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• W2146366148 abstract "In a recent article in CHEST (December 2005),1Matsuyama W Mitsuyama H Watanabe M et al.Effects of omega-3 polyunsaturated fatty acids on inflammatory markers in COPD.Chest. 2005; : 3817-3827Abstract Full Text Full Text PDF PubMed Scopus (90) Google Scholar Matsuyama et al found that nutritional support with a diet that is rich an omega-3 polyunsaturated fatty acids had antiinflammatory effects and improved exercise tolerance in patients with COPD. However, they did not mention whether the studied population was receiving treatment with angiotensin-converting enzyme (ACE) inhibitors or angiotensin II type 1 receptor blockers. Increasing evidence2Constantinescu CS Ventura E Hilliard B et al.Effects of the angiotensin converting enzyme inhibitor captopril on experimental autoimmune encephalomyelitis.Immunopharmacol Immunotoxicol. 1995; 17: 471-491Crossref PubMed Scopus (66) Google Scholar, 3Krootila K Oksala O Van Dickhoff K et al.Effect of captopril on ocular irritative response to topical neutral formaldehyde and YAG-laser capsulotomy in the rabbit.J Ocul Pharmacol Ther. 1995; 11: 243-252Crossref PubMed Scopus (8) Google Scholar, 4Fliser D Buchholz K Haller H et al.Antiinflammatory effects of angiotensin II subtype 1 receptor blockade in hypertensive patients with microinflammation.Circulation. 2004; 110: 1103-1107Crossref PubMed Scopus (401) Google Scholar, 5Graninger M Reiter R Drucker C et al.Angiotensin receptor blockade decreases markers of vascular inflammation.J Cardiovasc Pharmacol. 2004; 44: 335-339Crossref PubMed Scopus (59) Google Scholar has suggested that renin-angiotensin system blockade exerts an antiinflammatory action in many systems. Furthermore, in COPD patients, lower ACE activity has been shown to be associated with improved pulmonary hemodynamic variables and improved tissue oxygenation during exercise.6Kanazawa H Hirata K Yashikawa J Effects of captopril administration on pulmonary hemodynamics and tissue oxygenation during exercise in ACE gene subtypes in COPD patients: a preliminary study.Thorax. 2003; 58: 629-631Crossref PubMed Scopus (43) Google Scholar Therefore, therapy with ACE inhibitors or angiotensin II type 1 receptor blockers, which should be recommended in most patients with COPD, might have been a confounder in the study by Matsuyama and colleagues.1Matsuyama W Mitsuyama H Watanabe M et al.Effects of omega-3 polyunsaturated fatty acids on inflammatory markers in COPD.Chest. 2005; : 3817-3827Abstract Full Text Full Text PDF PubMed Scopus (90) Google Scholar In Replay: Renin-Angiotensin System Blockade and COPDCHESTVol. 129Issue 6PreviewWe appreciate the thoughtful comments by Mascitelli et al on our article in CHEST (December 2005)1 demonstrating that nutritional support with an omega-3 polyunsaturated fatty acid (n-3 PUFA)-rich diet had antiinflammatory effects on and improved exercise tolerance in patients with COPD. As suggested by Mascitelli et al, rennin-angiotensin system blockade has an antiinflammatory effect on several organs,2,3,4 and in COPD patients the administration of angiotensin-converting enzyme (ACE) inhibitor was suggested to be associated with pulmonary hemodynamic variables and the state of tissue oxygenation during exercise. Full-Text PDF" @default.
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• W2146366148 date "2006-06-01" @default.
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• W2146366148 title "Renin-Angiotensin System Blockade and COPD" @default.
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• W2146366148 doi "https://doi.org/10.1378/chest.129.6.1734" @default.
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