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2010360 
Journal Article 
Beneficial effects of nebivolol and hydrochlorothiazide combination in spontaneously hypertensive rats 
Wang, Yan; Evangelista, S; Liu, Yu; Zhang, MS 
2013 
Yes 
Journal of International Medical Research
ISSN: 0300-0605
EISSN: 1473-2300 
41 
3 
603-617 
English 
23680668 
WOS:000319943300009 
OBJECTIVE: This study examined the combined effect of nebivolol (NEB) and hydrochlorothiazide (HCTZ) on cardiovascular function in spontaneously hypertensive rats (SHR).

METHODS: SHR normotensive male rats were randomly assigned to five groups (n = 8 per group): (i) SHR control group; (ii) NEB 2 mg/kg per day group; (iii) HCTZ 10 mg/kg per day group; (iv) NEB 2 mg/kg per day + HCTZ 10 mg/kg per day group; (v) Eight age-matched Wistar-Kyoto normotensive male rats served as the control group. All groups were treated orally for 8 weeks.

RESULTS: The combination of NEB + HCTZ synergistically reduced systolic blood pressure and heart rate compared with either monotherapy. HCTZ increased water intake, which is a sign of diuresis. NEB reduced plasma angiotensin II concentration, which was increased in SHR and after HCTZ treatment. NEB + HCTZ increased plasma nitric oxide (NO) concentration and NO synthase activity, which were both reduced in SHR. NEB + HCTZ normalized femoral arterial vasorelaxation induced by acetylcholine, which was impaired in SHR.

CONCLUSIONS: The combination of NEB + HCTZ provided a number of beneficial and additive effects due to the synergistic characteristics of both drugs, in an experimental rat model of hypertension. 
Beta-blocker; diuretic; hydrochlorothiazide; hypertension; nebivolol; spontaneously hypertensive rats