1. Activation of the Neuroprotective Angiotensin-Converting Enzyme 2 in Rat Ischemic Stroke.
- Author
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Bennion DM, Haltigan EA, Irwin AJ, Donnangelo LL, Regenhardt RW, Pioquinto DJ, Purich DL, and Sumners C
- Subjects
- ADAM Proteins biosynthesis, ADAM Proteins genetics, ADAM17 Protein, Angiotensin II analogs & derivatives, Angiotensin II pharmacology, Angiotensin-Converting Enzyme 2, Animals, Cerebral Infarction etiology, Cerebral Infarction pathology, Cerebrovascular Circulation drug effects, Diminazene pharmacology, Diminazene therapeutic use, Disease Models, Animal, Endothelin-1, Enzyme Activation drug effects, Imidazoles pharmacology, Imidazoles toxicity, Infarction, Middle Cerebral Artery complications, Infarction, Middle Cerebral Artery drug therapy, Infarction, Middle Cerebral Artery physiopathology, Infusions, Intraventricular, Leucine analogs & derivatives, Leucine pharmacology, Leucine toxicity, Male, Neuroprotective Agents pharmacology, Peptide Fragments pharmacology, Peptidyl-Dipeptidase A analysis, Peptidyl-Dipeptidase A blood, Proto-Oncogene Mas, Proto-Oncogene Proteins drug effects, Proto-Oncogene Proteins physiology, RNA, Messenger biosynthesis, Random Allocation, Rats, Rats, Sprague-Dawley, Receptors, G-Protein-Coupled drug effects, Receptors, G-Protein-Coupled physiology, Renin-Angiotensin System drug effects, Renin-Angiotensin System genetics, Cerebral Cortex enzymology, Corpus Striatum enzymology, Diminazene analogs & derivatives, Infarction, Middle Cerebral Artery enzymology, Neuroprotective Agents therapeutic use, Peptidyl-Dipeptidase A physiology
- Abstract
The angiotensin-converting enzyme 2/angiotensin-(1-7)/Mas axis represents a promising target for inducing stroke neuroprotection. Here, we explored stroke-induced changes in expression and activity of endogenous angiotensin-converting enzyme 2 and other system components in Sprague-Dawley rats. To evaluate the clinical feasibility of treatments that target this axis and that may act in synergy with stroke-induced changes, we also tested the neuroprotective effects of diminazene aceturate, an angiotensin-converting enzyme 2 activator, administered systemically post stroke. Among rats that underwent experimental endothelin-1-induced ischemic stroke, angiotensin-converting enzyme 2 activity in the cerebral cortex and striatum increased in the 24 hours after stroke. Serum angiotensin-converting enzyme 2 activity was decreased within 4 hours post stroke, but rebounded to reach higher than baseline levels 3 days post stroke. Treatment after stroke with systemically applied diminazene resulted in decreased infarct volume and improved neurological function without apparent increases in cerebral blood flow. Central infusion of A-779, a Mas receptor antagonist, resulted in larger infarct volumes in diminazene-treated rats, and central infusion of the angiotensin-converting enzyme 2 inhibitor MLN-4760 alone worsened neurological function. The dynamic alterations of the protective angiotensin-converting enzyme 2 pathway after stroke suggest that it may be a favorable therapeutic target. Indeed, significant neuroprotection resulted from poststroke angiotensin-converting enzyme 2 activation, likely via Mas signaling in a blood flow-independent manner. Our findings suggest that stroke therapeutics that target the angiotensin-converting enzyme 2/angiotensin-(1-7)/Mas axis may interact cooperatively with endogenous stroke-induced changes, lending promise to their further study as neuroprotective agents., (© 2015 American Heart Association, Inc.)
- Published
- 2015
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