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Am J Physiol Heart Circ Physiol 276: H1769-H1779, 1999;
0363-6135/99 $5.00
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Vol. 276, Issue 5, H1769-H1779, May 1999

Bradykinin metabolism in the postinfarcted rat heart: role of ACE and neutral endopeptidase 24.11

Robert Raut1, Jean-Lucien Rouleau2, Charles Blais Jr.1, Hugues Gosselin2, Giuseppe Molinaro1, Martin G. Sirois2, Yves Lepage3, Philippe Crine4, and Albert Adam1

Faculties of 1 Pharmacy, 3 Arts and Sciences, and 4 Medicine, Departments of Mathematics and Statistics and of Biochemistry, University of Montreal, Montreal H3C 3J7; and 2 Institute of Cardiology of Montreal, Montreal, Quebec, Canada H1T 1C8

The respective role of angiotensin-converting enzyme (ACE) and neutral endopeptidase 24.11 (NEP) in the degradation of bradykinin (BK) has been studied in the infarcted and hypertrophied rat heart. Myocardial infarction (MI) was induced in rats by left descendant coronary artery ligature. Animals were killed, and hearts were sampled 1, 4, and 35 days post-MI. BK metabolism was assessed by incubating synthetic BK with heart membranes from sham hearts and infarcted (scar) and noninfarcted regions of infarcted hearts. The half-life (t1/2) of BK showed significant differences among the three types of tissue at 4 days [sham heart (114 ± 7 s) > noninfarcted region (85 ± 4 s) > infarcted region (28 ± 2 s)] and 35 days post-MI [sham heart (143 ± 6 s) = noninfarcted region (137 ± 9 s) > infarcted region (55 ± 4 s)]. No difference was observed at 1 day post-MI. The participation of ACE and NEP in the metabolism of BK was defined by preincubation of the membrane preparations with enalaprilat, an ACE inhibitor, and omapatrilat, a vasopeptidase inhibitor that acts by combined inhibition of NEP and ACE. Enalaprilat significantly prevented the rapid degradation of BK in every tissue type and at every sampling time. Moreover, omapatrilat significantly increased the t1/2 of BK compared with enalaprilat in every tissue type and at every sampling time. These results demonstrate that experimental MI followed by left ventricular dysfunction significantly modifies the metabolism of exogenous BK by heart membranes. ACE and NEP participate in the degradation of BK since both enalaprilat and omapatrilat have potentiating effects on the t1/2 of BK.

angiotensin-converting enzyme; vasopeptidase inhibitor; left ventricular hypertrophy


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