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. 2021 May 30;9(6):620. doi: 10.3390/biomedicines9060620

Table 1.

Antioxidant mechanisms are involved in the pharmacological effects of currently used antihypertensive drugs.

Group: Drugs Major Antioxidant Mechanism Reference
Angiotensin-converting enzyme inhibitors:
Enalapril
Benazepril
Free radical scavenging
NADPH oxidase inhibition
Decreased ROS generation
Increased NO bioavailability
Increased SOD activity
de Cavanagh et al., 2011 [32]
Deoghare and Kantharia, 2013 [33]
Chandran et al., 2014 [34]
Yusoff et al., 2017 [35]
Angiotensin receptor
Antagonists:
Losartan
Telmisaran
NADPH oxidase down-regulation
Decreased ROS
Increased NO bioavailability
Chopra et al., 1990 [36]
Schiffrin et al., 2010 [37]
Cameron et al., 2016 [38]
Donnarumma et al., 2016 [39]
Novel beta Blockers:
Carvedilol
Nebivolol
Increased NO bioavailability
NADPH oxidase inhibition
Reduced lipid peroxidation
Reduced leukocyte ROS production
Bowman et al., 1994 [40]
Mollnau et al., 2003 [41]
Münzel et al., 2009 [42]
Zepeda et al., 2012 [43]
Dihydropyridine calcium
channel blockers:
Nifedipine
Benidipine
Decreased ROS
NADPH oxidase inhibition
Reduced lipid peroxidation
Lupo et al., 1994 [44]
Brovkovych et al., 2001 [45]
Virdis et al., 2011 [46]
Mason 2012 [47]

ACEIs, angiotensin I converting enzyme inhibitors; NADPH, reduced nicotinamide adenine dinucleotide phosphate; NO, nitric oxide; NOS, nitric oxide synthase; ROS, reactive oxygen species; SOD, superoxide dismutase.