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Hypertension and Vascular Research Center, Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, North Carolina
Submitted 17 February 2008 ; accepted in final form 13 March 2008
| ABSTRACT |
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angiotensinogen; angiotensin II; angiotensin-(1-7); renin; hypertension
In keeping with the idea of a nonlinear RAS, Nagata and colleagues (10) recently identified a propeptide hormone of the RAS, proangiotensin-12 [angiotensin-(1-12); ANG-(1-12)] in plasma and all tissues investigated. Biological actions of this propeptide as a substrate for ANG II formation were demonstrated by showing that the administration of ANG-(1-12) in isolated vessels produced a vasopressor response that could be blocked by both an angiotensin-converting enzyme (ACE) inhibitor and an angiotensin receptor blocker (ARB). The present study determined whether ANG-(1-12), a peptide upstream of the traditional RAS cascade, can lead to the generation of ANG II and ANG-(1-7) in the isolated hearts of both normal and genetically diverse hypertensive rat strains. To confirm the role of ANG-(1-12) as a suitable substrate for angiotensin peptide formation in the heart, data were obtained in five different rat strains.
| MATERIALS AND METHODS |
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Langendorff procedure. The isolated heart preparation was performed as previously described by our laboratory (15). Briefly, rats were weighed, placed under deep isoflurane (2.5–3%) anesthesia, and given heparin (300 USP units) via a catheter inserted into the jugular vein. The heart was excised and immediately placed in ice-cold Krebs buffer. Rat hearts were then perfused at a constant flow (10–12 ml/min) on a Langendorff isolated heart perfusion apparatus. Heart rates, perfusion pressures, and flow rates were monitored continuously throughout the experiment.
After a 1-h equilibration period, a baseline sample of the cardiac effluent (2.5 ml) was collected, and 60 ml of Krebs buffer with 10 nmol/l ANG-(1-12) (Asp1-Arg2-Val3-Tyr4-Ile5-His6-Pro7-Phe8-His9-Leu10-Leu11-Tyr12, Peptide Institute, Osaka, Japan) was then recirculated through the heart for 60 min. This dose was chosen based on a previous study by Nagata et al. (10), which showed that 10 nmol/l ANG-(1-12) was just below the concentration that elicited marked vasoconstriction in isolated rat aortae. Moreover, previous experience investigating ANG II metabolism in the isolated heart preparation is in keeping with the employed dose of ANG-(1-12) (15). All effluent samples were acid matched at 1:1 (vol/vol) with 1% heptafluorobutyric acid (HFBA) to abolish metabolism of the peptides at the following times: 1) 5 min of recirculation, 2) 15 min, 3) 30 min, and 4) 60 min. One-half of the WKY and SHR hearts received 1 µmol/l of the renin inhibitor WFML-1 (AnaSpec, San Jose, CA) immediately after the collection of the 15-min sample. A previous study (11) from our laboratory demonstrated that WFML-1 specifically inhibits rat renin.
Biochemical procedures. Angiotensin peptides were extracted from the acid-matched samples using C18 Sep Pak columns (Waters, Milford, MA). Each Sep Pak was conditioned with 5 ml of 80% methanol (MeOH) and 0.1% HFBA, followed by 5 ml of 0.1% HFBA. The 5-ml samples were then applied to the columns, followed by 10 ml of 0.1% HFBA. Columns were rinsed with 5 ml of MilliQ water, and peptides were eluted in 3 ml of 80% MeOH and 0.1% HFBA. The eluate was then analyzed by radioimmunoassay for ANG I, ANG II, and ANG-(1-7) as previously described by our laboratory (4, 5). The minimum detectable limits of the ANG I, ANG II, and ANG-(1-7) assays were 1.0, 0.8, and 2.5 pg/ml, respectively. The intra- and interassay coefficients of variability were 18% and 22% for ANG I, 12% and 22% for ANG II, and 8% and 20% for ANG-(1-7), respectively.
