This paper is only available as a PDF. To read, Please Download here.
Abstract
The purpose of this study was to test the hypothesis that plasma renin activity (PRA)
is a risk factor for cardiovascular disease. Four groups of New Zealand rabbits were
used to study the effects of PRA and hypertension on atherogenesis. Control groups
were fed normal rabbit chow (Group I), or normal chow supplemented with 0.25% cholesterol
(Group III) Group II animals were fed normal chow, had a clip placed around the left
renal artery and were contralaterally nephrectomized (one-kidney-one-clip, 1K-1C).
The renal arteries and kidneys of Group IV animals, which were fed a cholesterol diet,
were manipulated similarly. Blood pressure and blood chemistry measurements were performed
periodically over a 7-month period. The blood pressure was unaffected by either diet;
however, PRA and aldosterone levels were greatly reduced in the 1 K-1 C groups (Groups
II and IV). No atheroma were observed in any of the animals consuming the normal diet
(Groups I and II) despite sharply elevated blood pressure in the Group II animals.
Medial hypertrophy of small muscular arteries was observed in several Group II animals.
All of the animals fed the atherogenic diet showed extensive aortic atheromata. There
was, however, a significantly smaller lesion index for the normotensive cholesterol-fed
animals (Group III) than those with increased blood pressure (Group IV). Likewise,
microscopic evaluation of the aorta, coronary arteries, renal arteries, and kidneys
mirrored this difference in the vascular involvement between the animals of Groups
III and IV. We conclude that neither relatively high nor low PRA levels affect the
development of atherosclerosis or other cardiovascular lesions. However, hypertension
with a concomitantly high cholesterol diet acts synergistically in exacerbating atherogenesis.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to AtherosclerosisAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Five-year Findings of the Hypertension Detection and Follow-up Program: I. Reduction in mortality of persons with high blood pressure, including mild hypertension.J. Amer. Med. Ass. 1979; 242: 2562
- Hypertension, blood lipids, and cigarette smoking as co-risk factors for coronary heart disease.in: Perry H.M. Mild Hypertension to Treat or Not to Treat. Ann. N.Y. Acad. Sci.304. 1978: 128
- Five-year Findings of the Hypertension Detection and Follow-up Program: II. Mortality by race, sex and age.J. Amer. Med. Ass. 1979; 242: 2572
- Coronary Risk Handbook: Estimating the risk of coronary heart disease in daily practice. American Heart Association, 1973
- Renin and aldosterone in etiology and prognosis of ‘essential’ hypertension.Circulation. 1971; 43 and 44: 121a
- Renin as a predictor of hypertensive complications. Discussion.in: Perry H.M. Mild Hypertension to Treat or Not to Treat. Ann. N.Y. Acad. Sci.304. 1978: 165
- Essential hypertension—Renin and aldosterone, heart attack and stroke.N. Engl. J. Med. 1972; 286: 441
- Renin as a predictor of hypertensive complications.in: Perry H.M. Mild Hypertension to Treat or Not to Treat. Ann. N.Y. Acad. Sci.304. 1978: 147
- Renin as a risk factor for atherogenesis. I. Effects of hypercholesterolemia and two-kidney-one-clip hypertension in the rabbit.Atherosclerosis. 1981; 38: 97
- Renin as risk factor in atherogenesis, Part 2 (Effects of hypercholesterolemia and hyporeninemia in the rabbit).Atherosclerosis. 1981; 40: 203
- Cholesterol vehicle in experimental atherosclerosis, Part 4 (Influence of heated fat and fatty acids).J. Atheroscler. Res. 1962; 2: 115
- The renal circulation in experimental hypertension.Brit. J. Surg. 1954–1955; 42: 81
- Indirect blood pressure measurements in the rabbit—Correlations with direct aortic and ear pressures.J. Lab. Clin. Med. 1975; 86: 1032
- Application of a radioimmunoassay for angiotensin I to the physiologic measurements of plasma renin activity in normal human subjects.J. Clin. Endocrinol. Metab. 1969; 29: 1349
- Measurement of renin activity, concentration and substrate in rat plasma by radioimmunoassay of angiotensin I.Endocrinology. 1972; 90: 422
- Human angiotensinogen.J. Biol. Chem. 1977; 252: 1654
- Hyperplasia of vascular smooth muscle in experimental hypertension in the rabbit.Circ. Res. 1976; 24: 58
- Polyacrylamide-gel disc-electrophoresis as a screening procedure for serum lipoprotein abnormalities.Clin. Chem. 1973; 19: 228
- Measurement of plasma lipoproteins by electrophoresis on polyacrylamide gel.Clin. Chem. 1977; 23: 1826
- Determination of glucose in blood using glucose with an alternative oxygen acceptor.Ann. Clin. Biochem. 1969; 6: 24
- Enzymatic determination of total serum cholesterol.Clin. Chem. 1974; 20: 470
- A comprehensive evaluation of the heparin-manganese precipitation procedure for estimating high density lipoprotein cholesterol.J. Lipid Res. 1978; 19: 65
- Radioimmunoassay for aldosterone and normal values under various physiological conditions.J. Steroid Biochem. 1974; 5: 123
- A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding.Anal. Biochem. 1976; 72: 248
- Comparison of methods for quantitating bronchial morphology.Thorax. 1971; 26: 406
- Effect of renal hypertension on cholesterol atherosclerosis in the rabbit.Lab. Invest. 1958; 7: 231
- Quantitative aspects of cholesterol flux in rabbit atheromatous lesions.J. Biol. Chem. 1972; 237: 2078
- Animal models for atherosclerosis research.in: Handbook of Experimental Pharmacology. Vol. 41. Springer-Verlag, Berlin, New York1975: 215
- Effects of changes in sodium balance and of experimental renal hypertension on plasma angiotensin I converting enzyme activity of rabbits.Tohoku J. Exp. Med. 1973; 109: 19
- Contrastive profiles in two types of renovascular hypertension in rabbits.Jap. Heart J. 1973; 14: 445
- Examination of the relationship of renin release to hypertension produced in the rabbit by renal-artery constriction.Circ. Res. 1961; 9: 1171
- The effect of indomethacin blockade of prostaglandin synthesis on blood pressure of normal rabbits and rabbits with renovascular hypertension.Circ. Res. 1977; 40: 35
- Role of angiotensin II in experimental renal hypertension in the rabbit.Amer. J. Physiol. 1975; 228: 11
- Renin, electrolytes and water intake in two types of experimental renal hypertension.Amer. J. Physiol. 1972; 222: 979
- Suppression of experimental atherosclerosis by the Ca++-antagonist lanthanum.J. Clin. Invest. 1980; 65: 967
- Renin, angiotensin and hypertensive vascular damage—A review.Amer. J. Med. 1973; 55: 315
Article info
Publication history
Accepted:
August 12,
1981
Received:
March 19,
1981
Footnotes
☆This work was supported in part by N.I.H., Heart, Lung and Blood Institute Grant HL-20189 and The Lillian and Charles Duncan Research Grant for Atherosclerosis Research.
Identification
Copyright
© 1982 Published by Elsevier Inc.