Concomitant aspirin treatment abolishes the antiatherosclerotic effects of the calcium channel blocker isradipine mediated by PGI2

Agents Actions Suppl. 1992:37:242-50. doi: 10.1007/978-3-0348-7262-1_34.

Abstract

108 male rabbits, aged 6 months, with experimental hypercholesterolemia and experimental abdominal aortic lesioning received different regimen of antiatherosclerotic treatment; 36 of them were treated with isradipine, a dihydropyridine calcium antagonist (0.3 mg/kg/daily), 36 with isradipine in combination with aspirin whereas 36 animals received placebo. The entry of 125I-radiolabelled LDL into the aorta was demonstrated to be significantly diminished in isradipine-treated rabbits as well as positive Sudan-III-staining and aortic cholesterol content were in comparison to placebo. This benefit was almost completely abolished by concomitant aspirin-treatment. The notable increase in vascular prostacyclin (PGI2) is supposed to mediate the strong antiatherosclerotic effect of isradipine resulting in an inhibition of LDL-entry and vascular cholesterol accumulation. Aspirin almost totally blocked the raise in PGI2-synthesis by the inhibition of cyclooxygenase detected in isradipine-treated animals. It can be concluded, that aspirin-treatment may minimize the antiatherosclerotic actions of calcium antagonists which are mediated by the PG-system.

MeSH terms

  • Animals
  • Aorta, Abdominal / drug effects
  • Aorta, Abdominal / metabolism
  • Arteriosclerosis / prevention & control*
  • Aspirin / pharmacology*
  • Calcium Channel Blockers / pharmacology*
  • Cholesterol / blood
  • Dihydropyridines / antagonists & inhibitors*
  • Dihydropyridines / pharmacology
  • Epoprostenol / biosynthesis
  • Epoprostenol / physiology*
  • Humans
  • Hypercholesterolemia / metabolism
  • Isradipine
  • Kinetics
  • Lipid Metabolism
  • Lipoproteins, LDL / blood
  • Male
  • Rabbits

Substances

  • Calcium Channel Blockers
  • Dihydropyridines
  • Lipoproteins, LDL
  • Cholesterol
  • Epoprostenol
  • Aspirin
  • Isradipine