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July 29, 2015DiabetesOpen Access

ACE2 Deficiency Worsens Epicardial Adipose Tissue Inflammation and Cardiac Dysfunction in Response to Diet-Induced Obesity

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Why the study?

Does ACE2 deficiency worsen epicardial adipose tissue inflammation and cardiac dysfunction in response to diet-induced obesity, and does Ang 1-7 administration reverse this?

Population

ACE2 null and wild-type mice fed a high-fat diet or a control diet, studied at 6 months of age. Also…

Comparison

Ang 1-7 administration and ACE2 knockout vs Wild-type mice, control diet, or ACE2KO-HFD mice…

Design

Preclinical

Follow-up

Studied at 6 months of age

Key result

ACE2 deficiency worsened epicardial adipose tissue inflammation and cardiac dysfunction in response to diet-induced obesity, which was normalized by Ang 1-7 (24 µg/kg/h).

Authors

VPVaibhav B. PatelJMJun MoriBMBrent A. McLean

Discussion

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Member takes

Overview

May caution against ACE2 inhibition in obese patients; leaves open whether enhancing the ACE2/Ang 1-7 axis improves cardiac outcomes.

Structured PICO

Does ACE2 deficiency worsen epicardial adipose tissue inflammation and cardiac dysfunction in response to diet-induced obesity, and does Ang 1-7 administration reverse this?

P
Population
ACE2 null and wild-type mice fed a high-fat or control diet, evaluated at 6 months of age, alongside human epicardial adipose tissue from patients with obesity and heart failure.
E
Exposure
Ang 1-7 (24 µg/kg/h) administration (in ACE2KO-HFD mice) and ACE2 knockout (genetic model)
C
Comparator
Wild-type mice, control diet, or ACE2KO-HFD mice without Ang 1-7
O
Outcome
Epicardial adipose tissue (EAT) inflammation and cardiac dysfunctionsurrogate

ACE2 protects against obesity-induced epicardial adipose tissue inflammation and cardiac insulin resistance, suggesting a therapeutic role for the ACE2/Ang 1-7 axis in obesity-related heart failure.

Cite This Study

Patel et al. (2015) studied Obesity-mediated cardiac dysfunction. ACE2 deficiency and high-fat diet (with subsequent Ang 1-7 administration) vs. Wild-type mice and control diet was evaluated on Epicardial adipose tissue inflammation and cardiac dysfunction. ACE2 deficiency worsened epicardial adipose tissue inflammation and cardiac dysfunction in response to diet-induced obesity, which was normalized by Ang 1-7 (24 µg/kg/h).

synapsesocial.com/papers/6a6cf810e36a167817dfcadehttps://doi.org/10.2337/db15-0399
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