Mendelsohn F A, Lloyd C J, Kachel C, Funder J W
J Clin Invest. 1982 Sep;70(3):684-92. doi: 10.1172/jci110663.
The effect of corticosteroids on angiotensin converting enzyme was investigated in endothelial cell cultures and intact rat lung. Cultured endothelial cells from bovine aorta showed net production of angiotensin converting enzyme (ACE) over 2 d culture in serum-free medium. Dexamethasone (DM) increased cell ACE activity six- to sevenfold at 100 nM with a threshold effect at 0.3 nM. The effect of DM on ACE production was completely inhibited by actinomycin D or cycloheximide. Deoxycorticosterone (DOC) and aldosterone were markedly less active, with a threshold near 100 nM and significant (two to threefold) stimulation of ACE activity at 1 muM. In cells incubated in the presence of 10 nM DM, DOC (10 muM) significantly inhibited ACE production compared with 10 nM DM alone, suggesting that DOC is a partial agonist/partial antagonist in this enzyme system. Protein content of cells or medium was unchanged by steroids at all doses used. In vivo, adrenalectomized rats showed lower pulmonary ACE compared with intact controls, and when injected with DM (40 mug/d for 4 d) showed a significant (twofold, P < 0.002) increase in lung ACE over oil-injected, adrenalectomized controls; serum ACE did not change. Injection with DOC (40 mug/d) or aldosterone (10 mug/d) had no effect on lung or serum ACE. Over a range (0.6 to 2,000 mug) of concentrations of DM administered daily for 7 d, the dose-response curve of DM for induction of pulmonary ACE mirrored that for thymolysis; for both, half-maximal effects were seen at approximately 6 mug DM/d, and plateau levels at 60 mug/d. We conclude that glucocorticoids are potent inducers of ACE activity in endothelial cells in culture and in rat lung in vivo, and that the action of aldosterone and DOC reflects occupancy of glucocorticoid receptors. This effect may be of (patho)physiological relevance in regulating levels of ACE in local vascular beds, and thereby modulating local levels of the vasoactive peptides angiotensin II and bradykinin.
在内皮细胞培养物和完整大鼠肺中研究了皮质类固醇对血管紧张素转换酶的作用。来自牛主动脉的培养内皮细胞在无血清培养基中培养2天时显示出血管紧张素转换酶(ACE)的净产生。地塞米松(DM)在100 nM时使细胞ACE活性增加6至7倍,在0.3 nM时有阈值效应。放线菌素D或环己酰亚胺完全抑制了DM对ACE产生的作用。脱氧皮质酮(DOC)和醛固酮的活性明显较低,阈值接近100 nM,在1 μM时对ACE活性有显著(2至3倍)刺激。在存在10 nM DM的情况下培养的细胞中,与单独使用10 nM DM相比,10 μM的DOC显著抑制ACE产生,表明DOC在该酶系统中是部分激动剂/部分拮抗剂。在所有使用的剂量下,类固醇对细胞或培养基的蛋白质含量均无影响。在体内,与完整对照相比,肾上腺切除的大鼠肺ACE较低,当注射DM(40 μg/d,共4天)时,与注射油的肾上腺切除对照相比,肺ACE显著(两倍,P < 0.002)增加;血清ACE未改变。注射DOC(40 μg/d)或醛固酮(10 μg/d)对肺或血清ACE无影响。在每天给予7天的DM浓度范围(0.6至2000 μg)内,DM诱导肺ACE的剂量反应曲线与诱导胸腺溶解的曲线相似;对于两者,在约6 μg DM/d时出现半数最大效应,在60 μg/d时达到平台水平。我们得出结论,糖皮质激素是培养的内皮细胞和体内大鼠肺中ACE活性的有效诱导剂,醛固酮和DOC的作用反映了糖皮质激素受体的占据情况。这种作用可能在调节局部血管床中ACE水平以及由此调节血管活性肽血管紧张素II和缓激肽的局部水平方面具有(病理)生理相关性。