Title:Calcium Channel Blockers - Benefits Upon Vascular Biology in Hypertensive Patients
VOLUME: 13 ISSUE: 1
Author(s):Daniel Duda-Seiman, Corina Duda-Seiman, Florin Borcan, Livia-Cristina Borcan, Silvia Mancas and Speranta Avram
Affiliation:Department of Analytical Chemistry, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2nd E.Murgu Sq., Timisoara-300041, Romania.
Keywords:Cilnidipine, conduit artery function evaluation, dihydropyridine, in silico, lercanidipine, molecular descriptors.
Abstract:Calcium channel blockers (CCB) are widely used in cardiovascular medicine expressing
high hopes upon decreasing cardiovascular risk, morbidity and mortality. Here, the potency of
CCBs on 58 Romanian asymptomatic hypertensive patients, with no atherothrombotic cardiovascular disease, was studied
by clinical and in silico methods. In our study, arterial elasticity/stiffness was assessed; anthropometric, metabolic
(lipidic) parameters were quantified. We concluded that lercanidipine 10 mg once daily, during three weeks, is able to
dramatically improve central aortic systolic blood pressure, aortic pulse wave velocity. Lipid profile improvement is an
essential condition to improve elastic vascular properties in order to decrease the risk for further cardiovascular events.
Besides, the potency of lercanidipine is expressed as the contribution of molecular descriptors (van der Waals and solvent
accessible surface areas), electronic (molecular polarisability) and hydrophobic (water/octanol partition coefficient) by
means of blocker effect on calcium channel, compared with cilnidipine and other 30 dihydropyridines, using molecular
simulation techniques.
