Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2002-3-6
pubmed:abstractText
Angiotensin II (Ang II) regulates cerebral blood flow by stimulating cerebral vasoconstriction via AT1-receptors. In adult spontaneously hypertensive rats (SHR), the cerebrovascular autoregulatory curve is shifted to the right, in the direction of higher blood pressures, an indication of excessive cerebrovascular vasoconstriction. A restricted capacity to dilate cerebral blood vessels may be responsible for the enhanced vulnerability to cerebrovascular ischaemia during hypertension. We found that chronic treatment with the AT1-receptor antagonist, candesartan, (0.5 mg/kg/day for 14 days, via osmotic minipumps implanted in the subcutaneous tissue) blocked Ang II binding to AT1-receptors in cerebral blood vessels and in brain areas involved in the regulation of cerebrovascular flow, and increased the ratio of lumen-wall area in the middle cerebral artery. Candesartan treatment normalised the lower part of the autoregulatory curve in SHR, and markedly decreased cerebral ischaemia as a consequence of middle cerebral artery occlusion with reperfusion. Protection from ischaemia is related to arterial remodelling, enhanced compensatory vasodilatation in the peripheral area of ischaemia, decreased reduction in cerebral blood flow following the occlusion of a major cerebral blood vessel, and protection from injury in the periphery of the lesion. Our results indicate that pre-treatment with AT1-antagonists such as candesartan could be of benefit in the prevention and treatment of brain ischaemia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1470-3203
pubmed:author
pubmed:issnType
Print
pubmed:volume
2
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
174-9
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:11881119-Angiotensin Receptor Antagonists, pubmed-meshheading:11881119-Animals, pubmed-meshheading:11881119-Arterial Occlusive Diseases, pubmed-meshheading:11881119-Benzimidazoles, pubmed-meshheading:11881119-Blood Pressure, pubmed-meshheading:11881119-Brain, pubmed-meshheading:11881119-Brain Ischemia, pubmed-meshheading:11881119-Cerebral Arteries, pubmed-meshheading:11881119-Cerebrovascular Circulation, pubmed-meshheading:11881119-Homeostasis, pubmed-meshheading:11881119-Hypertension, pubmed-meshheading:11881119-Male, pubmed-meshheading:11881119-Rats, pubmed-meshheading:11881119-Rats, Inbred SHR, pubmed-meshheading:11881119-Rats, Inbred WKY, pubmed-meshheading:11881119-Receptor, Angiotensin, Type 1, pubmed-meshheading:11881119-Receptor, Angiotensin, Type 2, pubmed-meshheading:11881119-Receptors, Angiotensin, pubmed-meshheading:11881119-Reference Values, pubmed-meshheading:11881119-Reperfusion Injury, pubmed-meshheading:11881119-Tetrazoles, pubmed-meshheading:11881119-Tunica Intima, pubmed-meshheading:11881119-Tunica Media
pubmed:year
2001
pubmed:articleTitle
Pre-treatment with candesartan protects from cerebral ischaemia.
pubmed:affiliation
Section on Pharmacology, NIMH, NIH, Bethesda, MD 20892, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't