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Effects of aliskiren on stroke in rats expressing human renin and angiotensinogen genes

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Item Type:Article
Title:Effects of aliskiren on stroke in rats expressing human renin and angiotensinogen genes
Creators Name:Schmerbach, K. and Pfab, T. and Zhao, Y. and Culman, J. and Mueller, S. and Villringer, A. and Mueller, D.N. and Hocher, B. and Unger, T. and Thoene-Reineke, C.
Abstract:OBJECTIVE: Pre-treatment with angiotensin receptor blockers is known to improve neurological outcome after stroke. This study investigated for the first time, whether the renin inhibitor aliskiren has similar neuroprotective effects. METHODS: Since aliskiren specifically blocks human renin, double transgenic rats expressing human renin and angiotensinogen genes were used. To achieve a systolic blood pressure of 150 or 130 mmHg animals were treated with aliskiren (7.5 or 12.5 mg/kg*d) or candesartan (1.5 or 10 mg/kg*d) via osmotic minipump starting five days before middle cerebral artery occlusion with reperfusion. Infarct size was determined by magnetic resonance imaging. mRNA of inflammatory marker genes was studied in different brain regions. RESULTS: The mortality of 33.3% (7 of 21 animals) in the vehicle group was reduced to below 10% by treatment with candesartan or aliskiren (p<0.05). Aliskiren-treated animals had a better neurological outcome 7 days post-ischemia, compared to candesartan (Garcia scale: 9.9±0.7 vs. 7.3±0.7; p<0.05). The reduction of infarct size in the aliskiren group did not reach statistical significance compared to candesartan and vehicle (24 h post-ischemia: 314±81 vs. 377±70 and 403±70 mm(3) respectively). Only aliskiren was able to significantly reduce stroke-induced gene expression of CXC chemokine ligand 1, interleukin-6 and tumor necrosis factor-alpha in the ischemic core. CONCLUSIONS: Head-to-head comparison suggests that treatment with aliskiren before and during cerebral ischemia is at least as effective as candesartan in double transgenic rats. The improved neurological outcome in the aliskiren group was blood pressure independent. Whether this effect is due to primary anti-inflammatory mechanisms has to be investigated further.
Keywords:Amides, Angiotensinogen, Antihypertensive Agents, Benzimidazoles, Blood Pressure, Brain, Brain Ischemia, Cerebral Arterial Diseases, Cerebrovascular Disorders, Chemokine CXCL1, Fumarates, Gene Expression, Genetically Modified Animals, Interleukin-6, Renin, Reverse Transcriptase Polymerase Chain Reaction, Stroke, Tetrazoles, Tumor Necrosis Factor-alpha, Animals, Rats
Source:PLoS ONE
Publisher:Public Library of Science
Page Range:e15052
Date:29 November 2010
Official Publication:https://doi.org/10.1371/journal.pone.0015052
PubMed:View item in PubMed

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