Differential effects of late-life initiation of low-dose enalapril and losartan on diastolic function in senescent Fischer 344 x Brown Norway male rats

Age (Dordr). 2012 Aug;34(4):831-43. doi: 10.1007/s11357-011-9283-8. Epub 2011 Jul 1.

Abstract

No proven pharmacological therapies to delay or reverse age-related diastolic dysfunction exist. We hypothesized that late-life low-dose (non-blood-pressure-lowering) angiotensin-converting enzyme inhibition vs. angiotensin II receptor blockade would be equally efficacious at mitigating diastolic dysfunction in the senescent Fischer 344 × Brown Norway rat. Enalapril (10 mg/kg/day; n = 9) initiated at 24 months of age and continued for 6 months, increased myocardial relaxation (e'), reduced Doppler-derived indices of filling pressure (E/e'), favorably lowered the ratio of phospholamban-SERCA2 and reduced oxidative stress markers, Rac1 and nitrotyrosine, in aged hearts. Treatment with losartan (15 mg/kg/day; n = 9) similarly mitigated signs of cardiac oxidative stress, but impairments in diastolic function persisted when compared with untreated rats (n = 7). Our findings favor the idea that the lusitropic benefit of low-dose angiotensin-converting enzyme inhibitor initiated late in life may be related to an antioxidant-mediated modulation of SERCA2, resulting in improved relaxation rather than via overt effects on cardiac structure or blood pressure.

Publication types

  • Comparative Study

MeSH terms

  • Aging / drug effects*
  • Analysis of Variance
  • Animals
  • Arterial Pressure / drug effects
  • Diastole / drug effects*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Echocardiography, Doppler
  • Enalapril / pharmacology*
  • Heart Function Tests / drug effects
  • Heart Rate / drug effects*
  • Losartan / pharmacology*
  • Male
  • Myocardial Contraction / drug effects
  • Oxidative Stress / drug effects
  • Random Allocation
  • Rats
  • Rats, Inbred BN
  • Rats, Inbred F344
  • Reference Values
  • Sensitivity and Specificity
  • Ventricular Function, Left / drug effects*
  • Ventricular Function, Left / physiology

Substances

  • Enalapril
  • Losartan