Page last updated: 2024-11-07

spironolactone and Atherogenesis

spironolactone has been researched along with Atherogenesis in 14 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Research Excerpts

ExcerptRelevanceReference
"The beneficial effects of eplerenone, a specific mineralocorticoid receptor blocker, were previously demonstrated in early atherosclerosis (ATS)."7.78Eplerenone reduced lesion size in early but not advanced atherosclerosis in apolipoprotein E-deficient mice. ( Coleman, R; Gamliel-Lazarovich, A; Keidar, S; Raz-Pasteur, A, 2012)
"En face analysis revealed that eplerenone treatment was unable to attenuate atherosclerosis as assessed by percentage lesion area quantitation in the aortae of these mice compared with untreated diabetic mice (diabetic, 10."7.75Eplerenone does not attenuate diabetes-associated atherosclerosis. ( Allen, TJ; Cooper, ME; Koh, PJ; Koitka, A, 2009)
"These results suggest that aldosterone may play a critical role in atherogenesis subsequent to oxidative stress in part independent of angiotensin II-mediated signaling, and that eplerenone could prevent atherosclerosis by attenuating oxidative stress and inflammation."7.73Eplerenone with valsartan effectively reduces atherosclerotic lesion by attenuation of oxidative stress and inflammation. ( Higaki, J; Horiuchi, M; Iwai, M; Mogi, M; Oshita, A; Suzuki, J; Yoshii, T, 2006)
"Eplerenone treatment of patients with PA reduces blood pressure, increases serum potassium level, and improves vascular status."5.43Eplerenone improves carotid intima-media thickness (IMT) in patients with primary aldosteronism. ( Anzai, K; Kawate, H; Matsuda, Y; Matsuzaki, C; Nomura, M; Ohnaka, K; Sakamoto, R; Shibue, K; Takayanagi, R, 2016)
"The beneficial effects of eplerenone, a specific mineralocorticoid receptor blocker, were previously demonstrated in early atherosclerosis (ATS)."3.78Eplerenone reduced lesion size in early but not advanced atherosclerosis in apolipoprotein E-deficient mice. ( Coleman, R; Gamliel-Lazarovich, A; Keidar, S; Raz-Pasteur, A, 2012)
"En face analysis revealed that eplerenone treatment was unable to attenuate atherosclerosis as assessed by percentage lesion area quantitation in the aortae of these mice compared with untreated diabetic mice (diabetic, 10."3.75Eplerenone does not attenuate diabetes-associated atherosclerosis. ( Allen, TJ; Cooper, ME; Koh, PJ; Koitka, A, 2009)
"These results suggest that aldosterone may play a critical role in atherogenesis subsequent to oxidative stress in part independent of angiotensin II-mediated signaling, and that eplerenone could prevent atherosclerosis by attenuating oxidative stress and inflammation."3.73Eplerenone with valsartan effectively reduces atherosclerotic lesion by attenuation of oxidative stress and inflammation. ( Higaki, J; Horiuchi, M; Iwai, M; Mogi, M; Oshita, A; Suzuki, J; Yoshii, T, 2006)
"Eplerenone treatment of patients with PA reduces blood pressure, increases serum potassium level, and improves vascular status."1.43Eplerenone improves carotid intima-media thickness (IMT) in patients with primary aldosteronism. ( Anzai, K; Kawate, H; Matsuda, Y; Matsuzaki, C; Nomura, M; Ohnaka, K; Sakamoto, R; Shibue, K; Takayanagi, R, 2016)
"Chronic inflammation in ankylosing spondylitis (AS) is associated with vascular endothelial dysfunction which leads to accelerated atherosclerosis."1.39Spironolactone improves endothelial dysfunction in ankylosing spondylitis. ( Garg, N; Kaur, L; Khichi, D; Syngle, A; Verma, I; Vohra, K, 2013)
" We investigated the effect of a combination of eplerenone, a selective aldosterone antagonist, and enalapril, an angiotensin-converting enzyme inhibitor, on NO bioavailability and spontaneous atherosclerotic changes."1.35Addition of eplerenone to an angiotensin-converting enzyme inhibitor effectively improves nitric oxide bioavailability. ( Akasaka, T; Goto, M; Ikejima, H; Imanishi, T; Kobayashi, K; Kuroi, A; Mochizuki, S; Muragaki, Y; Tsujioka, H; Yoshida, K, 2008)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (35.71)29.6817
2010's8 (57.14)24.3611
2020's1 (7.14)2.80

