血管紧张素转换酶抑制剂对去势高血压大鼠骨健康的影响是通过激肽-钾likrein系统介导的。

IF 2.1 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE
Journal of the Renin-Angiotensin-Aldosterone System Pub Date : 2022-06-14 eCollection Date: 2022-01-01 DOI:10.1155/2022/9067167
Na Zhang, Yanan Huo, Chen Yao, Jie Sun, Yafeng Zhang
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引用次数: 2

摘要

背景:在之前的研究中,血管紧张素转换酶抑制剂(ACEI)的使用与骨质流失增加有关,而血管紧张素II型受体阻阻剂对老年人骨质流失没有影响,这表明ACEI对骨质流失的影响不是通过经典的肾素-血管紧张素系统介导的。在本研究中,我们将探讨ACEI对骨退化的影响是否通过激肽-钾likrein系统介导。方法:选用6月龄自发性高血压大鼠。测量了卡托普利对正常大鼠血压、血清Ang II和缓激肽浓度的影响。分别切除雌性大鼠卵巢和雄性大鼠睾丸,建立骨质疏松模型。术后给予卡托普利和缓激肽受体阻滞剂伊卡替班(HOE140) 12周。评估血清Ang II和缓激肽浓度、骨转换标志物、骨矿物质密度(BMD)和骨微结构。股骨样品进行了力学试验。结果:卡托普利降低了正常大鼠血压和血清Ang II浓度,升高了血清缓激肽浓度(P < 0.05)。去势后卡托普利降低血清Angⅱ浓度(P < 0.05);在雌性大鼠中,icatibant显著提高血清Ang II浓度(P < 0.05)。卡托普利升高血清缓激肽浓度(P < 0.05);在雄性大鼠中,icatibant降低血清缓激肽浓度(P < 0.05)。卡托普利提高了大鼠尿脱氧吡啶-肌酐比值(DPD/Cr)和血清骨钙素浓度(P < 0.05)。伊卡替特降低雄性大鼠尿DPD/Cr (P < 0.05),提高雌性大鼠骨钙素浓度(P < 0.05)。卡托普利增加了去势高血压大鼠的松质骨密度(P < 0.05), icatibant进一步增加了松质骨密度(P < 0.05),这是由于增加了小梁骨数。力学试验中,ACEI提高骨强度(P < 0.05), icatibant进一步提高骨强度(P < 0.05)。结论:ACEI可减轻雄性和雌性高血压大鼠的骨退化,而缓激肽受体阻滞剂可进一步减轻骨退化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Effect of the Angiotensin-Converting Enzyme Inhibitor on Bone Health in Castrated Hypertensive Rats Is Mediated via the Kinin-Kallikrein System.

The Effect of the Angiotensin-Converting Enzyme Inhibitor on Bone Health in Castrated Hypertensive Rats Is Mediated via the Kinin-Kallikrein System.

The Effect of the Angiotensin-Converting Enzyme Inhibitor on Bone Health in Castrated Hypertensive Rats Is Mediated via the Kinin-Kallikrein System.

The Effect of the Angiotensin-Converting Enzyme Inhibitor on Bone Health in Castrated Hypertensive Rats Is Mediated via the Kinin-Kallikrein System.

Background: In previous studies, angiotensin-converting enzyme inhibitor (ACEI) use was associated with increased bone loss, while an angiotensin II type I receptor blocker had no effect on bone loss in elder subjects, which suggested that the effect of ACEI on bone loss was not mediated through the classical renin-angiotensin system. In this study, we set to investigate whether the effect of ACEI on bone deterioration was mediated via the kinin-kallikrein system.

Methods: Six-month-old male and female spontaneously hypertensive rats were used. The effect of captopril on blood pressure, serum Ang II, and bradykinin concentration was measured in intact rats. Ovariectomy and orchidectomy were performed to establish an osteoporosis model in female and male rats, respectively. Captopril and the bradykinin receptor blocker icatibant (HOE140) were administered after operation for 12 weeks. Serum Ang II and bradykinin concentration, bone turnover markers, bone mineral density (BMD), and bone microarchitecture were evaluated. Femur samples were subjected to a mechanical test.

Results: Captopril decreased blood pressure and serum Ang II concentration and increased serum bradykinin concentration in intact rats (P < 0.05). After castration, captopril decreased serum Ang II concentration (P < 0.05); in female rats, icatibant increased serum Ang II concentration (P < 0.05). Captopril increased serum bradykinin concentration (P < 0.05); in male rats, icatibant decreased serum bradykinin concentration (P < 0.05). Captopril increased the rat urine deoxypyridinoline-creatinine ratio (DPD/Cr) and serum osteocalcin concentration (P < 0.05). Icatibant decreased urine DPD/Cr in male rats (P < 0.05) and increased osteocalcin concentration in female rats (P < 0.05). Captopril increased cancellous BMD in castrated hypertensive rats (P < 0.05), and icatibant further increased cancellous BMD (P < 0.05), which was due to the increased trabecular bone number. In mechanical testing, ACEI increased bone strength (P < 0.05), and icatibant further improved it (P < 0.05).

Conclusion: ACEI decreased bone deterioration in both male and female hypertensive rats, and the bradykinin receptor blocker further decreased bone deterioration.

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来源期刊
CiteScore
6.20
自引率
0.00%
发文量
16
审稿时长
6-12 weeks
期刊介绍: JRAAS is a peer-reviewed, open access journal, serving as a resource for biomedical professionals, primarily with an active interest in the renin-angiotensin-aldosterone system in humans and other mammals. It publishes original research and reviews on the normal and abnormal function of this system and its pharmacology and therapeutics, mostly in a cardiovascular context but including research in all areas where this system is present, including the brain, lungs and gastro-intestinal tract.
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