Why the study?
Does atorvastatin modulate angiotensin I metabolism and RAS enzyme expression in TNF-α-activated rat vascular smooth muscle cells?
Does atorvastatin modulate angiotensin I metabolism and RAS enzyme expression in TNF-α-activated rat vascular smooth muscle cells?
Atorvastatin enhances the ACE2/Ang-(1-7) axis in vascular smooth muscle cells, suggesting a novel mechanism for its cardiovascular benefits.
Should not alter statin use in vascular disease; leaves open whether atorvastatin enhances the ACE2/Ang-(1-7) axis in humans.
INTRODUCTION: Vascular smooth muscle cells (VSMCs) are essential for maintaining vasculature homeostasis and function. By influence on its growth and activation both proinflammatory cytokines and peptides of the renin-angiotensin system (RAS) are potent regulators of VSMCs. Interestingly, angiotensin (Ang) II and Ang-(1-7) elicit opposite effects on VSMC activation, differentiation and proliferation. It has been suggested that statins, besides anti-inflammatory effects, may also modulate VSMC activation by their influence on the RAS. METHODS: The effect of atorvastatin on Ang I metabolism in a culture of explanted rat VSMCs was examined by liquid chromatography-mass spectrometry (LC-MS); expression of mRNA of the main RAS enzymes in VSMC was assessed by real-time polymerase chain reaction (PCR). RESULTS: In VSMC culture Ang-(1-7) was identified as a major product of Ang I metabolism. In this setting, TNF-α (1 ng/ml) caused a decrease in the conversion of Ang I to Ang-(1-7). This effect was accompanied by a decrease of mRNA expression of neutral endopeptidase (NEP) and angiotensin converting enzyme 2 (ACE2) and increase of mRNA of ACE. Interestingly, atorvastatin (3 μM) attenuated the effects of TNF-α on Ang-(1-7) production as well as reversed the influence of TNF-α on ACE and ACE2 expression. CONCLUSIONS: Enhancement by atorvastatin of the ACE2/Ang-(1-7) axis in VSMCs could represent a new and beneficial mechanism on cardiovascular action of this widely used drug.
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Suski et al. (2013) studied this question.
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