The effect of bradykinin on coronary flow and its potentiation by SH-containing ACE-inhibitors

Agents Actions Suppl. 1992:38 ( Pt 3):110-8.

Abstract

Bradykinin plays a role in the regulation of coronary blood flow. Under basic conditions the vasodilating effect is primarily mediated by stimulation of the endogenous nitrovasodilator endothelium-derived relaxing factor (EDRF). This effect is shortlasting but can be increased and prolonged by sulfhydryl(SH)-containing agents. ACE-inhibitors may cause coronary vasorelaxation by a bradykinin-mediated release of EDRF. This can be potentiated by the presence of SH-groups, as was shown with captopril and zofenoprilat. As a consequence, SH-containing ACE-inhibitors may potentiate nitrates, because they act as exogenous nitrovasodilators, and reverse tolerance to their therapeutic effect.

Publication types

  • Review

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors / pharmacology*
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use
  • Animals
  • Bradykinin / pharmacology*
  • Bradykinin / physiology
  • Coronary Circulation / drug effects*
  • Coronary Circulation / physiology
  • Coronary Vessels / drug effects*
  • Coronary Vessels / physiology
  • Humans
  • Nitric Oxide / pharmacology
  • Sulfhydryl Compounds / pharmacology
  • Vasodilation / drug effects

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Sulfhydryl Compounds
  • Nitric Oxide
  • Bradykinin