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Am J Physiol Heart Circ Physiol (January 3, 2002). doi:10.1152/ajpheart.00984.2001
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Articles in PresS, published online ahead of print January 3, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00984.2001
Submitted on November 12, 2001
Accepted on January 2, 2002

Effect of AT1 Receptor Blockade on Cardiac Apoptosis in Angiotensin II-induced Hypertension

Quy N Diep1, Mohammed El Mabrouk1, Ping Yue1, and Ernesto L Schiffrin1*

1 Laboratory of Experimental Hypertension, Clinical Research Institute of Montreal, Montreal, Quebec, Canada

* To whom correspondence should be addressed. E-mail: diepq{at}ircm.qc.ca.

Angiotensin II (Ang II) via AT1 receptors induces apoptosis in cardiomyocytes in vitro. We tested the hypothesis that in vivo AT1 receptor stimulation is accompanied by cardiac apoptosis, and attempted to elucidate molecular mechanisms involved in the death-signaling pathway. Male Sprague Dawley rats received Ang II (120 ng/kg/min sc.) for 7 days with or without the AT1 receptor antagonist losartan (10 mg/kg/day orally). Cardiac function was assessed by echocardiography. Apoptosis in the heart was detected and quantified by in situ terminal deoxynucleotide transferase dUTP-nick-end-labeling (TUNEL) and radiolabeled DNA laddering. Expression of bax, bcl-2, caspase 3, AT1 and AT2 receptors were examined by Western blot analysis. Activity of caspase 3 was also measured by a fluorometric immunosorbent enzyme assay. Tail cuff systolic blood pressure (mmHg) was elevated (p<0.01, n=6) in Ang II-infused rats (173±3) vs. controls (111±2) and reduced by losartan (134±4). Cardiac function was essentially unchanged in Ang II-infused rats. Increased internucleosomal DNA cleavage by TUNEL assay and radiolabeled DNA laddering showed results compatible with enhanced cardiomyocyte apoptosis in the heart of Ang-II infused rats. The bax/bcl-2 ratio, expression of the active form of caspase 3 (17kDa) and activity of caspase 3 in the heart of Ang II-group increased more than 2-fold above control. Protein expression of AT1 and AT2 receptors was significantly increased in Ang II-infused rats compared to control rats. Losartan-treated Ang II-infused rats exhibited normalized apoptosis, bax, caspase 3 activity, and AT1 receptors. Ang II stimulation of AT1 receptors in the heart in vivo is associated with increased rate of apoptosis without major hemodynamic consequences. Bax and caspase 3 are involved in the apoptotic signaling pathway in this experimental paradigm.




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