The beneficial effects of ACE inhibitors (ACEI) in heart failure and hypertension appear to be mediated not only by their influence on circulating ACE or tissue ACE in the heart. Previous studies have also implicated the brain as a possible site of actions for ACEI, e.g. by modifying central cardiovascular mechanisms. Their effects on central vasopressin (AVP), which is an important neurotransmitter in central cardiovascular regulation, are not known. Following chronic administration of Quinapril (6 mg/kgBW; 6 weeks, p.o.) ACE activity (in vitro autoradiography using a specific ACE inhibitor [ 125 I]351A) was markedly inhibited in the thalamus (38%), hypothalamus (37%), hypophysis (35%), cerebellum (36%) and plexus choroideus (20%) suggesting Quinapril may cross the blood brain barrier after chronic treatment. To study the influence of ACEI on central vasopressin, we determined the AVP content of 19 microdissected brain areas in rats treated with Quinapril. Regarding the hypothalamic AVP-producing nuclei, increased AVP levels could only been demonstrated in the paraventricular (PVN; Quinapril: 292 ± 197 vs. 2209 ± 568 pg/mg protein of controls; p < 0.001), but not in the supraoptic (SON) and the suprachiasmatic nucleus (SCN). Interestingly, vasopressin synthesizing cells in the PVN project not only to the posterior pituitary (like SON), but also to the lower brain stem and the spinal cord suggesting an important role of the PVN in the regulation of the cardiovascular system. Also, AVP content was sign, reduced in the median eminence (15643 ± 9240 vs. 28321 ± 4969, p < 0.001), where the hormone is mainly concentrated in the hypothalamo-hypophysial tract. Furthermore, sign, changes were registered in the central amygdala, inthesubcommissural organ and dorsal raphe nucleus. Autoradiographic study in vitro indicates that after chronic treatment Quinapril is able to cross the blood brain barrier and suppress central ACE activity. ACE inhibition with Quinapril markedly influences vasopressin in important brain areas which are involved in central cardiovascular regulation. Therefore, central modulatory effects of ACE inhibitor may contribute to their overall therapeutic efficacy.
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