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1 Birmingham Veteran Affairs Medical Center and Division of Cardiovascular Disease, Department of Medicine, Vascular Biology and Hypertension Program, University of Alabama, Birmingham, Alabama 35294; and 2 Department of Anesthesia, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19104
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ABSTRACT |
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We utilized mice with homozygous
disruption of angiotensin-converting enzyme (ACE) (
/
), mice with
heterozygous deletion of ACE (+/
), and wild-type mice (+/+) to test
the hypothesis that genetic variation in ACE modulates tissue and
plasma angiotensin (ANG) II concentrations. With the use of ANG I as
substrate, kidney, heart, and lung ACE activity was reduced 80% in
/
mice compared with +/+ mice. However, ANG II concentrations and
ANG II-to-ANG I ratios in the kidney, heart, and lung did not differ
among genotypes. In contrast, plasma ANG II concentrations in
/
mice were <2 fmol/ml, whereas plasma ANG I concentrations were
extremely high (765 fmol/ml). Chymase activity was increased 14-fold in
the kidney (P < 0.05) and 1.5-fold in the heart
(P < 0.05) of
/
versus +/+ mice but did not differ
among genotypes in the lung. ANG II formation from enzymes other than
ACE and chymase contributed <2% of total ANG II formation in all
genotypes. These data suggest that ACE is essential to ANG II formation
in the vascular space, whereas chymase may provide an important
mechanism in maintaining steady-state ANG II levels in tissue.
angiotensin I; chymase; angiotensin-converting enzyme
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INTRODUCTION |
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THE OCTAPEPTIDE ANGIOTENSIN II (ANG II) exerts a wide range of physiological and developmental effects on the cardiovascular, renal, endocrine, and nervous systems (16). These organ systems possess intrinsic ANG II-generating mechanisms (3), which include angiotensin-converting enzyme (ACE) ANG II-forming pathways as well as others that are not dependent on ACE (8). In particular, a serine protease with an extremely high affinity for ANG I, "chymostatin-sensitive angiotensin-generating enzyme," has been identified in multiple organs of all mammals (22). Furthermore, chymase has catalytic activity for the conversion of ANG I to ANG II that is 20-fold higher than ACE and substantially greater than other ANG II-forming enzymes (7, 24). Whereas ACE has been clearly demonstrated to be the major enzyme responsible for ANG II generation from ANG I in the intravascular space (1, 26), the relative contribution of ACE versus chymase to ANG II generation in tissue remains controversial (2, 25, 26).
Mammalian chymases occur as two distinct isoenzyme groups,
and
(5), which differ in species distribution and substrate specificity.
-Chymase converts ANG I to ANG II by cleaving the Phe8-His9 bond in ANG I (15, 24),
whereas
-chymase cleaves the Tyr4-Ile5 and
Phe8-His9 bonds in ANGs with near equal
efficiencies. As a result, only
-chymase results in net ANG II
generation. Humans, baboons, dogs, hamsters, rats, and mice contain a
single
-chymase-encoding gene. Humans and baboons do not contain a
-chymase gene, whereas rats contain two genes and mice contain four
genes. The predominance of the
-chymase isoform in the mouse may
account for the observation that only 15% of in vitro ANG II formation
from extracts of the wild-type mouse heart is chymostatin inhibitable
(2). However, in vitro tissue assay methodologies may not
accurately reflect ANG II formation in vivo, because they utilize
pharmacological doses of ANG I substrate, disrupt tissue
compartmentalization of enzymes, alter biochemical conditions and pH
optima, and incorporate inhibitors of other potentially important ANG
II-forming pathways (e.g., tonin, cathepsin G).
