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Vol. 288, Issue 2, 898-904, February 1999
Department of Pharmacology, Shinshu University School of Medicine,
Matsumoto, Japan
We investigated the effects of the angiotensin II (Ang II) type 1 receptor (AT1) antagonist KRH-594 on levels of the mRNAs for AT1A, AT1B, platelet-derived growth
factor-receptor
(PDGF-R
), and extracellular matrix (ECM)-related
genes using the competitive reverse transcription-polymerase chain
reaction (RT-PCR) method and on neointimal formation in the
balloon-injured rat carotid artery. The mRNA levels for
AT1A and PDGF-R
, but not for AT1B, increased
from day 3 after injury to day 14. KRH-594 administered orally at 3 and
10 mg/kg/day significantly suppressed these increases. KRH-594 (10 mg/kg/day) also suppressed the injury-induced gene expressions for
transforming growth factor-
1 and fibronectin and reduced
collagen
1(I) and
1(III) mRNA levels for the first 7 days after
injury. KRH-594 (10 and 30 mg/kg/day) significantly and
dose-dependently reduced the neointimal area in cross sections of the
artery 14 days after injury. Another AT1 antagonist,
TCV-116 (candesartan cilexetil; 1 and 3 mg/kg/day p.o.), had similar
effects on the morphological change and AT1A mRNA level,
whereas a smooth muscle relaxant, hydralazine (10 mg/kg/day p.o.), did
not. These results indicate that up-regulation of AT1A,
PDGF-R
, and ECM-related genes in the balloon-injured carotid artery
is in part an AT1-mediated phenomenon and that prevention
of receptor up-regulation may contribute to the attenuating effects of
AT1 antagonists on neointimal formation after injury.
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