RT Journal Article SR Electronic T1 Angiotensin Inhibition Reduces Glomerular Damage and Renal Chemokine Expression in MRL/lpr Mice JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 275 OP 281 DO 10.1124/jpet.103.053678 VO 307 IS 1 A1 Guillermo Pérez de Lema A1 Cor de Wit A1 Clemens D. Cohen A1 Elena Nieto A1 Ana Molina A1 Bernhard Banas A1 Bruno Luckow A1 Ana B. Vicente A1 Francisco Mampaso A1 Detlef Schlöndorff YR 2003 UL http://jpet.aspetjournals.org/content/307/1/275.abstract AB Beneficial effects of angiotensin II inhibition during inflammatory renal disease may involve both hemodynamic and nonhemodynamic mechanisms. To analyze whether angiotensin II inhibition has protective effects on lupus-like, autoimmune-mediated renal damage in MRL/lpr mice, four groups of mice were treated orally for 6 weeks with: 1) vehicle, 2) enalapril (3.0 mg/kg per day), 3) candesartan cilexetil (5.0 mg/kg), or 4) amlodipine (10 mg/kg) as a blood pressure control (n = 9–12/group). All antihypertensive treatments lowered blood pressure to a similar level compared with vehicle group (enalapril: 99.8 ± 8.3 mm Hg; candesartan: 101 ± 9 mm Hg; amlodipine: 103.8 ± 6.7 mm Hg; vehicle: 113.5 ± 4.6 mm Hg). Vehicle-treated mice developed a moderate glomerular injury with albuminuria (35.1 ± 39.0 μg/mg of creatinine). Glomerular lesions consisted of immune complex deposition and mesangial expansion with increased mesangial cell proliferation. Amlodipine treatment had no significant protective effects. In contrast to vehicle- and amlodipine-treated mice, those subjected to angiotensin II blockade with enalapril or candesartan had reduced albuminuria, glomerular expansion, and mesangial proliferation. This was associated with significantly reduced renal chemokine mRNA expression compared with vehicle treatment. Our results show that inhibition of angiotensin II has protective effects on the glomerular damage of MRL/lpr mice that extend beyond hemodynamics and involve down-modulation of glomerular inflammation, reduction of mesangial cell proliferation, and decrease in chemokine expression. The American Society for Pharmacology and Experimental Therapeutics