The advent of induced mutation technology has provided a new way to
study the molecular regulation of ANG II formation in the animal in
vivo. Krege and co-workers (13, 21) used gene targeting to
insertionally disrupt exon 14 of ACE and thereby markedly decrease ACE
expression. Mice would be expected to be particularly sensitive to
alterations in tissue ACE, because ACE accounts for >80% of ANG
II-generating capacity in heart tissue extracts in this species in
vitro (2). In the current study, we utilized mice with
homozygous deletion of ACE (
/
), mice with heterozygous deletion of
ACE (+/
), and wild-type mice (+/+) to test the hypothesis that
genetic variation in ACE modulates tissue and plasma ANG II concentrations.
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METHODS |
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Generation of mice.
F2 mice (129 × C57BL/6) +/
and +/+ for an insertional
disruption of exon 14 of the Ace (mouse) gene (9,
11) were provided by Drs. J. H. Krege and O. Smithies
(Dept. of Pathology, Univ. of North Carolina, Chapel Hill, NC).
Offspring of +/+ or +/
F2 males and +/
F2 females were produced at
the Vascular Biology and Hypertension Program, University of Alabama at
Birmingham (Birmingham, AL). At an age of 21 days, mice were weaned and
genotyped for ACE as previously described in our laboratory
(21). Animals were provided chow (Teklad LM-485
sterilizable mouse diet) and water ad libitum and were maintained on a
12:12-h light-dark cycle. Experiments were approved by the
Institutional Animal Care and Use Committee at the University of
Alabama at Birmingham and are consistent with the National Institutes
of Health Guide for the Care and Use of Laboratory Animals
(NIH Publication No. 85-23, Revised 1985).
Tissue ACE activity using ANG I as substrate.
ACE activity using ANG I as substrate was performed as previously
described in our laboratory (2). ACE was extracted from homogenized tissues with detergent, and the reaction product ANG II was
isolated from the reaction mixture by reverse-phase HPLC, thus
eliminating interference from the detergent, the substrate ANG I, and
unreacted reaction byproducts. To exclude all other potential enzymes
that could form ANG II, tissue extract (100 µl) samples were
preincubated with enzyme inhibitor solutions that contained 1 mM
phenanthroline, 20 µM aprotonin, 300 mM sodium chloride, 0.01%
Triton X-100, and 200 µM zinc chloride and chymostatin for 30 min at
room temperature. Captopril-inhibitable ANG II formation was considered
to represent the ACE activity (nmol ANG II
formed · min
1 · g tissue wet
wt
1).
Chymase-like activity using ANG I as substrate.
Chymase activity was measured using a procedure that has been performed
in our laboratory (1, 2, 7). Generated ANG II was
quantitated using a reverse-phase Alltima 5-µm phenyl-HPLC column
(Alltech; Deerfield, IL). The peak area corresponding to a synthetic
ANG II standard was integrated to calculate ANG II formation with
chymostatin and with chymostatin plus captopril. Chymostatin-inhibitable ANG II formation was considered to represent the chymase-like activity, and chymostatin-inhibitable plus
captopril-inhibitable ANG II formation was considered to represent all
other ANG II-forming pathways (nmol ANG II
formed · min
1 · g tissue wet
wt
1).
ANG peptide concentrations.
Hearts, lungs, and kidneys from +/+, +/
, and
/
mice were removed
after decapitation, rapidly frozen in liquid nitrogen, and stored at
70°C. All peptide assays used three pooled organ samples for ANG
peptide assays. ANG I and ANG II concentrations were determined by a
method described in our laboratory (7, 14) combining
solid-phase extraction, reverse-phase HPLC, and radioimmunoassay.
Statistical analysis. All data are presented as means ± SE. Differences among groups were assessed by ANOVA with post hoc analysis by Student-Newman-Keuls test using SigmaStat software (Jandel Scientific; San Rafael, CA). Results were considered significant at a level of P < 0.05.
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RESULTS |
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Tissue ACE activity.
ACE activities in the kidney, heart, and lung are shown in Fig.
