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URL: https://pubmed.ncbi.nlm.nih.gov/19120129/

⇱ Peripherally administered angiotensin II AT1 receptor antagonists are anti-stress compounds in vivo - PubMed


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Abstract

Angiotensin II AT(1) receptor blockers (ARBs) are commonly used in the clinical treatment of hypertension. Subcutaneous or oral administration of the ARB candesartan inhibits brain as well as peripheral AT(1) receptors, indicating transport across the blood-brain barrier. Pretreatment with candesartan profoundly modifies the response to stress. The ARB prevents the peripheral and central sympathetic activation characteristic of isolation stress and abolishes the activation of the hypothalamic-pituitary-adrenal axis during isolation. In addition, candesartan prevents the isolation-induced decrease in cortical corticotropin-releasing factor 1 and benzodiazepine receptors induced by isolation. When administered before cold-restraint stress, candesartan totally prevents the production of gastric ulcerations. This preventive effect of candesartan is the consequence of profound anti-inflammatory effects, reduction of sympathetic stimulation, and preservation of blood flow to the gastric mucosa. The ARB does not reduce the hypothalamic-pituitary-adrenal axis stimulation during cold restraint. Preservation of the effects of endogenous glucocorticoids is essential for protection of the gastric mucosa during cold restraint. Administration of the ARB to nonstressed rats decreases anxiety in the elevated plus-maze. Our results demonstrate that Angiotensin II, through AT(1) receptor stimulation, is a major stress hormone, and that ARBs, in addition to their antihypertensive effects, may be considered for the treatment of stress-related disorders.

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Figures

👁 Figure 1
Figure 1
Peripheral administration of an ARBs (B) blocks AT1 receptors in the SFO and the PVN (A,B), prevents the isolation stress-induced increase of adrenal TH mRNA (C), and dramatically decrease the number of ulcerations produced by cold-restraint stress (D). SFO – the subfornical organ, PVN – the paraventricular nucleus, TH – tyrosine hydroxylase. *p<0.05 vs. to all others groups. Modified from Nishimura et al. 2000 (A,B); Armando et al. 2001 (C); Bregonzio et al. 2003 (D). Scale is 1mm.
👁 Figure 2
Figure 2
Pretreatment with peripherally administered ARB candesartan prevents the decrease of cortical CRF1 (A) and benzodiazepine (B) receptor expression during isolation stress. Behavior of the grouped undisturbed rats pretreated with vehicle or ARB in the elevated plus-maze (C,D). Increased number of open arm entries and increased time spent in the open arm are signs of decreased anxiety. *p<0.05 vs. all other groups. (from Saavedra et al. 2006).

References

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