Why the study?
Given the role of the renin-angiotensin system and ACE2 in cardiovascular and metabolic regulation, the study evaluated the influence of prolonged ACE2 activator treatment on atherosclerotic lesions and hepatic steatosis.
Does diminazene aceturate (DIZE) improve atherosclerotic lesions and hepatic steatosis in apoE-/- mice fed a high-fat diet?
Does diminazene aceturate (DIZE) improve atherosclerotic lesions and hepatic steatosis in apoE-/- mice fed a high-fat diet?
In an apoE-/- mouse model on a high-fat diet, the ACE2 activator diminazene aceturate stabilized atherosclerotic plaques and reduced hepatic steatosis by modulating macrophage polarization and taurine biosynthesis.
ACE2 activation stabilizes plaques and attenuates steatosis in mice; leaves open translation to human atherosclerosis or NAFLD.
Atherosclerosis and nonalcoholic fatty liver disease are leading causes of morbidity and mortality in the Western countries. The renin–angiotensin system (RAS) with its two main opposing effectors, i.e., angiotensin II (Ang II) and Ang-(1–7), is widely recognized as a major regulator of cardiovascular function and body metabolic processes. Angiotensin-converting enzyme 2 (ACE2) by breaking-down Ang II forms Ang-(1–7) and thus favors Ang-(1–7) actions. Therefore, the aim of our study was to comprehensively evaluate the influence of prolonged treatment with ACE2 activator, diminazene aceturate (DIZE) on the development of atherosclerotic lesions and hepatic steatosis in apoE−/− mice fed a high-fat diet (HFD). We have shown that DIZE stabilized atherosclerotic lesions and attenuated hepatic steatosis in apoE−/− mice fed an HFD. Such effects were associated with decreased total macrophages content and increased α-smooth muscle actin levels in atherosclerotic plaques. Moreover, DIZE changed polarization of macrophages towards increased amount of anti-inflammatory M2 macrophages in the atherosclerotic lesions. Interestingly, the anti-steatotic action of DIZE in the liver was related to the elevated levels of HDL in the plasma, decreased levels of triglycerides, and increased biosynthesis and concentration of taurine in the liver of apoE−/− mice. However, exact molecular mechanisms of both anti-atherosclerotic and anti-steatotic actions of DIZE require further investigations.
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Stachowicz et al. (2021) studied this question.
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