Why the study?
Elastase-2 generates angiotensin II and is upregulated with ACE inhibition, but the role of ACE inhibition in hemodynamic and autonomic balance in elastase-2 knockout mice remained unclear.
Does enalapril alter hemodynamic and autonomic balance in male ELA-2 KO and C57BL/6 mice?
Does enalapril alter hemodynamic and autonomic balance in male ELA-2 KO and C57BL/6 mice?
ACE inhibition with enalapril significantly decreases mean arterial pressure and increases heart rate in elastase-2 knockout mice, suggesting ACE plays a role in maintaining their hemodynamic function.
ACE inhibition alters MAP and HR in ELA-2 KO mice; leaves open compensatory RAS roles for hypothesis-generating studies.
Elastase-2 (ELA-2) is an angiotensin II-generating enzyme that participates in the cardiovascular system. ELA-2 is involved in hemodynamic and autonomic control and is upregulated in myocardial infarction and hypertension. The inhibition of angiotensin-converting enzyme (ACE) increased ELA-2 expression in the carotid arteries and heart of spontaneously hypertensive rats. In this study, we sought to investigate the role of ACE inhibition in hemodynamic and autonomic balance in elastase-2 knockout (ELA-2 KO) mice. Male ELA-2 KO and C57BL/6 mice were treated with the ACE inhibitor enalapril or saline for 10 days. After treatment, mice underwent surgery for cannulation of the femoral artery and arterial pressure recordings were made five days later in awake animals. The variability of systolic blood pressure (SBP) and pulse interval (PI) was evaluated in the time and frequency domain. Spontaneous baroreflex was assessed by the sequencing method. ACE inhibition caused a significant decrease in mean arterial pressure (117±2.2 vs 100±2.8 mmHg) and an increase in heart rate (570±32 vs 655±15 bpm) in ELA-2 KO mice. Despite a tendency towards reduction in the overall heart rate variability (standard deviation of successive values: 7.6±1.1 vs 4.7±0.6 ms, P=0.08), no changes were found in the root of the mean sum of squares or in the power of the high-frequency band. ACE inhibition did not change the spontaneous baroreflex indices (gain and baroreflex effectiveness index) in ELA-2 KO mice. Altogether, this data suggested that ACE played a role in the maintenance of hemodynamic function in ELA-2 KO mice.
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A 2022 study studied this question.
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