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Antihypertensive Activity 4
Antihypertensive Activity 4
Research Article
The PRI, a parameter used as an index of Figure 1: Effect of Beta vulgaris on heart rate
myocardial oxygen demand, was calculated as in dexamethasone induced hypertension in
the product of MABP x HR/10008. rats.
All values are expressed as mean ± SEM, n=5. All data are significant (p<0.05) decrease in PRI compared
subjected to One-Way ANOVA followed by Dunnett’s test. to DEXA treated group.
* p<0.05 when compared to control and # p<0.05 when
compared to DEXA group. Vertical lines represent SEM.
CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
The PRI in control animals was recorded as b. Effect of Beta vulgaris on noradrenaline (1
17.68 ± 2.124 mmHg/min. The DEXA mcg/kg i.v.) induced change in vascular
administered group significantly increases the reactivity.
PRI as compared to control animals. Animals The increase in blood pressure by NA (1 mcg/kg
treated with DEXA along with Beta vulgaris i.v.) in control animals was recorded as 92.4 ±
(100 and 300 mg/kg p.o. for 14 days) showed a
2.977 mm of Hg. The DEXA administered
group exhibited significant increase in the blood compared to DEXA group. Vertical lines represent SEM.
pressure compared to control animals. Animal CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
MIBP: Mean invasive blood pressure.
group treated with Beta vulgaris (300 mg/kg p.o.
for 14 days) per se showed significant decrease c. Effect of Beta vulgaris on phenylephrine
in blood pressure compared to control group. (1mcg/kg i.v) induced change in vascular
Rats treated with DEXA along with Beta reactivity
vulgaris (100 and 300 mg/kg p.o. for 14 days)
showed a significant (p<0.05) decrease in blood The increase in blood pressure by PE (1 mcg/kg
pressure compared to DEXA treated group. i.v.) in control animals was recorded as 91 ±
3.194 mmHg. The DEXA administered group
120 * # exhibited significant increase in the blood
#
Mean IBP(mm of Hg)
treated with DEXA along with Beta vulgaris treatment is affordable for the hypertension and
(100 and 300 mg/kg p.o. for 14 days) showed a many of the cardiovascular diseases.
significant (p<0.05) decrease in blood pressure
compared to DEXA treated group. Despite of the vast literature of drugs being
available for the treatment of hypertension, the
Hypertension is the most common primary last two decades have observed the introduction
diagnosis and most common cause of death in of a large number of newer antihypertensive
the United States. The incidence and prevalence drugs. The worldwide increasing demand for
of hypertension is about 50% higher in African- medicine from natural sources has prompted to
American adults compared with their search for plants with potential antihypertensive
counterparts who are white or Mexican- effect. Beta vulgaris (Beet root) is claimed to
American.10 It is estimated that 50 million possess potential antioxidants betanin and also
Americans are affected by hypertension. Of the inorganic nitrite which are claimed to have a
these 50 million, only 70% (35 million) are good antihypertensive activity.12
aware of their condition. In addition, only 50%
(17.5 million) of those aware of their condition Several models have been proposed for the
are receiving treatment. Remarkably, only 25% induction of hypertension in rats. Here in the
of all hypertensive patients have their blood present study dexamethasone was used for the
pressure under control.11 The life-long risk of induction of hypertension in rats.
developing hypertension in normotensives after Dexamethasone has been proposed to induce
the sixth decade of life is approximately 90%. hypertension by several pathways. Hypertension
may be associated with an increase in oxidative
stress as a possible mechanism for the increased
vascular tone and organ injury. It was also
reported that an increased production of reactive
oxygen species and endothelial cell death in the
microcirculation were the causes of hypertension
in rats.