Authors

AuthorsStudies
Man, JJ1
Lu, Q1
Moss, ME1
Carvajal, B1
Baur, W1
Garza, AE1
Freeman, R1
Anastasiou, M1
Ngwenyama, N1
Adler, GK1
Alcaide, P1
Jaffe, IZ2
Rajagopalan, S1
Alaiti, MA1
Broadwater, K1
Goud, A1
Gaztanaga, J1
Connelly, K1
Fares, A1
Shirazian, S1
Kreatsoulas, C1
Farkouh, M1
Dobre, M1
Fink, JC1
Weir, MR1
Syngle, A1
Vohra, K1
Khichi, D1
Garg, N1
Verma, I1
Kaur, L1
Matsuda, Y1
Kawate, H1
Matsuzaki, C1
Sakamoto, R1
Shibue, K1
Ohnaka, K1
Anzai, K1
Nomura, M1
Takayanagi, R1
Koh, PJ1
Koitka, A1
Cooper, ME1
Allen, TJ1
Martinez, FA1
Deuchar, GA1
McLean, D1
Hadoke, PWF1
Brownstein, DG1
Webb, DJ1
Mullins, JJ1
Chapman, K1
Seckl, JR1
Kotelevtsev, YV1
Newfell, BG1
Iyer, LK1
Mohammad, NN1
McGraw, AP1
Ehsan, A1
Rosano, G1
Huang, PL1
Mendelsohn, ME1
Raz-Pasteur, A2
Gamliel-Lazarovich, A2
Gantman, A1
Coleman, R2
Keidar, S2
Takai, S1
Jin, D1
Muramatsu, M1
Kirimura, K1
Sakonjo, H1
Miyazaki, M1
Strawn, WB1
Suzuki, J1
Iwai, M1
Mogi, M1
Oshita, A1
Yoshii, T1
Higaki, J1
Horiuchi, M1
Imanishi, T1
Ikejima, H1
Tsujioka, H1
Kuroi, A1
Kobayashi, K1
Muragaki, Y1
Mochizuki, S1
Goto, M1
Yoshida, K1
Akasaka, T1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Cardiometabolic Effects of Eplerenone in HIV Infection[NCT02629094]Phase 25 participants (Actual)Interventional2015-12-02Terminated
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Improvement of Cardiac Steatosis: Mean Change in Intraventricular Septum Percentage of Lipid by MR Spectroscopy.

Mean change in intraventricular septum percentage of lipid by MR spectroscopy. This was calculated by subtracting the baseline intraventicular septum percentage value of lipid from the week 24 intraventicular septum percentage value of lipid by MR spectroscopy. (NCT02629094)
Timeframe: 24 weeks

Interventionpercentage of lipid (Mean)
Eplerenone-0.33

Improvement of Hepatic Steatosis: Mean Change in Hepatic Percentage of Lipid by MR Spectroscopy

Mean change in hepatic percentage of lipid by MR spectroscopy. This was calculated by subtracting the baseline hepatic percentage value of lipid from the week 24 hepatic percentage value of lipid by MR spectroscopy. (NCT02629094)
Timeframe: 24 weeks

Interventionpercentage of lipid (Mean)
Eplerenone13

Trials

1 trial available for spironolactone and Atherogenesis

ArticleYear
Design of the Magnetic Resonance Imaging Evaluation of Mineralocorticoid Receptor Antagonism in Diabetic Atherosclerosis (MAGMA) Trial.
    Clinical cardiology, 2017, Volume: 40, Issue:9

    Topics: Aorta, Thoracic; Aortic Diseases; Atherosclerosis; Clinical Protocols; Diabetes Mellitus, Type 2; Di

2017

Other Studies

13 other studies available for spironolactone and Atherogenesis

ArticleYear
Myeloid Mineralocorticoid Receptor Transcriptionally Regulates P-Selectin Glycoprotein Ligand-1 and Promotes Monocyte Trafficking and Atherosclerosis.
    Arteriosclerosis, thrombosis, and vascular biology, 2021, Volume: 41, Issue:11

