雷米普利和氯沙坦对动脉粥样硬化早期形成的影响

Effect of ramipril and losartan on atherosclerosis early formation in high fat diet-fed hamsters

  • 摘要: 目的: 研究雷米普利和氯沙坦对动脉粥样硬化(atherosclerosis,AS)早期形成的影响。方法: 将4 4只金黄地鼠随机分为5组,分别给常规饲料(对照组)、高脂饲料(含10%椰子油和0.05%胆固醇)、高脂饲料加雷米普利(2mg·kg-1)、高脂饲料加氯沙坦(10mg·kg-1)和高脂饲料加雷米普利(2mg·kg-1)与氯沙坦(10mg·kg-1)处理12周,测定血压、血脂、AS斑块面积和肝组织中胆固醇含量的变化。结果: 数据表明雷米普利和氯沙坦不论是单独应用还是联合应用均能有效降低平均动脉压(P<0.001)和肝组织中胆固醇的含量,雷米普利能显著降低血浆中甘油三酯的水平(P<0.05),结果还显示雷米普利与氯沙坦联合应用能提升血浆中高密度脂蛋白(P<0.05),各药物处理组的AS斑块面积有不同程度降低但无统计学意义。结论: 雷米普利与氯沙坦具有一定的抑制AS形成作用,其机制可能与降低血压和改变脂代谢有关。

     

    Abstract: Objective: To investigate the effect of ramipril and losartan on the early stages in the development of atherosclerosis in Golden hamsters. Methods: The animals were fed a high fat diet containing 10% coconut oil and 0.05% cholesterol, and were treated with ramipril (2mg·kg-1) or losartan (10mg·kg-1) or a combination of ramipril plus losartan by gavage for 12 weeks. Blood pressure, plasma lipids, aortic fatty streak size and hepatic cholesterol concentration were analysed. Results: Ramipril and losartan significantly reduced mean arterial pressure both alone or in combination when compared to the untreated group (P<0.01). Hepatic tissue total cholesterol content was reduced by ramipril (P<0.05) or losartan (P<0.001) alone or in combination (P<0.001) when compared to the group receiving high fat diet. Ramipril markedly reduced plasma triglyceride level (P<0.05) and the combination of ramipril plus losartan increased plasma HDL-cholesterol levels (P<0.05). Furthermore, the fatty streak area of aortic arch as reduced by ramipril (22.2%), losartan (9.4 %) and a combination of ramipril plus losartan (46.8%), but these changes were not significant when compared with the group receiving high fat diet. Conclusions: These findings suggest that ramipril and losartan can reduce atherosclerosis formation, in part due to lowered blood pressure and altered lipid metabolism.

     

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