Tracings
It was hypothesize that xanthine oxidase (XO) Although there are no published data on the role
may be a potential source of oxidants induced by of NO based on acute NO synthase blockade or
glucocorticoid induced hypertension. sequential blockade of vasoactive systems in
Mammalian cells are capable of generating DEX-HT, there is accumulating evidence
metabolites of oxygen, referred to as reactive suggesting a role for NO deficiency in the
oxygen species (ROS) via the action of several pathogenesis of DEX-HT. Plasma nitrate/nitrite,
enzymes. In vascular cells, ROS are a marker of total body NO synthesis, are reduced
predominantly produced by the NADPH in rats and mice made hypertensive by
oxidases, uncoupled nitric oxide synthase, dexamethasone treatment. The reduced
xanthine oxidase and by mitochondrial sources. availability of NO might result from a range of
In hypertension, ROS production by these influences on the NO biosynthetic pathways: i)
sources is increased, and this not only alteration in the activity and expression of NO
contributes to hypertension, but also causes synthases ii) decreased availability of
vascular disease and dysfunction. ROS tetrahydrobiopterin (BH4), a NOS cofactor, iii)
production in other organs, particularly the decreased NO precursor L-arginine and iv)
kidney and the centers within the brain, likely increased NO removal via its interaction with
participate in blood pressure regulation13. superoxide to form peroxynitrite14. Ingestion of
Perturbations in the various pathophysiological dietary nitrate (beetroot juice) results in
systems affecting blood pressure such as plasma increased plasma nitrite concentration via
volume, renin-angiotensinaldosterone system, bioconversion in vivo. This bioactive nitrite
sympathetic activity, vasopressor and substantially decreases BP, inhibits platelet
vasodepressor systems have been proposed as aggregation and prevents endothelial
contributing to dexamethasone-induced dysfunction in healthy volunteers. These
hypertension. findings suggest that dietary nitrate likely plays
a major role in mediating the beneficial effects
of a vegetable-rich diet. Beetroot commonly
have high inorganic nitrate (NO3−) content. In
humans, following absorption through the
stomach wall, ~25% of consumed nitrate enters
the enterosalivary circulation where it is reduced
to nitrite (NO2−) by bacterial nitrate reductases
from facultative anaerobes on the dorsal surface
of the tongue. This nitrite is swallowed and in
the acidic environment of the stomach is reduced
to nitric oxide (NO) or re-enters the circulation
as nitrite. Indeed, it has been hypothesized that
dietary nitrate represents an intravascular source
of the pleiotropic, vasoprotective molecule nitric
oxide (NO), that supplements conventional NO
generation by NO synthases.15
For pressure rate index the DEXA administered group. Beta vulgaris extract (100, 300
group significantly increase the PRI as mg/kg/day, p.o.) treatment for 14 days in
compared to control animals. Animals treated dexamethasone administered rats significantly
with DEXA along with Beta vulgaris (100 and (p<0.05) reduced systolic blood pressure,
300 mg/kg p.o. for 14 days) showed a vascular reactivity changes to Adr, NA, PE, and
significant (p<0.05) decrease in PRI compared 5-HT as compared to dexamethasone
to DEXA treated group. For heart rate the administered group. The basal arterial blood
DEXA administered group significantly increase pressure, pressor responses to Adr, NA, PE and
in heart rate as compared to control animals. 5-HT were not significantly altered in Beta
Animals treated with DEXA along with Beta vulgaris extract (100, 300 mg/kg/day, p.o)
vulgaris (100 and 300 mg/kg p.o. for 14 days) treated rats as compared to control rats .
showed a significant (p<0.05) decrease in heart
rate compared to DEXA treated group. Thus in conclusion the methanolic-HCl extract
of Beta vulgaris has antihypertensive activity in
For vascular reactivity to catecholamines, the dexamethasone model.
DEXA administered group exhibited significant
increase in the blood pressure compared to Funding: No funding sources
control animals. Normal animals treated with Conflict of interest: None declared
Beta vulgaris (100 and 300 mg/kg p.o. for 14
days) showed normal blood pressure. Rats References
treated with DEXA along with Beta vulgaris
(100 and 300 mg/kg p.o. for 14 days) showed a 1. Chobanian AV, Bakris GL, Black HR.
significant (p<0.05) decrease in blood pressure Seventh Report of the Joint National
compared to DEXA treated group. Committee on Prevention, Detection,
Evaluation, and Treatment of High Blood
Conclusions Pressure. Hypertension. 2003;42:1206-52.