    Topics: Adult; Animals; Aorta, Thoracic; Aortic Diseases; Atherosclerosis; Cell Adhesion; Disease Models, An

2021
Spironolactone improves endothelial dysfunction in ankylosing spondylitis.
    Clinical rheumatology, 2013, Volume: 32, Issue:7

    Topics: Adolescent; Adult; Atherosclerosis; Blood Sedimentation; Brachial Artery; C-Reactive Protein; Diuret

2013
Eplerenone improves carotid intima-media thickness (IMT) in patients with primary aldosteronism.
    Endocrine journal, 2016, Volume: 63, Issue:3

    Topics: Adrenalectomy; Adult; Aged; Aldosterone; Atherosclerosis; Biomarkers; Carotid Intima-Media Thickness

2016
Eplerenone does not attenuate diabetes-associated atherosclerosis.
    Journal of hypertension, 2009, Volume: 27, Issue:7

    Topics: Animals; Apolipoproteins E; Atherosclerosis; Blood Pressure; Diabetes Mellitus, Experimental; Enzyme

2009
Aldosterone inhibition and cardiovascular protection: more important than it once appeared.
    Cardiovascular drugs and therapy, 2010, Volume: 24, Issue:4

    Topics: Aldosterone; Atherosclerosis; Blood Vessels; Cardiomegaly; Cardiotonic Agents; Endothelium; Heart Fa

2010
11β-hydroxysteroid dehydrogenase type 2 deficiency accelerates atherogenesis and causes proinflammatory changes in the endothelium in apoe-/- mice.
    Endocrinology, 2011, Volume: 152, Issue:1

    Topics: 11-beta-Hydroxysteroid Dehydrogenase Type 2; Amiloride; Animals; Aorta; Apolipoproteins E; Atheroscl

2011
Aldosterone regulates vascular gene transcription via oxidative stress-dependent and -independent pathways.
    Arteriosclerosis, thrombosis, and vascular biology, 2011, Volume: 31, Issue:8

    Topics: Aldosterone; Animals; Aorta; Atherosclerosis; Cells, Cultured; Dactinomycin; Endothelium, Vascular;

2011
Mineralocorticoid receptor blockade inhibits accelerated atherosclerosis induced by a low sodium diet in apolipoprotein E-deficient mice.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2014, Volume: 15, Issue:3

    Topics: Aldosterone; Animals; Aorta; Apolipoproteins E; Atherosclerosis; Biomarkers; Diet, Sodium-Restricted

2014
Eplerenone reduced lesion size in early but not advanced atherosclerosis in apolipoprotein E-deficient mice.
    Journal of cardiovascular pharmacology, 2012, Volume: 60, Issue:6

    Topics: Animals; Aorta, Thoracic; Aortic Diseases; Apolipoproteins E; Atherosclerosis; Cytochrome P-450 CYP1

2012
Eplerenone inhibits atherosclerosis in nonhuman primates.
    Hypertension (Dallas, Tex. : 1979), 2005, Volume: 46, Issue:5

    Topics: Acetylcholine; Animals; Aorta; Atherosclerosis; Carotid Arteries; Chemokine CCL2; Cholesterol, Dieta

2005
Eplerenone antagonizes atherosclerosis, but what is the agonist?
    Hypertension (Dallas, Tex. : 1979), 2005, Volume: 46, Issue:5

    Topics: Aldosterone; Animals; Atherosclerosis; Eplerenone; Humans; Mineralocorticoid Receptor Antagonists; R

2005
Eplerenone with valsartan effectively reduces atherosclerotic lesion by attenuation of oxidative stress and inflammation.
    Arteriosclerosis, thrombosis, and vascular biology, 2006, Volume: 26, Issue:4

    Topics: Aldosterone; Animals; Aorta; Atherosclerosis; Blood Pressure; Cells, Cultured; Chemokine CCL2; Chole

2006
Addition of eplerenone to an angiotensin-converting enzyme inhibitor effectively improves nitric oxide bioavailability.
    Hypertension (Dallas, Tex. : 1979), 2008, Volume: 51, Issue:3

    Topics: Acetylcholine; Aldosterone; Angiotensin-Converting Enzyme Inhibitors; Animals; Aorta, Thoracic; Athe

2008