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October 1, 1999Journal of Clinical Investigation566 citationsOpen Access

Angiotensin II type 2 receptor overexpression activates the vascular kinin system and causes vasodilation

YTYoshiaki TsutsumiHMHiroaki MatsubaraHMHiroya Masaki

Key Result

Targeted overexpression of the AT2 receptor in vascular smooth muscle cells completely abolished the Angiotensin II-mediated pressor effect through an endothelium-dependent bradykinin/nitric oxide pathway.

Structured PICO

Does AT2 overexpression in vascular smooth muscle cells prevent Ang II-induced pressor effects in mice?

P
Population
Male C57BL/6 transgenic mice overexpressing AT2 in vascular smooth muscle cells, aged 16-18 weeks, used to study blood pressure and vascular responses.
I
Intervention
Chronic infusion of Angiotensin II
O
Outcome
AT1-mediated pressor effect and vascular constrictionsurrogate

AT2 receptor overexpression in vascular smooth muscle cells promotes vasodilation via the bradykinin-NO-cGMP pathway, counteracting Ang II-induced pressor effects.

Main Result

p-value: p=<0.05

Limitations

  • Animal model findings may not fully translate to human physiology
  • The exact mechanism by which AT2 stimulates kininogenase activity could not be fully determined

Abstract

Angiotensin II (Ang II) is a potent vasopressor peptide that interacts with 2 major receptor isoforms - AT1 and AT2. Although blood pressure is increased in AT2 knockout mice, the underlying mechanisms remain undefined because of the low levels of expression of AT2 in the vasculature. Here we overexpressed AT2 in vascular smooth muscle (VSM) cells in transgenic (TG) mice. Aortic AT1 was not affected by overexpression of AT2. Chronic infusion of Ang II into AT2-TG mice completely abolished the AT1-mediated pressor effect, which was blocked by inhibitors of bradykinin type 2 receptor (icatibant) and nitric oxide (NO) synthase (L-NAME). Aortic explants from TG mice showed greatly increased cGMP production and diminished Ang II-induced vascular constriction. Removal of endothelium or treatment with icatibant and L-NAME abolished these AT2-mediated effects. AT2 blocked the amiloride-sensitive Na(+)/H(+) exchanger, promoting intracellular acidosis in VSM cells and activating kininogenases. The resulting enhancement of aortic kinin formation in TG mice was not affected by removal of endothelium. Our results suggest that AT2 in aortic VSM cells stimulates the production of bradykinin, which stimulates the NO/cGMP system in a paracrine manner to promote vasodilation. Selective stimulation of AT2 in the presence of AT1 antagonists is predicted to have a beneficial clinical effect in controlling blood pressure.

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Cite This Study

Tsutsumi et al. (1999) studied Blood pressure regulation. AT2 receptor overexpression and Angiotensin II infusion vs. Wild-type mice was evaluated on Change in mean blood pressure after chronic Angiotensin II infusion (p=<0.05). Targeted overexpression of the AT2 receptor in vascular smooth muscle cells completely abolished the Angiotensin II-mediated pressor effect through an endothelium-dependent bradykinin/nitric oxide pathway.

synapsesocial.com/papers/6a1fda307110a651dc049428https://doi.org/10.1172/jci7886
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