Carvedilol, a new antihypertensive agent, prevents lipid peroxidation and oxidative injury to endothelial cells

Hypertension. 1993 Dec;22(6):922-8. doi: 10.1161/01.hyp.22.6.922.

Abstract

The protective effects of carvedilol, a new beta-adrenergic receptor blocker and vasodilating antihypertensive agent, against oxygen free radical-mediated injury were studied in cultured bovine endothelial cells and compared with five other beta-blockers. Carvedilol dose-dependently inhibited oxygen radical-induced lipid peroxidation (50% inhibition at 2.6 mumol/L) and glutathione depletion (50% inhibition at 1.8 mumol/L) in the cells. Under the same conditions, other beta-blockers--propranolol, labetalol, pindolol, atenolol, and celiprolol--had only mild or no effect. Moreover, carvedilol protected against oxygen radical--mediated cell damage, as assessed by cellular lactate dehydrogenase release, with a 50% inhibition at 4.1 mumol/L and increased the cell survival in a dose-dependent manner, whereas other beta-blockers had mild or no effects. Pretreatment of the cells with carvedilol for 7 days significantly enhanced the protective effects of carvedilol. Using 2-methyl-2-nitrosopropane as a trapping agent, the spin adduct in cell lipids was monitored by electron paramagnetic resonance. Carvedilol dose-dependently decreased the intensity of the free radical signals, indicating its free radical-scavenging ability. The prevention of oxidative injury to endothelial cells might potentially contribute to the clinical beneficial effects of carvedilol as an antihypertensive agent.

Publication types

  • Comparative Study

MeSH terms

  • Adrenergic beta-Antagonists / pharmacology*
  • Analysis of Variance
  • Animals
  • Antihypertensive Agents / pharmacology*
  • Carbazoles / pharmacology*
  • Carvedilol
  • Cattle
  • Cell Survival / drug effects
  • Cells, Cultured
  • Dose-Response Relationship, Drug
  • Electron Spin Resonance Spectroscopy
  • Endothelium, Vascular / drug effects*
  • Endothelium, Vascular / metabolism
  • Endothelium, Vascular / pathology
  • Free Radical Scavengers
  • Free Radicals
  • Glutathione / biosynthesis
  • L-Lactate Dehydrogenase / biosynthesis
  • Lipid Peroxidation / drug effects*
  • Nicardipine / pharmacology
  • Oxidation-Reduction / drug effects
  • Probucol / pharmacology
  • Propanolamines / pharmacology*
  • Reactive Oxygen Species / adverse effects

Substances

  • Adrenergic beta-Antagonists
  • Antihypertensive Agents
  • Carbazoles
  • Free Radical Scavengers
  • Free Radicals
  • Propanolamines
  • Reactive Oxygen Species
  • Carvedilol
  • Nicardipine
  • L-Lactate Dehydrogenase
  • Glutathione
  • Probucol