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Effects of indapamide, a thiazide-like diuretic, on structure of cerebral arterioles in hypertensive rats
Journal article   Open access   Peer reviewed

Effects of indapamide, a thiazide-like diuretic, on structure of cerebral arterioles in hypertensive rats

Jean-Marc Chillon and Gary L Baumbach
Hypertension (Dallas, Tex. 1979), Vol.43(5), pp.1092-1097
05/2004
DOI: 10.1161/01.HYP.0000122874.21730.81
PMID: 15007039
url
https://doi.org/10.1161/01.HYP.0000122874.21730.81View
Published (Version of record) Open Access

Abstract

We examined the effects of indapamide, a thiazide-like diuretic, on cerebral arterioles in spontaneously hypertensive rats (SHR). The structure and mechanics of cerebral arterioles were examined in untreated Wistar Kyoto rats (WKY) and SHR that were untreated or treated for 3 months with a low (1 mg/kg per day) or a high (10 mg/kg per day) dose of indapamide. We measured pressure, diameter, and cross-sectional area of the vessel wall (CSA) in maximally-dilated (EDTA) cerebral arterioles. Treatment of SHR with the high dose of indapamide normalized cerebral arteriolar mean pressure (62+/-4 [mean+/-SEM] versus 59+/-3 mm Hg in WKY and 88+/-6 mm Hg in untreated SHR; P<0.05), pulse pressure (13+/-1 versus 10+/-1 mm Hg in WKY and 20+/-1 mm Hg in untreated SHR; P<0.05), and CSA (1080+/-91 versus 1100+/-48 microm2 in WKY and 1439+/-40 microm2 in untreated SHR; P<0.05). In contrast, treatment of SHR with the low dose of indapamide did not normalize arteriolar mean (72+/-3) and pulse pressure (20+/-1 mm Hg), but did normalize CSA (1091+/-52 microm2). Treatment with either dose of indapamide failed to increase external diameter in cerebral arterioles of SHR (89+/-4 and 92+/-4 microm, respectively, versus 103+/-6 microm in WKY and 87+/-4 microm in untreated SHR). Finally, treatment with indapamide attenuated the rightward shift of the stress-strain curve in SHR, suggesting that treatment with indapamide attenuated increases in distensibility of cerebral arterioles in SHR. These findings suggest that, whereas thiazide-like diuretics may not attenuate eutrophic inward remodeling of cerebral arterioles in SHR, they may attenuate hypertrophic inward remodeling via a mechanism unrelated to their pressor effects.
Animals Antihypertensive Agents - administration & dosage Antihypertensive Agents - pharmacology Antihypertensive Agents - therapeutic use Arterioles - drug effects Arterioles - pathology Blood Pressure - drug effects Brain - blood supply Brain - drug effects Diuretics - administration & dosage Diuretics - pharmacology Diuretics - therapeutic use Dose-Response Relationship, Drug Hypertension - drug therapy Hypertension - pathology Hypertrophy Indapamide - administration & dosage Indapamide - pharmacology Indapamide - therapeutic use Male Nitric Oxide - physiology Rats Rats, Inbred SHR Rats, Inbred WKY

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