Renin assay. Effluent collected from the hearts of WKY rats and SHRs (with no renin inhibitor) was concentrated using Amicon Ultra 10,000 molecular weight cutoff centrifugal filters (Millipore, Billerica, MA) and washed three times with HEPES buffer (25 mmol/l HEPES, 125 mmol/l NaCl, and 10 µmol/l ZnCl2; pH 7.4). In addition, left ventricles from both isolated perfused (n = 3) and nonperfused (n = 3) WKY rats and SHRs were homogenized in 500 µl of HEPES buffer using the Qiagen TissueLyser for 1 min at 25 Hz. The homogenate was then centrifuged for 10 min at 28,000 g, and 25 µl of either the resulting supernatant or the concentrated cardiac effluent were incubated at pH 6.5 in the presence of excess exogenous angiotensinogen substrate at 37°C for 90 min. Renin activity was measured as the difference in ANG I generated at 37°C minus that present at 0°C. Additional experiments were conducted in the presence of 3 µmol/l WFML-1 to verify that the ANG I-generating activity in the heart was indeed renin. ANG I was measured by radioimmunoassay (DiaSorin, Stillwater, MN).
Statistical analyses. All values are reported as means ± SE. Student's t-test and repeated-measures ANOVA followed by a Tukey's post hoc test for multiple comparisons were used to determine significant differences at a probability of <0.05 using GraphPad Prism 5.0 software (San Diego, CA). For the radioimmunoassays, values at or below the minimal detectable limits of the assays were assigned that value for statistical purposes.
| RESULTS |
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| DISCUSSION |
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Because baseline levels of ANG I, ANG II, and ANG-(1-7) were not detectable in the perfusate before the addition of ANG-(1-12), endogenous production of these peptides cannot account for the findings reported here. Lindpaintner et al. (7) showed nondetectable levels of ANG I and ANG II in the effluent from the coronary sinus of the isolated perfused rat heart before the addition of purified hog renin. The addition of renin resulted in a time-dependent generation of ANG I and ANG II. Therefore, it is not surprising that in our present experiments and in those reported by us previously (15), baseline levels of angiotensins were not detectable. Their experiments also argue for the possibility that the effect of ANG-(1-12) may be accounted for by release of pools of preformed (free and/or bound) ANG I, ANG II, and ANG-(1-7). In both situations, either the addition of renin or the addition of ANG-(1-12) was required to stimulate the formation of the angiotensins.
In our experiments, a 10 nmol/l dose of ANG-(1-12) was required since Nagata and colleagues (10) found that higher concentrations (
30 nmol/l) of ANG-(1-12) elicited significant vasoconstriction in the isolated rat aorta. Since there were no differences in any of the angiotensin peptides generated from ANG-(1-12) between Lewis and congenic nor WKY and SHR hearts, neither targeted nor genetic hypertension appear to substantially influence the processing of ANG-(1-12) in these isolated hearts compared with their background strains. The proportionally similar generation of angiotensin peptides from ANG-(1-12) among the tested strains does not negate the possibility that endogenous generation of the peptides may not differ among various normotensive and hypertensive strains.
The capacity of cardiac tissue to use ANG-(1-12) as a substrate for the production of angiotensin peptides is further illustrated by the existence of highly significant correlations for ANG I and ANG II values. Indeed, Chappell et al. (3), in a preliminary report, demonstrated that ANG-(1-12) can be metabolized efficiently by rat serum ACE into ANG I, which can then be sequentially cleaved by ACE to form ANG II. Furthermore, we observed highly significant correlations between ANG-(1-7) and both ANG I and ANG II in all five rat strain hearts used, suggesting that ANG-(1-7) was produced from both ANG I and ANG II. Collectively, these data suggest that in the heart, ANG-(1-12) is processed into ANG I, which can then be processed into both ANG II and ANG-(1-7), although a direct cleavage of ANG-(1-12) into ANG II, particularly in SD hearts, cannot be excluded.
In the study reported by Nagata et al. (10), the cardiac content of ANG-(1-12), ANG I, and ANG II averaged 151 ± 11, 85 ± 8, and 42 ± 7 pmol/l, respectively. In other words, the content of ANG-(1-12) was about twice as large that of ANG I. We measured peak concentrations of ANG I and ANG II in the coronary effluent that averaged 531.5 ± 48.4 and 594.8 ± 72.6 pmol/l, respectively, across all strains, which represents no more than 6- to 14-fold higher than was found endogenously by Nagata and colleagues. These data suggest that studies in isolated hearts reflect to a significant degree what may be the tissue dynamics in vivo.
