Abstract-Endothelin partially mediates angiotensin (Ang) II-induced vascular changes in vivo. This study investigated the effects of the angiotensin type 1 receptor antagonist losartan and the calcium channel blocker verapamil on vascular reactivity and tissue endothelin-1 levels in aortas of Wistar-Kyoto rats treated for 2 weeks with Ang II (200 ng ⅐ kg Ϫ1 ⅐ min
Ϫ1). Ang II increased systolic blood pressure (39Ϯ4 mm Hg, PϽ0.05). Concomitant treatment with losartan abolished the Ang II-induced pressure increase (PϽ0.05), whereas verapamil reduced it only partially (PϽ0.05). In the aortas of rats with Ang II-induced hypertension, tissue endothelin-1 content was increased threefold and contractions to endothelin-1 were impaired (PϽ0.05). Interestingly, these alterations were normalized by losartan (PϽ0.05) but not by verapamil. Hence, there was a strong, negative correlation between contractions to endothelin-1 and tissue endothelin-1 content (rϭϪ0.733, PϽ0.0001). In contrast, both antihypertensive drugs normalized impaired endothelium-dependent relaxations to acetylcholine and reduced the sensitivity of vascular smooth muscle to sodium nitroprusside compared with Ang II-treated rats (PϽ0.05). Ang II-induced hypertension enhanced endotheliumdependent contractions to acetylcholine, and these were normalized by either drug. In conclusion, these findings suggest that long-term treatment with Ang II modulates endothelin-1 protein expression in the rat aorta. Although both antihypertensive agents lowered blood pressure and normalized endothelial function, only losartan prevented the increase in tissue endothelin-1 content, suggesting that angiotensin type 1 receptor antagonists but not calcium antagonists modulate tissue endothelin-1 in vivo. (Hypertension. 1998;31:1305-1310.) Key Words: angiotensin II Ⅲ endothelin Ⅲ endothelium Ⅲ losartan Ⅲ verapamil Ⅲ aorta A ngiotensin II is an important mediator contributing to cardiovascular diseases such as hypertension, congestive heart failure, and renal failure.1-3 Ang II has multiple effects as a local modulator of vascular tone in an autocrine and paracrine manner via specific angiotensin receptors.2 Ang II-induced proliferation of rat VSMCs is mediated via the AT 1 receptor. 4 Ang II also stimulates the release of relaxant factors such as NO [5][6][7] and constricting factors such as prostanoids 8 and ET-1 in endothelial cells.
-11ET-1 is a potent vasoconstrictor peptide 1,9 and acts as a mitogen and trophic factor in cultured VSMCs.12,13 The Ang II-induced expression of pre-pro-ET mRNA and subsequent ET-1 synthesis occur not only in cultured vascular endothelial cells 9 -11,14 but also in nonendothelial cells such as rat VSMCs through its interaction with the AT 1 but not the AT 2 receptor. 15,16 Long-term treatment with Ang II increases tissue ET-1 content and induces vascular hypertrophy of small arteries, effects that are totally prevented by ET A receptor blockade, 17 suggesting that this interaction between the vascular renin-angiotensin system and ET-1 is also opera...