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Am J Physiol Heart Circ Physiol (October 7, 2005). doi:10.1152/ajpheart.00886.2005
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Submitted on August 18, 2005
Accepted on October 5, 2005

THE INTERACTION BETWEEN THE AT1 AND AT2 RECEPTOR DURING POST-INFARCTION LEFT VENTRICULAR REMODELING

Szilard Voros1, Zequan Yang1, Christina Bove1, Wesley D Gilson1, Frederick H Epstein1, Brent A French1, Stuart S Berr1, Sanford P Bishop1, Mark R Conaway1, Hiroaki Matsubara1, Robert M Carey1, and Christopher M Kramer1*

1 Internal Medicine, University of Virginia Health System, Charlottesville, VA, USA

* To whom correspondence should be addressed. E-mail: ckramer{at}virginia.edu.

Objective: The relative contribution of the angiotensin II type 1 and 2 receptors (AT1-R and AT2-R) in post-MI remodeling remains incompletely understood. Methods: We studied 5 groups of C57Bl/6 mice after 1 hour left anterior descending artery occlusion/reperfusion: 1. Wild type, untreated (n=12); 2. Wild-type, treated with the AT1-R blocker losartan (10-20 mg/kg/day in drinking water) from day 1-28 post-MI (n=10); 3. Cardiac overexpression of the AT2-R (AT2-TG, n=14); 4. AT2-TG treated with losartan (n=13) and 5. AT2-TG and null for the AT1a-R (AT2-TG/AT1KO, n=10). Cardiac magnetic resonance imaging (CMR) measured ejection fraction (EF) and LV end-diastolic and end-systolic volume (EDVI, ESVI) and mass indexed to weight on days 0, 1, 7, and 28 post-MI. Infarct size was measured on day 1 by late gadolinium enhanced CMR. Regional myocyte hypertrophy and collagen content were measured on day 28 post-MI. Results: Infarct size was similar amongst groups. Systolic blood pressure was lowest in AT2-TG/AT1KO. By Day 28 post-MI, when corrected for baseline differences, EDVI and ESVI were higher and EF lower in wild type than other groups. EF was highest and EDVI and mass index lowest in AT2-TG/AT1KO at day 28. The AT2-TG/AT1KO demonstrated less fibrosis in adjacent regions. Regional myocyte hypertrophy was similar in all groups. Conclusions: The AT1-R and AT2-R are intricately intertwined in post-MI remodeling. Pharmacologic blockade of AT1-R is equivalent to AT2-R overexpression in attenuating post-MI remodeling. Genetic knockout of the AT1a-R is additive to AT2-R overexpression, due, at least in part, to blood pressure lowering.




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Am. J. Physiol. Heart Circ. Physiol.Home page
D. C. Isbell, S. Voros, Z. Yang, J. M. DiMaria, S. S. Berr, B. A. French, F. H. Epstein, S. P. Bishop, H. Wang, R. J. Roy, et al.
Interaction between bradykinin subtype 2 and angiotensin II type 2 receptors during post-MI left ventricular remodeling
Am J Physiol Heart Circ Physiol, December 1, 2007; 293(6): H3372 - H3378.
[Abstract] [Full Text] [PDF]




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