PMU-Autor/inn/en
Leis StefanAbstract
The neutral endopeptidase (NEP) is important for calcitonin gene related peptide (CGRP) degradation, while the role of angiotensin converting enzyme (ACE) remains unclear. By using dermal microdialysis we explored the effect of phosphoramidon (NEP blocker), captopril (ACE blocker) and a mixture of both drugs on the intensity of electrically-induced CGRP-mediated neurogenic flare. The results reveal that phosphoramidon elevated flare intensity, but that this was not further increased by adding captopril. In contrast, neurogenic flare was decreased when the drug mixture was applied in compared to NEP only. Electrically released CGRP levels could be measured directly in perfusates containing phosphoramidon and the mixture. Again, CGRP levels were elevated in phosphoramidon treated sites, and significantly reduced upon adding captopril. These findings suggest that NEP and ACE do not have additive effects regarding neuropeptide degradation. In contrast, inhibition of ACE seems to augment CGRP catabolism.
Useful keywords (using NLM MeSH Indexing)
Adult
Angiotensin-Converting Enzyme Inhibitors/pharmacology
Calcitonin Gene-Related Peptide/antagonists*
inhibitors*
Calcitonin Gene-Related Peptide/metabolism*
Captopril/pharmacology
Female
Glycopeptides/pharmacology
Humans
Laser-Doppler Flowmetry
Male
Peptidyl-Dipeptidase A/metabolism*
Retrograde Degeneration
Skin/metabolism*
Vasodilation/drug effects