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Torasemide Inhibits Angiotensin II-Induced Vasoconstriction and Intracellular Calcium Increase in the Aorta of Spontaneously Hypertensive Rats

Torasemide is a loop diuretic that is effective at low once-daily doses in the treatment of arterial hypertension. Because its antihypertensive mechanism of action may not be based entirely on the elimination of salt and water from the body, a vasodilator effect of this drug can be considered. In th...

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Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 1999-07, Vol.34 (1), p.138-143
Main Authors: Fortuno, Ana, Muniz, Paula, Ravassa, Susana, Rodriguez, Jose Antonio, Fortuno, M Antonia, Zalba, Guillermo, Diez, Javier
Format: Article
Language:English
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Summary:Torasemide is a loop diuretic that is effective at low once-daily doses in the treatment of arterial hypertension. Because its antihypertensive mechanism of action may not be based entirely on the elimination of salt and water from the body, a vasodilator effect of this drug can be considered. In the present study, the ability of different concentrations of torasemide to modify angiotensin II (Ang II)-induced vascular responses was examined, with the use of an organ bath system, in endothelium-denuded aortic rings from spontaneously hypertensive rats. Ang II-induced increases of intracellular free calcium concentration ([Ca]i) were also examined by image analysis in cultured vascular smooth muscle cells (VSMCs) from spontaneously hypertensive rats. A dose-response curve to Ang II was plotted for cumulative concentrations (from 10 to 10 mol/L) in endothelium-denuded aortic rings (pD2=7.5 +/- 0.3). Isometric contraction induced by a submaximal concentration of Ang II (10 mol/L) was reduced in a dose-dependent way by torasemide (IC50=0.5 +/- 0.04 [micro sign]mol/L). Incubation of VSMCs with different concentrations of Ang II (from 10 to 10 mol/L) resulted in a dose-dependent rise of [Ca]i (pD2=7.5 +/- 0.3). The stimulatory effect of [Ca]i induced by a submaximal concentration of Ang II (10 mol/L) was blocked by torasemide (IC50=0.5 +/- 0.3 nmol/L). Our findings suggest that torasemide blocks the vasoconstrictor action of Ang II in vitro. This action can be related to the ability of torasemide to block the increase of [Ca]i induced by Ang II in VSMCs. It is proposed that these actions might be involved in the antihypertensive effect of torasemide observed in vivo. (Hypertension. 1999;34:138-143.)
ISSN:0194-911X
1524-4563
DOI:10.1161/01.hyp.34.1.138