Chronic blockade of angiotensin AT₁ receptors improves cardinal symptoms of metabolic syndrome in diet-induced obesity in rats.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
cafeteria diet (CD) feeding | increase | obesity | spontaneously hypertensive rats | - | induced | #1 |
cafeteria diet (CD) feeding | increase | hyperphagia | spontaneously hypertensive rats | - | induced | #2 |
cafeteria diet (CD) feeding | increase | hyperlipidaemia | spontaneously hypertensive rats | - | induced | #3 |
cafeteria diet (CD) feeding | increase | leptin resistance | spontaneously hypertensive rats | - | induced | #4 |
cafeteria diet (CD) feeding | increase | insulin resistance | spontaneously hypertensive rats | - | induced | #5 |
telmisartan | decrease | CD-induced increase in body weight | spontaneously hypertensive rats | - | reduced | #6 |
telmisartan | decrease | abdominal fat mass | spontaneously hypertensive rats | - | reduced | #7 |
telmisartan | decrease | respiratory ratio | spontaneously hypertensive rats | - | was lower | #8 |
telmisartan | decrease | leptin-induced energy intake | spontaneously hypertensive rats | - | reduced | #9 |
telmisartan | increase | respiratory ratio | spontaneously hypertensive rats | - | increased | #10 |
telmisartan | decrease | plasma levels of triglycerides | spontaneously hypertensive rats | - | decreased | #11 |
telmisartan | decrease | plasma levels of free fatty acids | spontaneously hypertensive rats | - | decreased | #12 |
telmisartan | decrease | plasma levels of low-density lipoprotein | spontaneously hypertensive rats | - | decreased | #13 |
amlodipine | no change | body weight | spontaneously hypertensive rats | - | did not affect | #14 |
amlodipine | no change | eating behaviour | spontaneously hypertensive rats | - | did not affect | #15 |
telmisartan + amlodipine | no change | body weight | spontaneously hypertensive rats | - | did not affect | #16 |
telmisartan + amlodipine | no change | eating behaviour | spontaneously hypertensive rats | - | did not affect | #17 |
telmisartan | increase | glucose utilization | spontaneously hypertensive rats | - | improved | #18 |
amlodipine | no change | glucose utilization | spontaneously hypertensive rats | - | did not improve | #19 |
telmisartan + amlodipine | no change | glucose utilization | spontaneously hypertensive rats | - | did not improve | #20 |
telmisartan | decrease | BP reduction | spontaneously hypertensive rats | - | decrease | #21 |
amlodipine | decrease | BP reduction | spontaneously hypertensive rats | - | decrease | #22 |
telmisartan + amlodipine | decrease | BP reduction | spontaneously hypertensive rats | - | decrease | #23 |
BACKGROUND AND PURPOSE: AT₁ receptor antagonists decrease body weight gain in models of murine obesity. However, fewer data are available concerning the anti-obesity effects of these antagonists, given as a treatment after obesity had been established. EXPERIMENTAL APPROACH: In spontaneously hypertensive rats, obesity was established by cafeteria diet (CD) feeding for 19 weeks. Rats were then were treated with telmisartan (8 mg·kg⁻¹·d⁻¹) or amlodipine (10 mg·kg⁻¹·d⁻¹; serving as blood pressure control) or telmisartan + amlodipine (2 + 10 mg·kg⁻¹·d⁻¹; to control for dose-dependency) for 17 weeks. Rats receiving only chow (C(chow)) or CD-fed rats treated with vehicle (C(CD)) served as controls. KEY RESULTS: The CD feeding induced obesity, hyperphagia, hyperlipidaemia, and leptin and insulin resistance. Telmisartan reduced the CD-induced increase in body weight and abdominal fat mass. Whereas energy intake was higher rather than lower, the respiratory ratio was lower. After telmisartan, leptin-induced energy intake was reduced and respiratory ratio was increased compared with C(CD) rats. Telmisartan also decreased plasma levels of triglycerides, free fatty acids and low-density lipoprotein. Amlodipine alone or the combination telmisartan + amlodipine did not affect body weight and eating behaviour. Telmisartan, but not amlodipine and telmisartan + amlodipine, improved glucose utilization. The decrease in BP reduction was almost the same in all treatment groups. CONCLUSIONS AND IMPLICATIONS: Telmisartan exerted anti-obesity effects and restored leptin sensitivity, given as a treatment to rats with obesity. Such effects required high doses of telmisartan and were independent of the decrease in blood pressure.