Ignite Creation Date:
2024-05-05 @ 11:07 AM
Last Modification Date:
2024-10-26 @ 9:02 AM
Study NCT ID:
NCT00001461
Status:
COMPLETED
Last Update Posted:
2008-03-04
First Post:
1999-11-03
Brief Title:
Study of the Interaction Between the Cells Lining Blood Vessels and Angiotensin-Converting Enzyme
Sponsor:
National Heart Lung and Blood Institute NHLBI
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Investigation of the Interaction Between the Vascular Endothelium and Angiotensin-Converting Enzyme
Status:
COMPLETED
Status Verified Date:
2000-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The walls of blood vessels are lined by flat cells that are responsible for releasing substances that control the activity of the blood vessel These cells are referred to as the endothelium of the blood vessel One of the substances released from the endothelium is called nitric oxide NO This substance functions to keep blood vessels relaxed and to prevent blood from clotting inside the vessels
Studies done by researchers in the Cardiology Branch of the National Heart Lung and Blood Institute have shown that nitric oxide activity may be lower in patients with hardening of the arteries atherosclerosis and risk factors for atherosclerosis
Another substance released by the cells of the endothelium is called bradykinin It functions to stimulate the production of nitric oxide Therefore bradykinin is also responsible for the relaxation and widening of blood vessels
An enzyme found in the blood called angiotensin-converting enzyme ACE inactivates baradykinin and thereby decreases the production of nitric oxide The activity of ACE is determined by genetics and is different in each person Medications that block ACE ACE-inhibitors may be useful for patients with high levels of ACE activity
This study is designed to determine
1 The role of bradkinin in stimulating the production of nitric oxide
2 Whether ACE-inhibitors improve blood vessel relaxation caused by bradykinin
3 Whether ACE-inhibitors improve abnormal blood vessel relaxation
4 Whether ACE-inhibitors and bradykinin affect blood clotting
5 Whether blood vessel response to ACE-inhibitor and bradykinin depends on the patients genetic make-up
Studies done by researchers in the Cardiology Branch of the National Heart Lung and Blood Institute have shown that nitric oxide activity may be lower in patients with hardening of the arteries atherosclerosis and risk factors for atherosclerosis
Another substance released by the cells of the endothelium is called bradykinin It functions to stimulate the production of nitric oxide Therefore bradykinin is also responsible for the relaxation and widening of blood vessels
An enzyme found in the blood called angiotensin-converting enzyme ACE inactivates baradykinin and thereby decreases the production of nitric oxide The activity of ACE is determined by genetics and is different in each person Medications that block ACE ACE-inhibitors may be useful for patients with high levels of ACE activity
This study is designed to determine
1 The role of bradkinin in stimulating the production of nitric oxide
2 Whether ACE-inhibitors improve blood vessel relaxation caused by bradykinin
3 Whether ACE-inhibitors improve abnormal blood vessel relaxation
4 Whether ACE-inhibitors and bradykinin affect blood clotting
5 Whether blood vessel response to ACE-inhibitor and bradykinin depends on the patients genetic make-up
Detailed Description:
The vascular endothelium tonically releases nitric oxide that produces smooth muscle relaxation inhibition of platelet aggregation and inhibition of cellular proliferation Studies in the Cardiology Branch have demonstrated that nitric oxide activity is reduced in the coronary and peripheral vasculature of patients with atherosclerosis and in those with risk factors for atherosclerosis Bradykinin an endothelium-dependent vasodilator may be an important modulator of vascular tone in vivo because it is tonically produced by the endothelium Bradykinin is inactivated by angiotensin converting enzyme ACE that is found on the endothelial cell surface The activity of plasma ACE is variable among individuals and is at least partly genetically determined ACE activity may modulate the local vascular effects of bradykinin and thus ACE inhibitors would be expected to improve endothelium-dependent responses in patients with higher tissue ACE activity
This protocol is designed to determine 1 the role of bradykinin in stimulating nitric oxide release in the human coronary and peripheral vasculature 2 whether ACE inhibitors improve bradykinin-induced vasodilation and if so whether this occurs as a result of endothelium-dependent release of nitric oxide 3 whether ACE inhibitors improve the abnormal shear-induced coronary vasodilation in patients with normal coronary arteries and those with coronary artery disease 4 whether ACE inhibitors and bradykinin affect platelet function 5 whether the vascular responses to ACE inhibition and bradykinin depend on the ACE genotype
This protocol is designed to determine 1 the role of bradykinin in stimulating nitric oxide release in the human coronary and peripheral vasculature 2 whether ACE inhibitors improve bradykinin-induced vasodilation and if so whether this occurs as a result of endothelium-dependent release of nitric oxide 3 whether ACE inhibitors improve the abnormal shear-induced coronary vasodilation in patients with normal coronary arteries and those with coronary artery disease 4 whether ACE inhibitors and bradykinin affect platelet function 5 whether the vascular responses to ACE inhibition and bradykinin depend on the ACE genotype
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 95-H-0099 | None | None | None |