Department of Pharmacology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
Am J Physiol Heart Circ Physiol. 2011 Aug;301(2):H565-70. doi: 10.1152/ajpheart.00534.2010. Epub 2011 May 20.
Mounting evidence suggest that tissue levels of angiotensin (ANG) II are maintained in animals submitted to chronic angiotensin-converting enzyme (ACE) inhibitor treatment. We examined the expression levels of transcripts for elastase-2, a chymostatin-sensitive serine protease identified as the alternative pathway for ANG II generation from ANG I in the rat vascular tissue and the relative role of ACE-dependent and -independent pathways in generating ANG II in the rat isolated carotid artery rings of spontaneously hypertensive rats (SHR) and Wistar normotensive rats (WNR) treated with enalapril for 7 days. Enalapril treatment decreased blood pressure of SHR only and resulted in significantly more elastase-2 mRNA expression in carotid artery of both enalapril-treated WNR and SHR. Captopril induced a comparable rightward shift of concentration-response curves to ANG I in vehicle and enalapril-treated rats, although this effect was of lesser magnitude in SHR group. Chymostatin induced a rightward shift of the dose response to ANG I in vehicle-treated and a decrease in maximal effect of 22% in enalapril-treated WNR group. Maximal response induced by ANG I was remarkably reduced by chymostatin in enalapril-treated SHR carotid artery (by 80%) compared with controls (by 23%). Our data show that chronic ACE inhibition was associated with augmented functional role of non-ACE pathway in generating ANG II and increased elastase-2 gene expression, suggesting that this protease may contribute as an alternative pathway for ANG II generation when ACE is inhibited in the rat vascular tissue.
越来越多的证据表明,在接受慢性血管紧张素转换酶(ACE)抑制剂治疗的动物中,组织中的血管紧张素(ANG)II 水平得以维持。我们检测了弹性蛋白酶-2 转录本的表达水平,弹性蛋白酶-2 是一种糜蛋白酶敏感的丝氨酸蛋白酶,被认为是大鼠血管组织中 ANG I 生成 ANG II 的替代途径,以及 ACE 依赖性和非依赖性途径在自发性高血压大鼠(SHR)和用依那普利治疗 7 天的 Wistar 正常血压大鼠(WNR)分离的颈动脉环中生成 ANG II 的相对作用。依那普利治疗仅降低 SHR 的血压,并且导致颈动脉中弹性蛋白酶-2 mRNA 的表达显著增加,无论 WNR 还是 SHR,依那普利处理的大鼠都是如此。卡托普利诱导了血管紧张素 I 在对照组和依那普利处理组大鼠中的浓度反应曲线的类似的右移,尽管这种效应在 SHR 组中较小。在依那普利处理的 WNR 组中,糜蛋白酶诱导了对血管紧张素 I 的剂量反应的右移,并且最大效应降低了 22%,而在对照组中则没有这种变化。与对照组相比,依那普利处理的 SHR 颈动脉中,血管紧张素 I 诱导的最大反应显著降低(80%),而对照组则降低(23%)。我们的数据表明,慢性 ACE 抑制与非 ACE 途径在生成 ANG II 方面的功能作用增强以及弹性蛋白酶-2 基因表达增加有关,这表明在大鼠血管组织中 ACE 被抑制时,这种蛋白酶可能作为 ANG II 生成的替代途径发挥作用。