Screening models for cardiovascular drugs – antihypertensives MCQs With Answer

Screening models for cardiovascular drugs—antihypertensives are vital for B.Pharm students to evaluate drug efficacy, safety, and mechanisms affecting blood pressure. This overview highlights in vitro and in vivo models: isolated tissue preparations (aortic rings, wire myograph, Langendorff heart), cell-based assays (HUVEC, vascular smooth muscle cells), and animal models (SHR, DOCA-salt, two-kidney one-clip). Key terms include pharmacodynamics, pharmacokinetics, dose–response, EC50/IC50, receptor binding, telemetry, and high-throughput screening. Students should grasp assay selection, interpretation of vasorelaxation/constriction data, target engagement (ACE, AT1, β-adrenergic, Ca2+ channels), and translational limitations. Now let’s test your knowledge with 30 MCQs on this topic.

Q1. Which preparation is most commonly used to study endothelium-dependent vasorelaxation in antihypertensive screening?

  • Isolated rat aortic ring (organ bath preparation)
  • Langendorff perfused heart
  • Tail-cuff blood pressure in conscious rat
  • hERG channel assay

Correct Answer: Isolated rat aortic ring (organ bath preparation)

Q2. Which animal model is a genetic model of hypertension frequently used for long-term antihypertensive studies?

  • Spontaneously hypertensive rat (SHR)
  • DOCA-salt rat
  • Two-kidney one-clip (2K1C) rat
  • Normal Wistar rat

Correct Answer: Spontaneously hypertensive rat (SHR)

Q3. Which assay directly measures myocardial contractile function ex vivo for screening cardioactive antihypertensive effects?

  • Langendorff isolated perfused heart
  • Wire myograph for small arteries
  • HUVEC NO production assay
  • Tail-cuff plethysmography

Correct Answer: Langendorff isolated perfused heart

Q4. In organ bath studies, which agent is commonly used to precontract vascular tissue before testing vasorelaxants?

  • Phenylephrine (α1-agonist)
  • Amlodipine (calcium channel blocker)
  • Angiotensin II receptor blocker
  • Acetylcholine (endothelium-dependent vasodilator)

Correct Answer: Phenylephrine (α1-agonist)

Q5. Which cell type is most appropriate to study endothelial function and nitric oxide–mediated vasodilation in vitro?

  • Human umbilical vein endothelial cells (HUVECs)
  • Cardiomyocytes
  • Hepatocytes
  • Renal proximal tubular cells

Correct Answer: Human umbilical vein endothelial cells (HUVECs)

Q6. What parameter derived from a dose–response curve indicates drug potency in vasorelaxation studies?

  • EC50 (effective concentration for 50% response)
  • Maximal response (Emax)
  • Therapeutic index
  • Half-life (t1/2)

Correct Answer: EC50 (effective concentration for 50% response)

Q7. Which in vivo technique provides continuous, high-fidelity arterial blood pressure measurement in conscious rodents for antihypertensive evaluation?

  • Telemetry implant
  • Tail-cuff method
  • Non-invasive oscillometry
  • Single-point catheterization under anesthesia

Correct Answer: Telemetry implant

Q8. Which model is induced by mineralocorticoid excess plus salt and is used to study salt-sensitive hypertension?

  • DOCA-salt model
  • SHR model
  • Two-kidney one-clip (2K1C)
  • β-adrenergic overstimulation model

Correct Answer: DOCA-salt model

Q9. For assessing blockade of L-type calcium channels in vascular smooth muscle, which in vitro approach is most appropriate?

  • Patch-clamp recording on VSMCs
  • HUVEC proliferation assay
  • Renin activity assay
  • hERG potassium current assay

Correct Answer: Patch-clamp recording on VSMCs

Q10. In a Schild analysis, a parallel rightward shift of the agonist dose–response curve without change in Emax indicates what type of antagonism?

  • Competitive (surmountable) antagonism
  • Non-competitive antagonism
  • Irreversible antagonism
  • Partial agonism

Correct Answer: Competitive (surmountable) antagonism

Q11. Which biochemical assay would you use to quantify ACE inhibition in vitro during antihypertensive screening?

  • Hippuryl–histidyl–leucine hydrolysis assay (ACE activity assay)
  • cAMP ELISA
  • Western blot for β1-receptor
  • Renal clearance measurement

Correct Answer: Hippuryl–histidyl–leucine hydrolysis assay (ACE activity assay)

Q12. Which preclinical screening is essential to detect potential QT prolongation liability of a new antihypertensive?

  • hERG channel inhibition assay
  • P450 induction screen
  • Renin activity assay
  • Organ bath aortic relaxation

Correct Answer: hERG channel inhibition assay

Q13. In radioligand binding assays for angiotensin II receptors, what does a decrease in radioligand binding indicate when testing a candidate drug?

  • Competitive displacement indicating receptor affinity of the drug
  • Increased receptor expression
  • Enzymatic degradation of ligand
  • Non-specific binding artifact

Correct Answer: Competitive displacement indicating receptor affinity of the drug

Q14. Which in vivo model best mimics renovascular hypertension for testing renin–angiotensin system inhibitors?

