Effects of enalapril on the expression of cardiac angiotensin-converting enzyme and angiotensin-converting enzyme 2 in spontaneously hypertensive rats




Summary


Background


The discovery of angiotensin-converting enzyme 2 (ACE2) has greatly modified understanding of the renin-angiotensin system (RAS).


Aims


To investigate the cardiac expression of ACE2 and ACE in spontaneously hypertensive rats (SHRs) and the effects of enalapril on them.


Methods


Fifteen SHRs were randomly assigned to two groups: an SHR control group ( n = 7), treated with vehicle; and an enalapril group ( n = 8), treated with enalapril (15 mg/kg/day). After 4 weeks of treatment, the rats were killed and the left ventricular tissue was dissected. Reverse transcription-polymerase chain reaction and Western blot protein staining were performed to detect expression of ACE2 and ACE messenger ribonucleic acid (mRNA) and protein. Ten Wistar Kyoto rats (WKYs) served as the normotensive control group, which were treated with vehicle.


Results


Compared with in normotensive WKYs, cardiac expression of ACE mRNA and protein in SHRs was increased (1.68 ± 0.34 vs. 0.33 ± 0.12, P < 0.05 and 1.21 ± 0.14 vs. 0.71 ± 0.11, P < 0.05, respectively), whereas cardiac expression of ACE2 mRNA and protein was decreased (0.50 ± 0.15 vs. 1.16 ± 0.24, P < 0.05 and 0.71 ± 0.24 vs. 1.22 ± 0.14, P < 0.05, respectively). After treatment with enalapril, the levels of ACE mRNA and protein were decreased (0.44 ± 0.19 vs. 1.68 ± 0.34, P < 0.01 and 0.87 ± 0.13 vs. 1.21 ± 0.14, P < 0.05, respectively), the level of ACE2 mRNA was increased (1.77 ± 0.49 vs. 0.50 ± 0.15, P < 0.05) but the level of ACE2 protein remained unchanged.


Conclusions


In SHRs, the expression of cardiac ACE was remarkably increased, whereas ACE2 was notably decreased. Reduction of ACE and elevation of ACE2 might be one of the mechanisms underlying the antihypertensive function of enalapril.


Résumé


Justification


La découverte de l’enzyme de conversion de l’angiotensine 2 (ACA2) a modifié de façon substantielle la compréhension du système rénine-angiotensine (RAS).


Objectifs


Évaluer l’expression cardiaque de l’ACE 2 et de l’ACE chez des rats spontanément hypertendus (SHRs) ainsi que les effets de l’énalapril sur leur expression.


Méthode


Quinze rats spontanément hypertendus ont été randomisés en deux groupes: SHR contrôle ( n = 7) non traités et SHR traités par énalapril ( n = 8) a une dose de 15 mg/kg par jour. Après quatre semaines de traitement, les reins ont été sacrifiés et le myocarde ventriculaire gauche a été analysé. Une PCR et un western blot ont été effectués pour détecter l’expression de l’ACE2 et du messager de l’ACE (RNAm) ainsi que la protéine correspondante. Dix rats Kyoto Wistar (WKYs) ont servi de groupe de témoin normotendu, non traité.


Résultats


Comparativement aux rats normotendus WKYs, l’expression cardiaque de l’ARM messager de l’ACE et la protéine chez les rats hypertendus (SHRs) étaient augmentées (1,68 ± 0,34 versus 0,33 ± 0,12, p < 0,05 et 1,21 ± 0,14 versus 0,71 ± 0,11, p < 0,05 respectivement). Tandis que l’expression cardiaque de l’ARM messager de l’ACE2 et la protéine était diminuée (0,50 ± 0,15 versus 1,16 ± 0,24, p < 0,05 et 0,71 ± 0,24 versus 1,22 ± 0,14, p < 0,05 respectivement). Après traitement par énalapril, les concentrations d’ARM messager de l’ACE et de la protéine étaient diminués (0,44 ± 0,19 versus 1,68 ± 0,34, p < 0,01 et 0,87 ± 0,13) versus l’ACE2 était augmentée (1,77 ± 0,49 versus 0,50 ± 0,15, p < 0,05) mais la concentration de protéine ACE2 n’était pas modifiée.


Conclusion


Chez des rats SHRs, l’expression de l’ACE cardiaque est augmentée de façon significative tandis que celle de l’ACE 2 est diminuée de façon significative. La réduction de l’ACE et l’élévation de l’ACE2 serait un des mécanismes sous tendant l’effet antihypertenseur de l’énalapril.


Background


The discovery of angiotensin-converting enzyme 2 (ACE2) has changed our understanding of the renin-angiotensin system (RAS). During the past decade, ACE2 has attracted more and more attention and is gradually becoming a new focus of research. ACE2 is one of the key enzymes in RAS that play important roles in the regulation of blood pressure and maintenance of cardiac function; it has gradually come to be considered as one of the new targets for the treatment of cardiovascular disease .


There is increasing evidence that ACE2 is closely related to hypertension. Blocking agents of RAS, such as ACE inhibitors (ACEIs) and angiotensin receptor blockers (ARBs), can elevate the level of ACE2 .


