Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit.
Septic shock remains associated with significant mortality rates. Arginine vasopressin (AVP) and analogs with V1A receptor agonist activity are increasingly used to treat fluid-resistant vasodilatory hypotension, including catecholamine-refractory septic shock. Clinical studies have been restricted...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2016-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5082805?pdf=render |
| _version_ | 1818013706535043072 |
|---|---|
| author | Olivier Boucheix Robert Blakytny Gerard Haroutunian Marie Henriksson Regent Laporte Stephane Milano Torsten M Reinheimer |
| author_facet | Olivier Boucheix Robert Blakytny Gerard Haroutunian Marie Henriksson Regent Laporte Stephane Milano Torsten M Reinheimer |
| author_sort | Olivier Boucheix |
| collection | DOAJ |
| description | Septic shock remains associated with significant mortality rates. Arginine vasopressin (AVP) and analogs with V1A receptor agonist activity are increasingly used to treat fluid-resistant vasodilatory hypotension, including catecholamine-refractory septic shock. Clinical studies have been restricted to healthy volunteers and catecholamine-refractory septic shock patients excluding subjects with cardiac co-morbidities because of presumed safety issues. The novel selective V1A receptor agonist selepressin, with short half-life, has been designed to avoid V2 receptor-related complications and long-term V1A receptor activation. Cardiovascular safety of selepressin, AVP, and the septic shock standard of care norepinephrine was investigated in a rabbit model of early-stage atherosclerosis.Atherosclerosis was established in New Zealand White rabbits using a 1% cholesterol-containing diet. Selepressin, AVP, or norepinephrine was administered as cumulative intravenous infusion rates to atherosclerotic and non-atherosclerotic animals.Selepressin and AVP induced a slight dose-dependent increase in arterial pressure (AP) associated with a moderate decrease in heart rate, no change in stroke volume, and a moderate decrease in aortic blood flow (ABF). In contrast, norepinephrine induced a marked dose-dependent increase in AP associated with a lesser decrease in the heart rate, an increase in stroke volume, and a moderate increase in ABF. For all three vasopressors, there was no difference in responses between atherosclerotic and non-atherosclerotic animals.Further studies should be considered using more advanced atherosclerosis models, including with septic shock, before considering septic shock clinical trials of patients with comorbidities. Here, selepressin and AVP treatments did not display relevant cardiovascular risk in early-stage rabbit atherosclerosis. |
| first_indexed | 2024-04-14T06:36:35Z |
| format | Article |
| id | doaj.art-7ec5b31e54264f87ac07ebf449d80562 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-14T06:36:35Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7ec5b31e54264f87ac07ebf449d805622022-12-22T02:07:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011110e016542210.1371/journal.pone.0165422Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit.Olivier BoucheixRobert BlakytnyGerard HaroutunianMarie HenrikssonRegent LaporteStephane MilanoTorsten M ReinheimerSeptic shock remains associated with significant mortality rates. Arginine vasopressin (AVP) and analogs with V1A receptor agonist activity are increasingly used to treat fluid-resistant vasodilatory hypotension, including catecholamine-refractory septic shock. Clinical studies have been restricted to healthy volunteers and catecholamine-refractory septic shock patients excluding subjects with cardiac co-morbidities because of presumed safety issues. The novel selective V1A receptor agonist selepressin, with short half-life, has been designed to avoid V2 receptor-related complications and long-term V1A receptor activation. Cardiovascular safety of selepressin, AVP, and the septic shock standard of care norepinephrine was investigated in a rabbit model of early-stage atherosclerosis.Atherosclerosis was established in New Zealand White rabbits using a 1% cholesterol-containing diet. Selepressin, AVP, or norepinephrine was administered as cumulative intravenous infusion rates to atherosclerotic and non-atherosclerotic animals.Selepressin and AVP induced a slight dose-dependent increase in arterial pressure (AP) associated with a moderate decrease in heart rate, no change in stroke volume, and a moderate decrease in aortic blood flow (ABF). In contrast, norepinephrine induced a marked dose-dependent increase in AP associated with a lesser decrease in the heart rate, an increase in stroke volume, and a moderate increase in ABF. For all three vasopressors, there was no difference in responses between atherosclerotic and non-atherosclerotic animals.Further studies should be considered using more advanced atherosclerosis models, including with septic shock, before considering septic shock clinical trials of patients with comorbidities. Here, selepressin and AVP treatments did not display relevant cardiovascular risk in early-stage rabbit atherosclerosis.http://europepmc.org/articles/PMC5082805?pdf=render |
| spellingShingle | Olivier Boucheix Robert Blakytny Gerard Haroutunian Marie Henriksson Regent Laporte Stephane Milano Torsten M Reinheimer Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit. PLoS ONE |
| title | Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit. |
| title_full | Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit. |
| title_fullStr | Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit. |
| title_full_unstemmed | Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit. |
| title_short | Selepressin and Arginine Vasopressin Do Not Display Cardiovascular Risk in Atherosclerotic Rabbit. |
| title_sort | selepressin and arginine vasopressin do not display cardiovascular risk in atherosclerotic rabbit |
| url | http://europepmc.org/articles/PMC5082805?pdf=render |
| work_keys_str_mv | AT olivierboucheix selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit AT robertblakytny selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit AT gerardharoutunian selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit AT mariehenriksson selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit AT regentlaporte selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit AT stephanemilano selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit AT torstenmreinheimer selepressinandargininevasopressindonotdisplaycardiovascularriskinatheroscleroticrabbit |