2. Vasan RS, Beiser A, Seshadri S, Larson
The present investigation highlights the effect of MG, Kannel WB, D'Agostino RB, et al.
methanolic extract of Beta vulgaris, prepared Residual lifetime risk for developing
from root of Beta vulgaris on BP induced by hypertension in middle-aged women and
dexamethasone. The effect of Beta vulgaris on men: The Framingham Heart Study. JAMA.
pressure rate index, heart rate, blood pressure, 2002;287(8):1003-10.
vascular reactivity to various catecholamines 3. Gupta R, Misra A, Pais P, Rastogi P, Gupta
were studied. For pressure rate index the DEXA VP. Correlation of regional cardiovascular
administered group significantly increase the disease mortality in India with lifestyle and
PRI as compared to control animals. Normal nutritional factors. Int J Cardiol.
animals treated with Beta vulgaris (100 and 300 2006;108(3):291-300.
mg/kg p.o. for 14 days) + DEXA showed a 4. Murray CJ, Lopez AD. Global mortality,
significant (p<0.05) decrease in PRI compared disability, and the contribution of risk
to DEXA treated group. For heart rate the factors: Global Burden of Disease Study.
DEXA administered group significantly increase Lancet. 1997;349:1436–42.
in heart rate as compared to control animals. 5. Kearney PM, Whelton M, Reynolds K,
Animals treated with DEXA along with Beta Muntner P, Whelton PK, He J. Global
vulgaris (100 and 300 mg/kg p.o. for 14 days) burden of hypertension: analysis of
showed a significant (p<0.05) decrease in heart worldwide data. Lancet. 2005;365:217–23.
rate compared to DEXA treated group. 6. Harborne JB. Phytochemical methods A
Guide to Modern Techniques of Plant
Dexamethasone administered rats showed a Analysis, Published by Chapman and Hall,
significant elevation (p<0.05) in systolic blood 3rd edition; 1997: 74.
pressure (SBP), vascular reactivity changes to 7. Ganesan B, Anandan R. Protective effect of
Adr, NA, PE, and 5-HT as compared to control betaine on changes in the levels of
lysosomal enzyme activities in heart tissue Pathophysiology: The Biologic Basis for
in isoprenaline-induced myocardial Disease in Adults and Children, 6th ed.
infarction in Wistar rats. Cell Stress and Maryland Heights, MO: Mosby Elsevier;
Chaperones. 2009;14:661–7. 2010: 1091-1141.
8. Nossuli TO, Hayward R, Scalia R, Lefer 12. Lapa TA. Validacao de plants medicinais
AM. Peroxynitrite reduces myocardial traditional. Reunion Annual Repronamed
infarct size and preserves coronary /Quimica Fina. Farmaceutica/CYTED-D.
endothelium after ischemia and reperfusion Asuncion, Paraguay; 1992: 23-27.
in cats. Circulation. 1997;96:2317–24. 13. Camille J, Wallwork A, Dale A, Parks Geert
9. Hruza Z, Zweifach BW. Effect of Age on BW. Xanthine oxidase activity in the
vascular reactivity to catecholamines in rats. dexamethasone-induced hypertensive rat.
J Gerontol. 1967;22(4):469-73. Microvascular Research. 2003;66:30–7.
10. Whelton A, White WB, Bello AE, Puma JA, 14. Lee JU et al. Altered Nitric Oxide System in
Fort JG. Effects of celecoxib and rofecoxib Cardiovascular and Renal Diseases.
on blood pressure and edema in patients > or Chonnam Medical Journal. 2016;52.2:81–
= 65 years of age with systemic 90.
hypertension and osteoarthritis. Am J 15. Webb AJ et al. Acute blood pressure
Cardiol. 2002;90:959–63. lowering, vasoprotective and anti-platelet
11. Brashers VL, McCance KL. Structure and properties of dietary nitrate via
function of the cardiovascular and lymphatic bioconversion to nitrite. Hypertension.
systems. In: McCance KL, Huether SE, 2008;51(3):784–90.
Brashers VL, Rote, NS, eds.