Estrogen or the AT1 antagonist olmesartan reverses the development of profound hypertension in the congenic mRen2. Lewis rat

Hypertension. 2003 Oct;42(4):781-6. doi: 10.1161/01.HYP.0000085210.66399.A3. Epub 2003 Jul 21.

Abstract

The influence of estrogen on the regulation of cardiovascular function remains a controversial and complex area of investigation. We assessed the effects of estrogen depletion in the congenic mRen(2). Lewis rat, established from the back-cross of the original (mRen2)-27 transgenic onto the Lewis inbred strain. Ovariectomy of heterozygous mRen(2). Lewis at 4 to 5 weeks resulted in a progressive increase in blood pressure compared with the sham surgery congenics at weeks 6 to 11. At 11 weeks, the ovariectomized mRen(2). Lewis (OVX) systolic blood pressure averaged 195+/-3.7 mm Hg versus 141+/-4.0 mm Hg for sham. Plasma Angiotensin (Ang) II, serum ACE activity, plasma renin concentration, as well as urinary excretion of Ang II, 8-isoprostane F2alpha, and endothelin-1 were elevated; however, renal mRNA levels of eNOS were suppressed after ovariectomy. Estrogen replacement reduced blood pressure below both the sham and OVX by 11 weeks (125+/-2.9 mm Hg, n=7, P<0.01 versus OVX and sham). Moreover, the AT1 receptor antagonist olmesartan (CS866; week 12 to 16) essentially normalized blood pressure to 113+/-5.4 mm Hg (n=6, P<0.01 versus OVX and sham). The attenuation of the hypertension was still evident 7 weeks after complete withdrawal of treatment (124+/-4.1 mm Hg at week 23). In summary, the OVX mRen.2. Lewis exhibited a rapid and sustained increase in blood pressure. Estrogen or olmesartan lowered pressure by a similar extent. We conclude that the ovary exerts considerable influence on the regulation of the blood pressure in the mRen2. Lewis strain, possibly by limiting activation of the renin-angiotensin system.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Angiotensin Receptor Antagonists*
  • Animals
  • Animals, Congenic
  • Blood Pressure / drug effects
  • Dinoprost* / analogs & derivatives*
  • Disease Progression
  • Endothelin-1 / metabolism
  • Estradiol / therapeutic use*
  • F2-Isoprostanes / metabolism
  • Female
  • Hypertension / drug therapy
  • Hypertension / etiology*
  • Hypertension / metabolism
  • Hypertension / physiopathology
  • Imidazoles / therapeutic use*
  • Male
  • Mice
  • Olmesartan Medoxomil
  • Ovariectomy
  • Rats
  • Rats, Inbred Lew
  • Receptor, Angiotensin, Type 1
  • Renin / genetics*
  • Renin-Angiotensin System
  • Tetrazoles / therapeutic use*

Substances

  • Angiotensin Receptor Antagonists
  • Endothelin-1
  • F2-Isoprostanes
  • Imidazoles
  • Receptor, Angiotensin, Type 1
  • Ren2 protein, mouse
  • Tetrazoles
  • 8-epi-prostaglandin F2alpha
  • Estradiol
  • Olmesartan Medoxomil
  • Dinoprost
  • Renin