  • Two-kidney one-clip (2K1C) model
  • DOCA-salt model
  • SHR model
  • Dahl salt-sensitive rat

Correct Answer: Two-kidney one-clip (2K1C) model

Q15. Which experimental stimulus is often used to test endothelium-independent vasodilation mediated by smooth muscle relaxation?

  • Sodium nitroprusside (NO donor)
  • Acetylcholine (endothelium-dependent)
  • Phenylephrine (vasoconstrictor)
  • Bradykinin (endothelium-dependent)

Correct Answer: Sodium nitroprusside (NO donor)

Q16. For high-throughput screening of antihypertensive leads targeting ACE, which platform is most suitable?

  • Fluorescence-based enzymatic ACE inhibition assay
  • Langendorff heart preparation
  • Telemetry blood pressure recording
  • Wire myograph organ bath

Correct Answer: Fluorescence-based enzymatic ACE inhibition assay

Q17. Which parameter indicates the safety margin between effective and toxic doses in preclinical pharmacology?

  • Therapeutic index (TI)
  • IC50 for target binding
  • EC50 for vasorelaxation
  • Pearson correlation coefficient

Correct Answer: Therapeutic index (TI)

Q18. Which in vitro model allows measurement of vascular reactivity in small resistance arteries relevant to peripheral resistance regulation?

  • Wire myograph
  • Langendorff heart
  • HUVEC tube formation
  • HEK293 cell transfection

Correct Answer: Wire myograph

Q19. Which pharmacokinetic parameter is most important to ensure adequate exposure of an antihypertensive drug in chronic studies?

  • Area under the plasma concentration–time curve (AUC)
  • Maximum binding affinity (Kd)
  • Number of hydrogen bond donors
  • In vitro IC50

Correct Answer: Area under the plasma concentration–time curve (AUC)

Q20. Which off-target screen is critical to minimize adverse metabolic–drug interaction risks for new antihypertensives?

  • CYP450 enzyme inhibition/induction panel
  • Langendorff heart assay
  • Wire myograph constriction assay
  • Endothelial NO synthesis assay

Correct Answer: CYP450 enzyme inhibition/induction panel

Q21. During organ bath studies, removal of the endothelium abolishes which response to acetylcholine?

  • Endothelium-dependent vasodilation
  • Sodium nitroprusside–induced relaxation
  • Phenylephrine-induced contraction
  • Baseline passive tension

Correct Answer: Endothelium-dependent vasodilation

Q22. Which in vivo measurement is commonly used to estimate plasma renin activity in antihypertensive research?

  • Radioimmunoassay or ELISA for angiotensin I generation
  • ECG recording
  • Urine sodium concentration only
  • hERG channel current measurement

Correct Answer: Radioimmunoassay or ELISA for angiotensin I generation

Q23. In vascular smooth muscle, blocking which target produces rapid vasodilation by preventing Ca2+ influx?

  • L-type calcium channels
  • ACE enzyme
  • AT1 receptor
  • eNOS enzyme

Correct Answer: L-type calcium channels

Q24. Which screening approach helps predict human relevance early by assessing target binding and potential off-target interactions computationally?

  • In silico molecular docking and ADMET prediction
  • Langendorff perfusion
  • Wire myograph of rat mesenteric arteries
  • HUVEC proliferation assay

Correct Answer: In silico molecular docking and ADMET prediction

Q25. Which method is best for measuring acute baroreflex-mediated changes in heart rate during antihypertensive testing?

  • Telemetry with synchronized blood pressure and ECG
  • Tail-cuff plethysmography
  • Organ bath aortic relaxation
  • Western blot for β1 receptor protein

Correct Answer: Telemetry with synchronized blood pressure and ECG

Q26. Which model is most appropriate to evaluate endothelial dysfunction induced by chronic high salt intake?

  • Dahl salt-sensitive rat
  • SHR rat
  • 2K1C rat
  • Normal Sprague–Dawley rat on standard diet

Correct Answer: Dahl salt-sensitive rat

Q27. For assessing direct renin inhibitors, which assay provides direct measurement of renin catalytic function?

  • Renin activity assay measuring angiotensin I production
  • NO production assay in endothelial cells
  • hERG inhibition assay
  • Wire myograph constriction test

Correct Answer: Renin activity assay measuring angiotensin I production

Q28. Which experimental readout indicates a drug is an ARB (angiotensin II type 1 receptor blocker) in receptor pharmacology studies?

  • Competitive displacement of angiotensin II radioligand at AT1 receptor
  • Inhibition of L-type Ca2+ current in cardiomyocytes
  • Direct stimulation of NO release from endothelium
  • Activation of β-adrenergic receptor signaling

Correct Answer: Competitive displacement of angiotensin II radioligand at AT1 receptor

Q29. When comparing two antihypertensive compounds, which metric helps compare intrinsic efficacy at producing maximal vasodilation?

  • Maximal response (Emax)
  • EC50 alone
  • Clearance (CL)
  • LogP value

Correct Answer: Maximal response (Emax)

Q30. Which ethical consideration is most relevant when selecting animal models for chronic antihypertensive efficacy studies?

  • Refinement, reduction, and replacement (3Rs) and minimizing animal suffering
  • Only cost of animals
  • Publishing in high-impact journals
  • Maximizing number of interventions per animal regardless of welfare

Correct Answer: Refinement, reduction, and replacement (3Rs) and minimizing animal suffering

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