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Renal and hormonal effects of alpha1-adrenoceptor blockade by bunazosin in essential hypertension

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Summary

The renal and hormonal effects of the α1-adrenoceptor blocker bunazosin were examined in 6 patients with essential hypertension. Oral bunazosin for 4 to 12 weeks significantly decreased mean blood pressure by 10%, increased effective renal blood flow and creatinine clearance by 34% and 37%, respectively, the plasma norepinephrine concentration was elevated by 60%, and the plasma atrial natriuretic peptide level was lowered by 22%. The plasma renin activity and aldosterone concentration were unchanged. Thus, a moderate reduction in blood pressure was produced by bunazosin treatment while maintaining renal perfusion.

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References

  1. Freis ED (1960) Hemodynamics of hypertension. Physiol Rev 40: 27–54

    Google Scholar 

  2. Gomez DM (1951) Evaluation of renal resistance with special reference to changes in essential hypertension. J Clin Invest 30: 1143–1145

    Google Scholar 

  3. Hollenberg NK, Adams DF, Solomon H, Chenitz WR, Burger RB, Abrams HL, Merrill JP (1975) Renal vascular tone in essential and secondary hypertension. Medicine 54: 29–44

    Google Scholar 

  4. Bauer JH, Brooks CS, Burch RN (1982) Renal function and hemodynamic studies in low- and normal-renin essential hypertension. Arch Intern Med 142: 1317–1323

    Google Scholar 

  5. Shoji T, Daiku Y, Igarashi T (1980) α-Adrenoceptor blocking properties of a new antihypertensive agent, 2-[4-(n-butyryl)-homopiperazine-1-yl]-4-amino-6,7-dimethoxyquinazoline (E-643). Jpn J Pharmacol 30: 763–772

    Google Scholar 

  6. Ishii M, Ikeda T, Takagi M, Sugimoto T, Atarashi K, Igari T, Uehara Y, Matsuoka H, Hirata Y, Kimura K, Takeda T, Murao S (1983) Elevated plasma catecholamines in hypertensives with primary glomerular diseases. Hypertension 5: 545–551

    Google Scholar 

  7. Hirata Y, Ishii M, Matsuoka H, Sugimoto T, Iizuka M, Uchida Y, Serizawa T, Sato H, Kohmoto O, Mochizuki T, Sugimoto T, Miyata A, Kangawa K, Matsuo H (1987) Plasma concentrations of α-human atrial natriuretic polypeptide and cyclic GMP in patients with heart diseases. Am Heart J 113: 1463–1469

    Google Scholar 

  8. Preston RA, O'Connor DT, Stone RA (1979) Prazosin and renal hemodynamics: Arteriolar vasodilation during therapy of essential hypertension in man. J Cardiovasc Pharmacol 1: 277–286

    Google Scholar 

  9. Dietz R, Schömig A, Haebara H, Mann JFE, Rascher W, Luth JB, Grunberz N, Gross F (1978) Studies on the pathogenesis of spontaneous hypertension in the rat. Circ Res 43 [Suppl 1]: 98–106

    Google Scholar 

  10. Winternitz SR, Katholi RE, Oparil S (1980) Role of the renal sympathetic nerves in the development and maintenance of hypertension in the spontaneously hypertensive rat. J Clin Invest 66: 971–978

    Google Scholar 

  11. De Leeuw PW, Wester A, Willemse PJ, Birkenhager WH (1980) Effect of prazosin on plasma noradrenaline and plasma renin concentrations in hypertensive subjects. J Cardiovasc Pharmacol 2 [Suppl 3]: 361–372

    Google Scholar 

  12. Currie MG, Newman WH (1986) Evidence for α1-adrenergic receptor regulation of atriopeptin release from the isolated rat heart. Biochem Biophys Res Commun 137: 94–100

    Google Scholar 

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Hirata, Y., Fukui, K., Dan, Y. et al. Renal and hormonal effects of alpha1-adrenoceptor blockade by bunazosin in essential hypertension. Eur J Clin Pharmacol 36, 575–578 (1989). https://doi.org/10.1007/BF00637738

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  • DOI: https://doi.org/10.1007/BF00637738

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