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Differential regulation of renal angiotensin-converting enzyme (ACE) and ACE2 during ACE inhibition and dietary sodium restriction in healthy rats.

Experimental physiology
May 1, 2008
I Hamming et al. (7 authors)
Journal ArticleAnimal Study
Study Details

Study Goal

The researchers aimed to understand how low-sodium intake and ACE inhibition affect renal ACE and ACE2 expression and activity in healthy rats.

Results Summary

Low sodium intake reduced renal ACE mRNA and activity but did not affect ACE2 mRNA or activity. ACE inhibition with lisinopril shifted plasma Ang(1-7) and Ang II balance towards the beneficial Ang(1-7), especially during low sodium intake, without altering ACE2 activity.

Population

Healthy rats

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-sodium diet
decrease
renal ACE mRNA
Healthy rats
-
reduced
#1
low-sodium diet
decrease
renal ACE activity
Healthy rats
-
reduced
#2
low-sodium diet
no change
renal ACE2 mRNA
Healthy rats
-
without affecting
#3
low-sodium diet
no change
renal ACE2 activity
Healthy rats
-
without affecting
#4
low-sodium diet
no change
plasma Ang(1-7) and Ang II balance
Healthy rats
-
without affecting
#5
lisinopril
decrease
renal ACE activity
Healthy rats
-
significantly reduced
#6
lisinopril
no change
renal ACE2 activity
Healthy rats
-
without affecting
#7
low sodium during ACE inhibition
decrease
ACE mRNA
Healthy rats
-
reduced
#8
low sodium during ACE inhibition
decrease
ACE2 mRNA
Healthy rats
-
reduced
#9
low sodium during ACE inhibition
no change
ACE2 activity
Healthy rats
-
without affecting
#10
low sodium during ACE inhibition
no change
ACE activity
Healthy rats
-
without further reducing
#11
lisinopril
increase
plasma Ang(1-7) and Ang II balance
Healthy rats
-
positively shifted
#12
lisinopril during low sodium intake
increase
plasma Ang(1-7) and Ang II balance
Healthy rats
-
positively shifted
#13
Abstract

Angiotensin-converting enzyme (ACE) 2 is thought to counterbalance ACE by breakdown of angiotensin (Ang) II and formation of Ang(1-7). Both enzymes are highly expressed in the kidney, but reports on their regulation differ. To enhance our understanding of the regulation of renal ACE and ACE2, we investigated renal ACE and ACE2 expression during conditions of physiological (low-sodium diet) and pharmacological changes (ACE inhibition) in activity of the renin-angiotensin-aldosterone system (RAAS). Healthy rats were treated with vehicle or lisinopril with either a control or a low-sodium diet, and renal ACE2, ACE and plasma angiotensins were studied. During vehicle treatment, low sodium reduced renal ACE mRNA and activity without affecting ACE2 mRNA or activity and plasma Ang(1-7) and Ang II balance. Lisinopril significantly reduced renal ACE activity without affecting renal ACE2 activity. During ACE inhibition, low sodium reduced both ACE and ACE2 mRNA without affecting ACE2 activity or further reducing ACE activity. Measurements of renal neprilysin activity revealed no significant differences between any of the treatment groups. Plasma Ang(1-7) and Ang II balance is positively shifted towards the beneficial vasopeptide Ang(1-7) by the ACE inhibitor lisinopril, especially during a low sodium intake. In conclusion, modulation of the RAAS, by low sodium intake or ACE inhibition, does not affect renal ACE2 despite major variations in renal ACE. Thus, ACE and ACE2 are differentially regulated by low sodium and ACE inhibition. Therefore, we propose that the beneficial effects of ACE inhibitors are predominantly mediated by modulation of ACE and not ACE2. Whether this also applies to renal disease conditions should be investigated in future studies.

Medical Subject Headings (MeSH)
Angiotensin IAngiotensin IIAngiotensin-Converting Enzyme 2Angiotensin-Converting Enzyme InhibitorsAnimalsDiet, Sodium-RestrictedGene Expression Regulation, EnzymologicKidneyLisinoprilMaleNeprilysinPeptide FragmentsPeptidyl-Dipeptidase ARNA, MessengerRatsRats, WistarReverse Transcriptase Polymerase Chain Reaction
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations72
Citations/Year4.2
Relative Citation Ratio1.72
NIH Percentile69.8%
Research Impact Scores
APT Score0.75
Weight Score0.93
Normalized Score0.67
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