To elucidate functional changes in the vascular smooth muscle of spontaneously hypertensive rats (SHR) after chronic inhibition of angiotensin converting enzyme, we examined the contractile responses to different pharmacological interventions in the isolated aortas from SHR treated with a novel angiotensin converting enzyme inhibitor, CS-622 (10 mg/kg/day) for 20 weeks. In normal K + medium, a marked contraction was elicited by increasing Ca
2+concentration from 0 to 3 mM in aortas from a control group of SHR, but not in aortas from SHR treated with CS-622. In 60 mM K + medium, however, the sensitivity of aorta to Ca 2+ was almost the same in the two groups. A calcium channel activator, CGP-28392 (10~7 to 10"' M), induced a marked contraction in the aortas from control SHR, but not in the aortas from CS-622-treated SHR. When slightly depolarized in 10 or 12 mM K + solution, the aortas from CS-622-treated SHR contracted in response to CGP-28392. The aortic sensitivity to KC1 contraction was much lower in CS-622-treated SHR than in untreated SHR, whereas the sensitivity to phenylephrine contraction was little different in the two groups. These contractile profiles of aortas from CS-622-treated SHR were very similar to those from normotensive Wistar-Kyoto rats but not to those from hydralazine-treated SHR. These data suggest that contractions due to Ca 2+ through voltage-dependent calcium channels are exaggerated in SHR aorta and that long-term treatment with angiotensin converting enzyme inhibitor suppresses the abnormal contractility of SHR vascular smooth muscle, probably through alterations of voltage-related functions of calcium channels. (Hypertension, 1989;14:652-659) A ntihypertensive effects of acute inhibition of angiotensin converting enzyme (ACE) depend on the status of the renin-angiotensin system: acute ACE inhibition produces a marked hypotension in renovascular hypertensive rats and a moderate hypotension in spontaneously hypertensive rats (SHR), whereas it is totally ineffective in reducing blood pressure of deoxycorticosterone acetate-salt hypertensive rats. 1 * 2 However, chronic ACE inhibition has been shown to lower blood pressure of SHR to levels of normotensive Wistar-Kyoto (WKY) rats, which is never accomplished by acute inhibition of ACE.3 These facts suggest that antihypertensive mechanisms underlying chronic ACE inhibition differ from those of acute ACE inhibition. Angiotensin II From the Cardiovascular Division, Biological Research Laboratories, Sankyo Co., Ltd., Tokyo, Japan.Address for reprints: Hiroyuki Koike, PhD, Biological Research Laboratories, Sankyo Co., Ltd., 1-2-58, Hiromachi, Shinagawaku, Tokyo 140, Japan.Received January 31, 1989; accepted in revised form Jury 24, 1989. (Ang II), when infused chronically at a dose below the threshold of the acute pressor effect, does not increase blood pressure initially, but increases blood pressure gradually over several days.4 -6 Thus, Ang II has a slow pressor action that is different from its acute pressor action. A recent report...