1. ACE activities in the kidney, heart,
and lung of +/+ mice were 12.4, 11.8, and 4.8 nmol · min
1 · g
1,
respectively. ACE activities were decreased 80% in the kidney, heart,
and lung of
/
mice compared with +/+ mice (2.6, 2.4, and 0.97 nmol · min
1 · g
1,
respectively).
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Tissue chymase activity.
In the kidney, chymase activity was 0.02 ± 0.01 nmol · min
1 · g
1 in +/+ and
+/
mice and increased 14-fold in
/
mice (0.28 ± 0.06 nmol · min
1 · g
1,
P < 0.001; Fig. 2).
Chymase activity did not differ in the heart of +/+ and +/
mice
(2.77 ± 0.39 and 2.57 ± 0.40 nmol · min
1 · g
1) but
increased 1.5-fold in
/
mice (4.01 ± 0.40 nmol · min
1 · g
1,
P < 0.05). In the lung, chymase activity did not
differ across +/+, +/
, and
/
mice (1.68 ± 0.42 vs.
1.20 ± 0.28 vs. 1.63 ± 0.28 nmol · min
1 · g
1).
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ANG II formation from enzymes other than ACE and chymase.
Total ANG II formation from the kidney, heart, and lung was calculated
in the absence of inhibitors and in the presence of the ACE inhibitor
captopril and the chymase inhibitor chymostatin. In the presence of
captopril and chymostatin, ANG II formation accounted for <2% of
total ANG II in the kidney, lung, and heart, and this percent
contribution did not differ in +/+, +/
, and
/
mice. Thus we found
no evidence to support substantial contribution of other known
potential sources of ANG II formation such as trypsin, tonin,
cathepsin-G, tissue plasminogen activator, kallikrein, and elastase for
ANG II formation in these tissues in our in vitro assays. These results
confirm that ACE and chymase are the predominant ANG II-forming
mechanisms in these organs in vitro.
ANG peptides.
Pooled plasma from six
/
mice produced two samples for plasma ANG
peptide concentrations. Plasma ANG II was
undetectable; however, ANG I concentrations were extremely high at 765 and 717 fmol/ml. In the tissue of the kidney, heart, and lung, ANG I
levels ranged between 250 and 420 fmol/g and ANG II levels ranged
between 150 and 250 fmol/g in +/+, +/
, and
/
mice (Fig. 3,
A and B). Tissue ANG I and ANG II concentrations
did not differ in the kidney, heart, and lung of +/+, +/
, and
/
mice. In addition, there were no differences in the ANG II-to-ANG
I ratios in tissues of the three Ace genotypes (Fig.
3C).
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DISCUSSION |
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The major finding of this study is that intravascular ANG II
concentration is markedly depressed, whereas kidney, heart, and lung
ANG II concentrations are preserved in mice with genetic ACE
deficiency. Our finding of depressed plasma ANG II levels in
/
ACE
mice is consistent with previous observations that ACE mediates
intravascular conversion of ANG I to ANG II (1, 26). This
is consistent with the predominant location of ACE bound to the cell
membranes of endothelial cells with its catalytic site exposed to the
luminal surface (12). Intravascular ANG I is thus more
accessible to ACE than to chymase, which is rapidly inactivated in
plasma by serine protease inhibitors (23). Conversely, our
finding of preserved tissue ANG II levels provides important new
evidence that non-ACE mechanisms play an important role maintaining normal steady-state ANG II levels in tissue.
