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Am J Physiol Heart Circ Physiol (July 25, 2008). doi:10.1152/ajpheart.00331.2008
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Submitted on March 29, 2008
Revised on July 11, 2008
Accepted on July 11, 2008

Angiotensin Converting Enzyme-2 (ACE2) confers endothelial protection and attenuates atherosclerosis

Fina Lovren, Yi Pan, Adrian Quan1, Hwee Teoh2, Guilin Wang, Praphulla C Shukla, Kevin S Levitt, Gavin Y Oudit, Duncan J Stewart3, Arthur S. Slutsky1, Mark D Peterson, Peter H. Backx1, Josef M Penninger, and Subodh Verma2*

1 University of Toronto
2 St Michael's Hospital
3 Ottawa Health Research Institute

* To whom correspondence should be addressed. E-mail: subodh.verma{at}sympatico.ca.

The endothelium plays a central role in the maintenance of vascular homeostasis. One of the main effectors of endothelial dysfunction is AngII, and pharmacological approaches to limit AngII bioactivity remain the cornerstone of cardiovascular therapeutics. ACE2 has been identified as a critical negative modulator of AngII bioactivity, counterbalancing the effects of ACE in determining net tissue AngII levels, however, the role of ACE2 in the vasculature remains unknown. In the present study we hypothesized that ACE2 is a novel target to limit endothelial dysfunction, and atherosclerosis. To this aim, we performed in-vitro gain and loss of function experiments in endothelial cells, and evaluated in-vivo angiogenesis and atherosclerosis in ApoEKO mice treated with AdACE2. ACE2 deficient mice exhibited impaired endothelium-dependent relaxation. Over-expression of ACE2 in human endothelial cells stimulated endothelial cell migration and tube formation, and limited monocyte and cellular adhesion molecule expression; effects that were reversed in ACE2 gene silenced and endothelial cells isolated from ACE2 deficient animals. ACE2 attenuated Ang-II induced ROS production, in part through decreasing the expression of p22phox. The effects of ACE2 on endothelial activation were attenuated by pharmacological blockade of Ang1-7, with A779. ACE2 promoted capillary formation and neovessel maturation in-vivo and reduced atherosclerosis in ApoEKO mice These data indicate that ACE2, in a Ang1-7 dependent fashion, functions to improve endothelial homeostasis, via a mechanism that may involve attenuation of NADPHox-induced ROS production. ACE2-based treatment approaches may be a novel approach to limit aberrant vascular responses and atherothrombosis.




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