Table 2.
Agents demonstrated to prevent or avoid organic nitrate tolerance in vivo
Agent | ORN Examined | Likely Mechanism | Experimental Model | References |
---|---|---|---|---|
ALDA-1 | NTG | ALDH2 upregulation | Normal Rats | 96 |
Atorvastatin | NTG | Anti-oxidant | Health Volunteers | 95 |
Captopril | ISDN | RAS pathway modulation and anti- oxidant | CAD Patients | 101 |
Carvedilol | NTG | Anti-oxidant | HTN Patients | 93 |
Folic Acid | NTG | Anti-oxidant | Health Volunteers | 90,91 |
Hydralazine | NTG | Anti-oxidant and vasodilation | CHF-induced Rats | 94 |
Normal Rabbit | 139 | |||
Hydrochlorothiazide with amiloride | ISDN | Diuresis | CAD Patients | 100 |
L-arginine | NTG | eNOS mediated | CAD patients | 140 |
Lipoic acid | NTG | Anti-oxidant | Normal Rats | 92 |
Losartan | ISDN | RAS pathway modulation | CAD Patients | 101 |
MBCQ | NTG | PDE inhibition | Normal Rats | 105 |
N-acetylcysteine | NTG | Anti-oxidant and thiol supplementation | CHF Patients | 86 |
Pravastatin/atorvastatin | NTG | Anti-oxidant | Normal Rats | 141 |
Vitamin C | IS-5-MN | Anti-oxidant | Health Volunteers | 80 |
Vitamin C | NTG | Anti-oxidant | CHF Patients | 87 |
Vitamin E | NTG | Anti-oxidant | Obese Zucker Rat | 142 |
Health Volunteers and CAD patients | 89 |
CHF=congestive heart failure, HTN=hypertension, CAD=coronary artery disease, MBCQ=4-[[3,4-(Methylenedioxy)benzyl]amino]-6-chloroquinazoline