Because others have found that the tetradecapeptide ANG-(1-14) is cleaved by renin (8, 9, 13), we administered a rat renin-specific inhibitor concomitantly with ANG-(1-12) to the perfusate of WKY and SHR isolated hearts to determine whether ANG-(1-12), like ANG-(1-14), was a suitable substrate for renin activity. As indicated above, renin inhibition did not alter the production of any of the angiotensin peptides, nor did it affect heart rate or perfusion pressures. Additionally, we verified, in both perfused and nonperfused hearts, that renin was present in the heart by measuring its tissue activity as well as the activity in the cardiac effluent. Therefore, our data show that ANG-(1-12), unlike ANG-(1-14), is not cleaved by renin, which corroborates a recent study from our group (3). Renin specifically cleaves the Leu10-Leu11 bond of rat angiotensinogen to form ANG I, whereas the cleavage between the two aromatic residues Tyr12-Tyr13 liberates ANG-(1-12). A lack of differential processing of ANG-(1-12) between Lewis and congenic mRen2.Lewis rats also supports a non-renin role for the metabolism of ANG-(1-12) in the heart, as mRen2.Lewis rats express elevated cardiac renin levels (2).
Further support for a biological role of ANG-(1-12) in the heart stems from a study (6) that showed that ANG-(1-12) was robustly present in ventricular myocytes of both WKY rats and SHRs. Evidence of functionality is further illustrated by the increased cardiac content of ANG-(1-12) in SHRs compared with WKY rats. That this peptide was found in most tissues at higher levels than both ANG I and ANG II (10), in concert with the findings of the present study, asserts that ANG-(1-12) may be a readily available substrate for angiotensin peptide production.
Limitations of the study. The data presented herein represent a critical first step to understanding the ultimate role that ANG-(1-12) may play in cardiovascular physiology. The purpose of this initial study was to determine whether the dodecapeptide could serve as a substrate for the formation of ANG I, ANG II, and ANG-(1-7) in the hearts of five different rat strains, and, as such, the enzymatic mechanisms accounting for the formation of ANG-(1-12) from angiotensinogen were outside the scope of the present study. While not designed to determine enzymatic mechanisms, the present study undertook steps to exclude renin in the metabolism of ANG-(1-12) into any of the three downstream angiotensin peptides measured. Moreover, based on a preliminary study from our group (3), the direct enzymatic conversion of ANG-(1-12) into ANG I and ANG-(1-7) appears to be mediated by serum ACE and renal neprilysin, respectively. Further studies will be required to determine how exactly ANG-(1-12) can be metabolized in not only the heart but in other tissues critical in physiological regulation.
Conclusions. In the century since Tigerstedt and Bergman (14) first described renin, many advances have been made regarding the contributions of the RAS to the regulation of cardiovascular processes. Indeed, the effective clinical treatment of hypertension and heart failure arrived almost 100 years after renin's discovery: first, with the introduction of ACE inhibitors in 1981; later, with the advent of ARBs in 1995; and, most currently, with the development and arrival of the renin inhibitor aliskiren in 2007. The identification of an angiotensin peptide upstream of ANG I that can serve as a substrate to produce bioactive angiotensin peptides is a novel and important finding. Although it is not yet known what enzyme(s) can cleave ANG-(1-12) from its parent protein angiotensinogen, the possibility that this process may occur in a renin-independent manner holds high potential to change our evolving understanding of the RAS in the regulation of physiological processes. In support of a renin-independent pathway for angiotensin peptide formation, Oparil and colleagues (12) recently showed that in patients treated with maximal doses of both the renin inhibitor aliskiren and the angiotensin type 1 receptor antagonist valsartan, there were additive blood pressure reductions, which is an unexpected finding if renin is the sole liberator of angiotensin peptides. Indeed, we suggest that ANG-(1-12) may serve as a "quick release" substrate for the immediate production of RAS components as necessary, which may likely be more efficient than the cell making the almost 500-amino acid angiotensinogen for the production of angiotensin peptides. The unraveling of the functional significance of ANG-(1-12) as well as the pathways for its formation and degradation should bear considerable importance.
| GRANTS |
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| FOOTNOTES |
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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.
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