Bonde Marie Mi, Olsen Kristine Boisen, Erikstrup Niels, Speerschneider Tobias, Lyngsø Christina, Haunsø Stig, Nielsen Morten Schak, Sheikh Søren P, Hansen Jakob Lerche
Laboratory for Molecular Cardiology, The Danish National Research Foundation Centre for Cardiac Arrhythmia, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Juliane Mariesvej 20, Section 9312, DK-2100 Copenhagen, Denmark.
Regul Pept. 2011 Feb 25;167(1):21-5. doi: 10.1016/j.regpep.2010.11.003. Epub 2010 Nov 27.
The angiotensin II type 1 receptor (AT1R) blocker (ARB) Losartan has cardioprotective effects during ischemia-reperfusion injury and inhibits reperfusion arrhythmias -effects that go beyond the benefits of lowering blood pressure. The renin-angiotensin and kallikrein-kinin systems are intricately connected and some of the cardioprotective effects of Losartan are abolished by blocking the bradykinin B2 receptor (B2R) signaling. In this study, we investigated the ability of six clinically available ARBs to specifically bind and activate the B2R. First, we investigated their ability to activate phosphoinositide (PI) hydrolysis in COS-7 cells transiently expressing the B2R. We found that only Losartan activated the B2R, working as a partial agonist compared to the endogenous ligand bradykinin. This effect was blocked by the B2R antagonist HOE 140. A competitive binding analysis revealed that Losartan does not significantly compete with bradykinin and does not change the binding affinity of bradykinin on the B2R. Furthermore, Losartan but not Candesartan mimicked the ability of bradykinin to increase the recovery of contractile force after metabolic stress in rat atrial tissue strips. In conclusion, Losartan is a partial agonist of the B2R through direct binding and activation, suggesting that B2R agonism could partly explain the beneficial effects of Losartan.
血管紧张素II 1型受体(AT1R)阻滞剂氯沙坦在缺血再灌注损伤期间具有心脏保护作用,并能抑制再灌注心律失常,其作用超出了降低血压的益处。肾素-血管紧张素系统和激肽释放酶-激肽系统紧密相连,氯沙坦的一些心脏保护作用可通过阻断缓激肽B2受体(B2R)信号传导而消除。在本研究中,我们调查了六种临床可用的血管紧张素受体阻滞剂特异性结合并激活B2R的能力。首先,我们研究了它们在瞬时表达B2R的COS-7细胞中激活磷酸肌醇(PI)水解的能力。我们发现只有氯沙坦能激活B2R,与内源性配体缓激肽相比,它起到部分激动剂的作用。这种作用被B2R拮抗剂HOE 140阻断。竞争性结合分析表明,氯沙坦与缓激肽没有明显竞争,也不会改变缓激肽对B2R的结合亲和力。此外,氯沙坦而非坎地沙坦模拟了缓激肽增加大鼠心房组织条带代谢应激后收缩力恢复的能力。总之,氯沙坦通过直接结合和激活成为B2R的部分激动剂,这表明B2R激动作用可能部分解释了氯沙坦的有益作用。