converting enzyme inhibitor trandolapril were studied using a Goldblatt (two-kidney, one-
clip) rat model of
renovascular hypertension after 4 weeks of oral treatment at 0.3 or 1 mg/kg/day. The effects of
trandolapril on blood pressure and on cardiac and vascular
hypertrophy were analyzed in comparison with the control group.
Trandolapril produced a rapid, dose-dependent decrease in blood pressure, which plateaued after 2 weeks of treatment. Complete normalization of blood pressure was observed at a daily dose of 1 mg/kg. Dose-dependent inhibition of
cardiac hypertrophy was also observed, heart:
body weight ratio being decreased by 17 and 30% at 0.3 and 1 mg/kg, respectively, leading to a normalization of this parameter at the higher dose compared with normotensive controls. Similarly,
trandolapril produced a marked decrease in vascular wall
hypertrophy in both the mesenteric artery and the aorta. Indeed, complete normalization of media thickness was observed, compared with the normotensive control group, at 1 mg/kg of
trandolapril. These results show that short-term treatment with
trandolapril can induce complete regression of cardiac and vascular
hypertrophy, which is associated with the development of
renal hypertension.