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Vol. 289, Issue 3, 1257-1261, June 1999
Commissariat à l'Energie Atomique, Service de Pharmacologie
et d'Immunologie, Saclay, Gif-sur-Yvette, France (C.J., E.E.);
Institut National de la Santé et de la Recherche Médicale
Unité 367, Paris, France (J.M., M.F.G.); and Institut National de
la Santé et de la Recherche Médicale Unité 36, Collège de france, Paris, France (A.M., P.C.)
Angiotensin I-converting enzyme (ACE) is a zinc metallopeptidase that
plays a major role in blood pressure regulation. The demonstration that
the hemoregulatory peptide acetyl-Ser-Asp-Lys-Pro (AcSDKP) is a natural
and specific substrate of the N-active site of ACE
suggests that this enzyme may have a new physiological role such as the
modulation of hematopoietic stem cells. In vitro studies have shown
that ACE inhibitors displayed various potencies in inhibiting the
degradation of different natural or synthetic substrates of ACE, among
which captopril inhibits AcSDKP hydrolysis more potently than
angiotensin I hydrolysis. To look for this selectivity in vivo, we
investigated the pharmacodynamic effect of increasing doses of
captopril (0.01-10 mg/kg) during the 90 min after i.v. administration
to spontaneously hypertensive rats. Plasma and urinary AcSDKP levels
were measured. The renin-angiotensin system was evaluated by
measurements of ACE activity in plasma samples, using the synthetic
substrate Hip-His-Leu, by determinations of plasma renin concentrations
and measurements of arterial blood pressure. The results showed that
captopril (0.01-0.3 mg/kg) selectively inhibited AcSDKP hydrolysis,
with limited effects on the renin-angiotensin system. AcSDKP levels in
plasma and urine rose to a plateau 4 times the basal level for doses
more than 0.3 mg/kg. All of the parameters reflecting the
renin-angiotensin system were significantly affected at doses of 1 and
10 mg/kg. The present study therefore confirms that captopril can be
used to protect hematopoietic stem cells during antitumor chemotherapy
while having only a limited effect on cardiovascular homeostasis.