Watanabe K, Lam G, Keresztes R S, Jaffe E A
Department of Medicine, Cornell University Medical College, New York, New York 10021.
J Cell Physiol. 1992 Feb;150(2):433-9. doi: 10.1002/jcp.1041500228.
Angiotensin converting enzyme (ACE) is present on endothelial cells and plays a role in regulating blood pressure in vivo by converting angiotensin I to angiotensin II and metabolizing bradykinin. Since ACE activity is decreased in vivo in sepsis, the ability of lipopolysaccharide (LPS) to suppress endothelial cell ACE activity was tested by culturing human umbilical vein endothelial cells (HUVEC) for 0-72 hr with or without LPS and then measuring ACE activity. ACE activity in intact HUVEC monolayers incubated with LPS (10 micrograms/ml) decreased markedly with time and was inhibited by 33%, 71%, and 76% after 24 hr, 48 hr, and 72 hr, respectively, when compared with control, untreated cells. The inhibitory effect of LPS was partially reversible upon removal of the LPS and further incubation in the absence of LPS. The LPS-induced decrease in ACE activity was dependent on the concentrations of LPS (IC50 = 15 ng/ml at 24 hr) and was detectable at LPS concentrations as low as 1 ng/ml. That LPS decreased the Vmax of ACE in the absence of cytotoxicity and without a change in Km suggests that LPS decreased the amount of ACE present on the HUVEC cell membrane. While some LPS serotypes (Escherichia coli 0111:B4 and 055:B5, S. minnesota) were more potent inhibitors of ACE activity than others (E. coli 026:B6 and S. marcescens), all LPS serotypes tested were inhibitory. These finding suggest that LPS decreases endothelial ACE activity in septic patients; in turn, this decrease in ACE activity may decrease angiotensin II production and bradykinin catabolism and thus play a role in the pathogenesis of septic shock.
血管紧张素转换酶(ACE)存在于内皮细胞上,通过将血管紧张素I转化为血管紧张素II以及代谢缓激肽,在体内血压调节中发挥作用。由于脓毒症时体内ACE活性降低,因此通过将人脐静脉内皮细胞(HUVEC)在有或无脂多糖(LPS)的情况下培养0至72小时,然后测量ACE活性,来测试LPS抑制内皮细胞ACE活性的能力。与未处理的对照细胞相比,用LPS(10微克/毫升)孵育的完整HUVEC单层中的ACE活性随时间显著降低,在24小时、48小时和72小时后分别被抑制33%、71%和76%。去除LPS并在无LPS的情况下进一步孵育后,LPS的抑制作用部分可逆。LPS诱导的ACE活性降低取决于LPS的浓度(24小时时IC50 = 15纳克/毫升),在低至1纳克/毫升的LPS浓度下即可检测到。LPS在无细胞毒性且Km无变化的情况下降低了ACE的Vmax,这表明LPS减少了HUVEC细胞膜上ACE的量。虽然某些LPS血清型(大肠杆菌0111:B4和055:B5、明尼苏达沙门氏菌)比其他血清型(大肠杆菌026:B6和粘质沙雷氏菌)对ACE活性的抑制作用更强,但所有测试的LPS血清型均具有抑制作用。这些发现表明,LPS降低了脓毒症患者内皮细胞的ACE活性;反过来。ACE活性的降低可能会减少血管紧张素II的产生和缓激肽的分解代谢,从而在脓毒症休克的发病机制中起作用。