Abstract | BACKGROUND:
ACE inhibitors improve reperfusion function in several animal models. We tested the hypothesis that ACE inhibitor-induced coronary protection and inhibition of reperfusion arrhythmias are mediated by suppression of cardiac endothelin-1 (ET-1) secretion and action. METHODS AND RESULTS: The effects of two ACE inhibitors on ET-1 secretion and mechanical function during ischemia and reperfusion were studied in perfused rat hearts. Drugs were infused during the control (60 minutes), ischemic (60 minutes), and reperfusion (30 minutes) period. ET-1 appearing in coronary effluents and the interstitium was analyzed by radioimmunoassay. We observed (1) in hearts treated with ramiprilat (100 nmol/L) or captopril (5 mumol/L), a significant reduction of ET-1 secretion under all three experimental conditions and fewer ventricular extrasystoles during reperfusion; (2) increased ET-1 secretion and numerous tachyarrhythmic events in the presence of ACE inhibitor and a bradykinin B2 receptor antagonist, icatibant (100 nmol/L); (3) an almost-complete suppression of reperfusion arrhythmias when an ET receptor antagonist, ie, SB 209670 (5 mumol/L) or PD 142893 (200 nmol/L), was infused together with ACE inhibitor and icatibant; and (4) SB 209670 alone to be equally antiarrhythmic as ACE inhibitors. Exogenous ET-1 (40 pmol/L) was proarrhythmic, whereas exogenous bradykinin (100 nmol/L) reduced ET-1 secretion and improved cardiac rhythm. CONCLUSIONS:
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Authors | F Brunner, W R Kukovetz |
Journal | Circulation
(Circulation)
Vol. 94
Issue 7
Pg. 1752-61
(Oct 01 1996)
ISSN: 0009-7322 [Print] United States |
PMID | 8840871
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Angiotensin Receptor Antagonists
- Angiotensin-Converting Enzyme Inhibitors
- Anti-Arrhythmia Agents
- Bradykinin Receptor Antagonists
- Endothelin Receptor Antagonists
- Endothelins
- Angiotensin II
- L-Lactate Dehydrogenase
- Nitric Oxide Synthase
- Bradykinin
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Topics |
- Angiotensin II
(pharmacology)
- Angiotensin Receptor Antagonists
- Angiotensin-Converting Enzyme Inhibitors
(pharmacology)
- Animals
- Anti-Arrhythmia Agents
(pharmacology)
- Arrhythmias, Cardiac
(etiology)
- Bradykinin
(pharmacology)
- Bradykinin Receptor Antagonists
- Endothelin Receptor Antagonists
- Endothelins
(antagonists & inhibitors, pharmacology)
- Female
- Heart
(physiopathology)
- L-Lactate Dehydrogenase
(metabolism)
- Male
- Myocardial Ischemia
(physiopathology)
- Myocardial Reperfusion
- Myocardial Reperfusion Injury
(complications)
- Nitric Oxide Synthase
(antagonists & inhibitors)
- Rats
- Rats, Sprague-Dawley
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