We did find that ACE activity in the kidney, heart, and lung of
/
mice was reduced to 20% of +/+ mice. This is consistent with our
previous finding that
/
mice had low levels of ACE mRNA that were
reduced in size and included a readthrough of the neomycin-resistance
gene that was inserted in the 3'-end of exon 14 of the ACE gene
(21). This construct could produce small amounts of a
functional, nonmembrane-bound ACE molecule within the interstitium of
organs because the insertion resulted in exclusion of the
membrane-anchoring portion of ACE while preserving the catalytic
domains. Although this could contribute to tissue ANG II formation, the
failure to detect increasing levels of ANG I with decreasing ACE
activity in the tissues of ACE-deficient mice strongly supports the
activity of an ANG I convertase other than ACE. Chymase is the most
likely candidate because ANG II formation from enzymes other than ACE
and chymase contributed <2% of total tissue ANG II formation in
vitro. In situ hybridization and electrophoretic mobility
immunocytochemical studies in the human heart demonstrate that
chymase is located in the extracellular matrix and is stored and
synthesized in mast cells and endothelial cells, with secretion directed to the interstitium (22). Taken together, the
presence of chymase within the interstitium coupled with its high
activity profile and increased expression in the heart and kidney in
the setting of severe reductions of ACE in vivo support its role in maintaining steady-state ANG II levels in
/
mice.
Additional support for the concept that chymase may be an important
regulator of tissue ANG II generation comes from studies of the
response of ANG II and chymase to hemodynamic stress. Increased tissue chymase activity in concert with increased tissue ANG II has
been demonstrated in left ventricular (LV) volume overload in the dog
(7) and mouse (14) and LV pressure overload
(20) and cardiomyopathy (18, 19) in the
hamster. LV ACE is also upregulated in these models. However, we have
previously reported that +/
and +/+ ACE transgenic mice develop
similar elevations in LV ANG II and chymase after 4 wk of volume
overload from aortocaval fistula despite threefold higher LV ACE
activity in +/+ mice (14). Thus LV ANG II levels and
cardiac hypertrophy appear to correlate better with LV chymase than
with LV ACE in response to hemodynamic stress; however, blood pressure
control is clearly under the influence of ACE in these mice.
We (21) have previously reported that +/+, +/
, and
/
ACE mice differ in their blood pressure and heart rate response to
exogenous ANG I and bradykinin, indicating that the quantitative variation in ACE function does affect the in vivo metabolism of ACE
substrates and acute blood pressure responses. In addition, Wyss and
Carlson (4) found an ACE copy-dependent relationship between both basal arterial pressure and arterial pressure responses to
a high NaCl diet, further supporting the important role of the ACE gene
in chronic arterial blood pressure control and salt and water balance.
Bernstein and colleagues (10) also showed that mice
lacking tissue-bound ACE (but expressing circulating ACE) exhibit a
significant reduction in blood pressure comparable to the ACE knockout
mice. From this differential expression of tissue versus plasma ACE, it
was presumed that blood pressure reduction was dependent on tissue ANG
II and thus would appear to contradict our results. However, these
studies did not measure tissue ANG II and, therefore, could not rule
out vascular compartmentalization of ANG II generation that is ACE
dependent versus tissue ANG II generation that is ACE and non-ACE dependent.
Indeed, previous studies in the isolated rabbit thoracic aorta support a vascular compartmentalization of ANG II generation that is ACE dependent (11). In these studies, ANG I was applied only to the intraluminal vascular border, and ANG II generation and its identification in the media of the vessel wall occurred in the presence of an intact endothelium but not after removal of the endothelium nor in the presence of an ACE inhibitor (11). Other studies in the isolated rabbit and rat aorta also demonstrated a functional importance of ANG II generation from the adventitial side of the blood vessel wall (9, 17). The results of the current investigation further support the hypothesis that ANG II formation in the vascular space is dependent on endothelium-bound ACE, whereas ANG II formation within tissue relies upon both ACE and chymase.
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FOOTNOTES |
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Address for reprint requests and other correspondence: L. J. Dell'Italia, Univ. of Alabama at Birmingham, Dept. of Medicine, Division of Cardiology, 834 MCLM, 1918 University Blvd, Birmingham, AL 35295-0007 (E-mail: dell'italia{at}physiology.uab.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
10.1152/ajpheart.00191.2001
Received 14 March 2001; accepted in final form 15 November 2001.
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