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(Circulation. 1997;96:1593-1597.)
© 1997 American Heart Association, Inc.


Articles

Angiotensin II Increases Tissue Endothelin and Induces Vascular Hypertrophy

Reversal by ETA-Receptor Antagonist

Pierre Moreau, PhD; Livius V. d'Uscio, MSc; Sidney Shaw, PhD; Hiroyuki Takase, MD; Matthias Barton, MD; ; Thomas F. Lüscher, MD

From Cardiology, Cardiovascular Research, and Division of Hypertension (S.S.), University Hospital, Bern, and Cardiology, University Hospital, Zürich, Switzerland.

Correspondence to Thomas F. Lüscher, MD, FACC, FESC, Professor and Head of Cardiology, University Hospital, CH-8091 Zürich, Switzerland. E-mail 100771.1237{at}compuserve.com

Background In vitro studies on vascular smooth muscle cells suggest that endothelin has a stimulating effect on cellular proliferation. This study was designed to determine the endogenous effect of endothelin on angiotensin II–induced hypertrophy of small arteries in vivo.

Methods and Results Two weeks of angiotensin II administration (200 ng·kg-1·min-1) increased media thickness, media/lumen ratio, and cross-sectional area of basilar and small mesenteric arteries, confirming the proliferative properties of angiotensin II. The tissue levels of endothelin-1 were elevated in mesenteric arteries after angiotensin II administration. The administration of the selective and specific ETA-receptor antagonist LU135252 (50 mg·kg-1·d-1) in combination with angiotensin II prevented the changes of vascular geometry and partially reduced the increase in blood pressure induced by angiotensin II. Indeed, part of the effect on the vascular structure of the endothelin-receptor antagonist seemed pressure-independent.

Conclusions Our results therefore demonstrate that angiotensin II increases the production of endothelin in the blood vessel wall that, via ETA receptors, mediates changes in vascular structure of the cerebral and mesenteric circulation. Endothelin antagonists may therefore be of value to reduce blood pressure and to prevent vascular structural changes in conditions of increased activity of the renin-angiotensin system.


Key Words: angiotensin • endothelin • receptors • arteries




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Am J Physiol Heart Circ Physiol, April 1, 2000; 278(4): H1299 - H1310.
[Abstract] [Full Text] [PDF]


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J. Bohlender, S. Gerbaulet, J. Kramer, M. Gross, M. Kirchengast, and R. Dietz
Synergistic Effects of AT1 and ETA Receptor Blockade in a Transgenic, Angiotensin II-Dependent, Rat Model
Hypertension, April 1, 2000; 35(4): 992 - 997.
[Abstract] [Full Text] [PDF]


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M. Lauth, M.-M. Berger, M. Cattaruzza, and M. Hecker
Elevated Perfusion Pressure Upregulates Endothelin-1 and Endothelin B Receptor Expression in the Rabbit Carotid Artery
Hypertension, February 1, 2000; 35(2): 648 - 654.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. Lauth, M.-M. Berger, M. Cattaruzza, and M. Hecker
Pressure-Induced Upregulation of Preproendothelin-1 and Endothelin B Receptor Expression in Rabbit Jugular Vein In Situ : Implications for Vein Graft Failure?
Arterioscler Thromb Vasc Biol, January 1, 2000; 20(1): 96 - 103.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Barton, R. Carmona, H. Morawietz, L. V. d'Uscio, W. Goettsch, H. Hillen, C. C. Haudenschild, J. E. Krieger, K. Munter, T. Lattmann, et al.
Obesity Is Associated With Tissue-Specific Activation of Renal Angiotensin-Converting Enzyme In Vivo : Evidence for a Regulatory Role of Endothelin
Hypertension, January 1, 2000; 35(1): 329 - 336.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
L. Ghiadoni, A. Virdis, A. Magagna, S. Taddei, and A. Salvetti
Effect of the Angiotensin II Type 1 Receptor Blocker Candesartan on Endothelial Function in Patients With Essential Hypertension
Hypertension, January 1, 2000; 35(1): 501 - 506.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J.-J. Boffa, P.-L. Tharaux, S. Placier, R. Ardaillou, J.-C. Dussaule, and C. Chatziantoniou
Angiotensin II Activates Collagen Type I Gene in the Renal Vasculature of Transgenic Mice During Inhibition of Nitric Oxide Synthesis : Evidence for an Endothelin-Mediated Mechanism
Circulation, November 2, 1999; 100(18): 1901 - 1908.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
E. L. Schiffrin
Role of Endothelin-1 in Hypertension
Hypertension, October 1, 1999; 34(4): 876 - 881.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
J. Du, T. Peng, K. J. Scheidegger, and P. Delafontaine
Angiotensin II Activation of Insulin-Like Growth Factor 1 Receptor Transcription Is Mediated by a Tyrosine Kinase–Dependent Redox-Sensitive Mechanism
Arterioscler Thromb Vasc Biol, September 1, 1999; 19(9): 2119 - 2126.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
E. Brochu, S. Lacasse-M., C. Moreau, M. Lebel, I. Kingma, J. H. Grose, and R. Lariviere
Endothelin ETA receptor blockade prevents the progression of renal failure and hypertension in uraemic rats
Nephrol. Dial. Transplant., August 1, 1999; 14(8): 1881 - 1888.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
G. P. Rossi, A. Sacchetto, M. Cesari, and A. C Pessina
Interactions between endothelin-1 and the renin-angiotensin-aldosterone system
Cardiovasc Res, August 1, 1999; 43(2): 300 - 307.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
E. BROCHU, S. LACASSE-M, R. LARIVIÈRE, I. KINGMA, J. H. GROSE, and M. LEBEL
Differential Effects of Endothelin-1 Antagonists on Erythropoietin-Induced Hypertension in Renal Failure
J. Am. Soc. Nephrol., July 1, 1999; 10(7): 1440 - 1446.
[Abstract] [Full Text]


