Angiotensin-(1-7) significantly attenuated the Angiotensin II-mediated increase in myocyte cross-sectional area and interstitial fibrosis, associated with upregulation of dual-specificity phosphatase 1.
Does ANG-(1-7) attenuate ANG II-induced cardiac remodeling in a rat model of hypertension?
ANG-(1-7) attenuates ANG II-induced cardiac hypertrophy and fibrosis in vivo independently of blood pressure, likely via upregulation of DUSP-1 and subsequent reduction in ERK1/2 activity.
Absolute Event Rate: 25.5% vs 57.2%
p-value: p=<0.001
Chronic hypertension induces cardiac remodeling, including left ventricular hypertrophy and fibrosis, through a combination of both hemodynamic and humoral factors. In previous studies, we showed that the heptapeptide ANG-(1-7) prevented mitogen-stimulated growth of cardiac myocytes in vitro, through a reduction in the activity of the MAPKs ERK1 and ERK2. In this study, saline- or ANG II-infused rats were treated with ANG-(1-7) to determine whether the heptapeptide reduces myocyte hypertrophy in vivo and to identify the signaling pathways involved in the process. ANG II infusion into normotensive rats elevated systolic blood pressure >50 mmHg, in association with increased myocyte cross-sectional area, ventricular atrial natriuretic peptide mRNA, and ventricular brain natriuretric peptide mRNA. Although infusion with ANG-(1-7) had no effect on the ANG II-stimulated elevation in blood pressure, the heptapeptide hormone significantly reduced the ANG II-mediated increase in myocyte cross-sectional area, interstitial fibrosis, and natriuretic peptide mRNAs. ANG II increased phospho-ERK1 and phospho-ERK2, whereas cotreatment with ANG-(1-7) reduced the phosphorylation of both MAPKs. Neither ANG II nor ANG-(1-7) altered the ERK1/2 MAPK kinase MEK1/2. However, ANG-(1-7) infusion, with or without ANG II, increased the MAPK phosphatase dual-specificity phosphatase (DUSP)-1; in contrast, treatment with ANG II had no effect on DUSP-1, suggesting that ANG-(1-7) upregulates DUSP-1 to reduce ANG II-stimulated ERK activation. These results indicate that ANG-(1-7) attenuates cardiac remodeling associated with a chronic elevation in blood pressure and upregulation of a MAPK phosphatase and may be cardioprotective in patients with hypertension.
McCollum et al. (Sat,) conducted a other in Angiotensin II-induced cardiac remodeling (n=24). Angiotensin-(1-7) vs. Angiotensin II alone was evaluated on Myocyte cross-sectional area (MCSA) increase compared to saline control (p=<0.001). Angiotensin-(1-7) significantly attenuated the Angiotensin II-mediated increase in myocyte cross-sectional area and interstitial fibrosis, associated with upregulation of dual-specificity phosphatase 1.
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