It will be more informative and persuasive if ACE2 can be studied, not only horizontally together with ACE but also vertically, at the levels of transcription and translation. Moreover, different ACEIs might, to a certain extent, have various pharmacological effects and thereby different effects on ACE2. So it is still necessary to study the different effects of different ACEIs on ACE2/ACE, which may enrich our understanding of the pharmacological effects of ACEIs.


In this study, we used spontaneously hypertensive rats (SHRs) as the animal model and Wistar Kyoto rats (WKYs) as the control group. Reverse transcription-polymerase chain reaction (RT-PCR) and Western blot protein staining were employed to detect cardiac ACE and ACE2, facilitating study of the possible role played by ACE2 in hypertension in SHRs. Moreover, to explore in depth the mechanisms of ACEIs, enalapril was used to treat SHRs and its effects on cardiac ACE and ACE2 were investigated.




Methods


Animals


Fifteen male SHRs (Shanghai laboratory animal centre), aged 16 weeks and with an average body weight of 39 ± 21 g, were randomized into two groups: an SHR control group ( n = 7), treated with vehicle; and an SHR enalapril group ( n = 8), treated with enalapril (15 mg/kg/day). Treatment lasted for 4 weeks. During the treatment period, body weight and tail blood pressure were measured once per week and the enalapril dose was adjusted based upon body weight. Ten WKYs served as the normotensive control group and were also treated with vehicle. At the end of treatment, the rats were killed and the left ventricles were dissected carefully and frozen and stored in liquid nitrogen for RT-PCR and Western blot protein staining.


The study was approved by the Animal Care and Use Committee of Suzhou University and our study followed the principles in the Declaration of Helsinki.


Isolation of total ribonucleic acid and reverse transcription-polymerase chain reaction


Total RNA was isolated according to the Trizol reagent manual and reverse transcription was performed using Moloney murine leukaemia virus reverse transcriptase in a mixture containing deoxyribonucleotides, random hexamers and ribonuclease inhibitor in reverse transcriptase buffer. Elongation factor 1α (EF1α) was used as the internal standard. The PCR assay was performed using the primers for ACE, ACE2 and EF1α described by Sakima et al. ( Table 1 ). The PCR amplification conditions (30 cycles) were as follows: denaturing, 94 °C for 90 seconds; annealing, 56 °C for 45 seconds; elongation, 72 °C for 45 seconds. Primers for EF1α were added to all reactions at the cycle number indicated in Table 1 . Finally, an elongation was performed at 72 °C for 10 minutes. Amplification products were separated on a 1% agarose gel dyed by Loading Dye I. The bands were visualized and the optical density was quantified by the Bio-Rad computerized densitometry system (Bio-Rad Laboratories, Inc., Hercules, CA, USA). The target messenger ribonucleic acid (mRNA) concentration was expressed as the ratio of target gene to the internal standard EF1α gene.



Table 1

Primer pairs for ACE, ACE2 and EF1α messenger ribonucleic acid.

















































Gene Primer sequence Size (bp) Total circles a
ACE Forward 5′-TTGACGTGAGCAACTTCCAG-3′ 421 30 (13)
Reverse 5′-GGCTGCAGCTCCTGGTATAG-3′
ACE2 Forward 5′-GTGCACAAAGGTCACAATGG-3′ 410 30 (14)
Reverse 5′-TGTTTCATCATGAGGCAGAGG-3′
EF1α Forward 5′-GGAATGGTGACAACATGCTG-3′ 347
Reverse 5′-CGTTGAAGCCTACATTGTCC-3′

ACE: angiotensin-converting enzyme; bp: base pairs; EF: elongation factor.

a The number of amplification cycles performed for the specific target gene. The primer pairs for the EF1α control were added after the number of cycles indicated in parentheses.



Western blot


The membrane protein was isolated using cell lysis buffer containing a proteinase inhibitor mixture. Protein concentration was determined using the Bradford method. Sample proteins (10 μg/lane) and a prestained protein weight marker were loaded and size fractionated by sodium dodecyl sulphate polyacrylamide gels. The proteins were then transferred from the gel onto nitrocellulose membranes and blocked with 1% non-fat skimmed milk in phosphate-buffered solution (PBS) for 45 minutes at room temperature under gentle agitation on a shaker. The membranes were then incubated overnight at 4 °C with the primary antibody (1:200, Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA) in PBS containing 0.5% non-fat skimmed milk buffer. On the following day, the membranes were thoroughly washed three times (10 minutes each) using PBS containing 0.1% Tween. Positive bands were developed using the Western Blotting Analysis System (Tiandz, Beijing, China) in which horseradish peroxidase-conjugated secondary antibody was diluted at 1/10,000 and incubated for 1 hour at room temperature. The membranes were then visualized by chemiluminescence and photographed using an x-ray. The protein bands on the x-ray films were quantified by densitometry scanning and corrected for β-actin. The target protein was expressed as the ratio of target protein to β-actin.


Statistical analysis


Data were analysed using SPSS 11.0 software. Each value was expressed as mean ± standard error of the mean. Significant differences were obtained when P < 0.05. Differences between two groups were analysed using the t test. One-way analysis of variance was used to analyse the differences between multiple groups.

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Jul 12, 2017 | Posted by in CARDIOLOGY | Comments Off on Effects of enalapril on the expression of cardiac angiotensin-converting enzyme and angiotensin-converting enzyme 2 in spontaneously hypertensive rats

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