Effects of β-blockers on vascular aging in spontaneously hypertensive rats
Aim To explore the preventive effect and potential mechanism of β-blockers in vascular aging of spontaneously hypertensive rat(SHR).Methods 24 three-month-old male spontaneously hypertensive rats were ran-domly divided into placebo group,nifedipine group,nifedipine+metoprolol group and metoprolol group,treated with edible starch,60 mg nifedipine sustained-release tablets,40 mg nifedipine sustained-release tablets+75 mg metoprolol sustained-release tablets and 150 mg metoprolol sustained-release tablets,respectively.The rats fed with common diets for 9 months,and the blood pressure,heart rate and other general condition of the rats were dynamically measured.HE stai-ning was used to observe the morphological characteristics of femoral aorta in rats.The vasomotor function of isolated fem-oral artery was tested by circumferential perfusion,immunofluorescence histological staining and real-time polymerase chain reaction(RT-PCR)were used to determine the expression of aging related genes p53 and p21,as well as endoplasmic re-ticulum stress related genes CHOP and XBP1.Results Compared with placebo group,systolic blood pressure de-creased by about 30%,diastolic blood pressure decreased by about 20%,and heart rate decreased by 9%,36%and 41%(all P<0.01)in nifedipine group,nifedipine+metoprolol group and metoprolol group,respectively.Compared with pla-cebo group,the systolic and diastolic functions of nifedipine group,nifedipine+metoprolol group and metoprolol group were significantly improved and the intima-media thickness decreased by 24%,14%and 37%(all P<0.01),respec-tively.Compared with nifedipine group and nifedipine+metoprolol group,the systolic and diastolic functions of metopro-lol group were significantly improved and the intima-media thickness decreased by 18%and 27%(all P<0.01),re-spectively.Compared with the placebo group,the expression levels of p53 protein,p53 mRNA,p21 protein,p21 mR-NA,CHOP protein,CHOP mRNA,XBP1 protein and XBP1 mRNA in nifedipine group decreased by 35%(P<0.01),23%(P<0.05),25%(P<0.01),3%(P>0.05),51%(P<0.01),24%(P>0.05),21%(P<0.01)and 23%(P>0.05),the nifedipine+metoprolol group decreased by 36%(P<0.01),42%(P<0.01),4%(P>0.05),24%(P<0.05),32%(P<0.01),44%(P<0.05),13%(P<0.01)and 42%(P<0.05),the metoprolol group de-creased by 47%(P<0.01),43%(P<0.01),42%(P<0.01),49%(P<0.01),78%(P<0.01),56%(P<0.01),32%(P<0.01)and 81%(P<0.01).Compared with nifedipine group and nifedipine+metoprolol group,metoprolol group further inhibited the expression of genes related to aging and endoplasmic reticulum stress.Conclu-sions The arteries of spontaneously hypertensive rats show significant aging.β-blockers are better than calcium chan-nel blockers in inhibiting vascular aging of spontaneously hypertensive rats,and at high doses β-blockers improve the de-gree of vascular aging better than combination therapy,and their mechanism may be related to the inhibition of endoplas-mic reticulum stress.