Why the study?
Murine recombinant ACE2 showed renoprotective effects in experimental Alport syndrome, but the protective effect of direct Ang-[1-7] administration remained unknown.
Does Angiotensin-[1-7] attenuate kidney injury in an experimental model of Alport syndrome?
Does Angiotensin-[1-7] attenuate kidney injury in an experimental model of Alport syndrome?
Direct administration of Angiotensin-[1-7] attenuates kidney injury and inflammation in a murine model of Alport syndrome.
Ang-[1-7] merits further preclinical testing in Alport syndrome; leaves open translation to human therapy.
Angiotensin-[1–7] (Ang-[1–7]) antagonize the actions of the renin-angiotensin-system via the Mas receptor and thereby exert renoprotective effects. Murine recombinant angiotensin-converting enzyme (ACE)2 was reported to show renoprotective effects in an experimental Alport syndrome model; however, the protective effect of direct administration of Ang-[1–7] is unknown. Here, we used Col4a3 −/− mice as a model of Alport syndrome, which were treated with saline or Ang- [1–7]; saline-treated wild-type mice were used as a control group. The mice were continuously infused with saline or Ang-[1–7] (25 μg/kg/h) using osmotic mini-pumps. Col4a3 −/− mice showed increased α-smooth muscle actin (SMA), collagen, and fibronectin expression levels, which were attenuated by Ang-[1–7] treatment. Moreover, Ang-[1–7] alleviated activation of transforming growth factor-β/Smad signaling, and attenuated the protein expression of ED-1 and heme oxygenase-1, indicating reduction of renal inflammation. Ang-[1–7] treatment further reduced the expression levels of inflammatory cytokines and adhesion molecules and attenuated apoptosis in human kidney cells. Finally, Ang-[1–7] downregulated TNF-α converting enzyme and upregulated ACE2 expression. Thus, treatment with Ang-[1–7] altered the ACE2-Ang-[1–7]-Mas receptor axis in the kidneys of Col4a3 −/− mice to attenuate the nephropathy progression of Alport syndrome.
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Choi et al. (2020) studied this question.
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