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Cardiovasc ResHome page
D. P. Wilson, L. Saward, P. Zahradka, and P. Kee Cheung
Angiotensin II receptor antagonists prevent neointimal proliferation in a porcine coronary artery organ culture model
Cardiovasc Res, June 1, 1999; 42(3): 761 - 772.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
K. Munter, H. Ehmke, and M. Kirchengast
Maintenance of blood pressure in normotensive dogs by endothelin
Am J Physiol Heart Circ Physiol, March 1, 1999; 276(3): H1022 - H1027.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
B. Hocher, I. George, J. Rebstock, A. Bauch, A. Schwarz, H.-H. Neumayer, and C. Bauer
Endothelin System–Dependent Cardiac Remodeling in Renovascular Hypertension
Hypertension, March 1, 1999; 33(3): 816 - 822.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
F. C. Luft, E. Mervaala, D. N. Muller, V. Gross, F. Schmidt, J. K. Park, C. Schmitz, A. Lippoldt, V. Breu, R. Dechend, et al.
Hypertension-Induced End-Organ Damage : A New Transgenic Approach to an Old Problem
Hypertension, January 1, 1999; 33(1): 212 - 218.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
P. Moreau
Endothelin in hypertension: A role for receptor antagonists?
Cardiovasc Res, September 1, 1998; 39(3): 534 - 542.
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Cardiovasc ResHome page
T. J Rabelink, E. S.G Stroes, K.P. Bouter, and P. Morrison
Endothelin blockers and renal protection: a new strategy to prevent end-organ damage in cardiovascular disease?
Cardiovasc Res, September 1, 1998; 39(3): 543 - 549.
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Cardiovasc ResHome page
M. Kirchengast and K. Munter
Endothelin and restenosis
Cardiovasc Res, September 1, 1998; 39(3): 550 - 555.
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HypertensionHome page
L. V. d'Uscio, S. Shaw, M. Barton, and T. F. Luscher
Losartan but Not Verapamil Inhibits Angiotensin II–Induced Tissue Endothelin-1 Increase : Role of Blood Pressure and Endothelial Function
Hypertension, June 1, 1998; 31(6): 1305 - 1310.
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StrokeHome page
P. Moreau, H. Takase, L. V. d'Uscio, T. F. Luscher, and G. L. Baumbach
Effect of Chronic Nitric Oxide Deficiency on Angiotensin II–Induced Hypertrophy of Rat Basilar Artery • Editorial Comment
Stroke, May 1, 1998; 29(5): 1031 - 1036.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Barton, L. V. d'Uscio, S. Shaw, P. Meyer, P. Moreau, and T. F. Luscher
ETA Receptor Blockade Prevents Increased Tissue Endothelin-1, Vascular Hypertrophy, and Endothelial Dysfunction in Salt-Sensitive Hypertension
Hypertension, January 1, 1998; 31(1): 499 - 504.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
L. Moser, J. Faulhaber, R. J. Wiesner, and H. Ehmke
Predominant activation of endothelin-dependent cardiac hypertrophy by norepinephrine in rat left ventricle
Am J Physiol Regulatory Integrative Comp Physiol, May 1, 2002; 282(5): R1389 - R1394.
[Abstract] [Full Text] [PDF]