RESUMO
The effect in vivo of the angiotensin converting enzyme (ACE) inhibitors captopril and enalapril and the calcium antagonist verapamil was studied in an experimental model using rat heart allografts. Daily post-transplant treatment of recipient rats (DA strain) with verapamil (75 mg kg-1 day-1) or captopril (40 mg kg-1 day-1) significantly prolonged survival of allografts from donors (PVG/c strain) when compared with an untreated control group (p < 0.05). No synergistic effect was observed when the two drugs were used for combined treatment. An equipotent does of enalapril (12.5 mg kg-1 day-1) caused no change in allograft survival of statistical significance. The results support the hypothesis that verapamil and captopril have effects on the immune reactivity in vivo, and that this is not a characteristic shared by all ACE inhibitors.
Assuntos
Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Bloqueadores dos Canais de Cálcio/uso terapêutico , Sobrevivência de Enxerto/efeitos dos fármacos , Transplante de Coração , Animais , Captopril/uso terapêutico , Quimioterapia Combinada , Enalapril/uso terapêutico , Feminino , Terapia de Imunossupressão , Masculino , Ratos , Ratos Endogâmicos , Fatores de Tempo , Transplante Homólogo , Verapamil/uso terapêuticoRESUMO
The acute phase reaction is an unspecific response to inflammatory stimuli characterized by alterations in the concentration of several plasma proteins. It is of great clinical value to monitor the inflammatory state in patients with rheumatoid arthritis. The erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are the assays most widely used to measure the acute phase response, but there are also several other inflammatory markers (e.g., fibrinogen, haptoglobin, alpha 1-acid glycoprotein, alpha 1-antitrypsin, interleukins (IL), serum amyloid component A (SAA)). We have studied the interrelationships between several of these markers (ESR, Haptoglobin, Fibrinogen, CRP, SAA and IL-6) in rheumatoid arthritis patients. There was a good correlation between all acute phase markers in serum (p < .01). We found especially strong correlations between S-CRP and SAA (p < .000001) and between ESR and P-fibrinogen (p = .000004). The strong correlation indicates that P-fibrinogen could be used instead of ESR in monitoring rheumatoid arthritis patients. This would increase the specificity of the examination as ESR may be influenced by several factors other than the inflammatory response. There were no significant correlations between acute phase markers in serum or plasma and clinical index.