Role of bradykinin in the neonatal renal effects of angiotensin converting enzyme inhibition.

Details

Serval ID
serval:BIB_53AACB8B0F7C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Role of bradykinin in the neonatal renal effects of angiotensin converting enzyme inhibition.
Journal
Life Sciences
Author(s)
Tóth-Heyn P., Mosig D., Guignard J.P.
ISSN
0024-3205
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
62
Number
4
Pages
309-318
Language
english
Abstract
The vascular effects of angiotensin converting enzyme inhibitors are mediated by the inhibition of the dual action of angiotensin converting enzyme (ACE): production of angiotensin II and degradation of bradykinin. The deleterious effect of converting enzyme inhibitors (CEI) on neonatal renal function have been ascribed to the elevated activity of the renin-angiotensin system. In order to clarify the role of bradykinin in the CEI-induced renal dysfunction of the newborn, the effect of perindoprilat was investigated in anesthetized newborn rabbits with intact or inhibited bradykinin B2 receptors. Inulin and PAH clearances were used as indices of GFR and renal plasma flow, respectively. Perindoprilat (20 microg/kg i.v.) caused marked systemic and renal vasodilation, reflected by a fall in blood pressure and renal vascular resistance. GFR decreased, while urine flow rate did not change. Prior inhibition of the B2 receptors by Hoe 140 (300 microg/kg s.c.) did not prevent any of the hemodynamic changes caused by perindoprilat, indicating that bradykinin accumulation does not contribute to the CEI-induced neonatal renal effects. A control group receiving only Hoe 140 revealed that BK maintains postglomerular vasodilation via B2 receptors in basal conditions. Thus, the absence of functional B2 receptors in the newborn was not responsible for the failure of Hoe 140 to prevent the perindoprilat-induced changes. Species- and/or age-related differences in the kinin-metabolism could explain these results, suggesting that in the newborn rabbit other kininases than ACE are mainly responsible for the degradation of bradykinin.
Keywords
Angiotensin-Converting Enzyme Inhibitors/pharmacology, Animals, Animals, Newborn, Blood Pressure/drug effects, Bradykinin/pharmacology, Indoles/pharmacology, Kidney/drug effects, Kidney/metabolism, Peptidyl-Dipeptidase A/drug effects, Peptidyl-Dipeptidase A/metabolism, Rabbits, Receptors, Bradykinin/antagonists & inhibitors, Receptors, Bradykinin/drug effects
Pubmed
Web of science
Create date
17/07/2009 17:22
Last modification date
20/08/2019 15:08
Usage data