Overexpression of ACE2 enhances plaque stability in a rabbit model of atherosclerosis

被引:183
作者
Dong, Bo [2 ,3 ]
Zhang, Cheng [2 ]
Feng, Jing Bo [2 ]
Zhao, Yu Xia [2 ]
Li, Shu Ying [2 ]
Yang, Ya Pei [2 ]
Dong, Qiu Li [2 ]
Deng, Bi Ping [2 ]
Zhu, Li [2 ]
Yu, Qing Tao [2 ]
Liu, Chun Xi [2 ]
Liu, Bin [2 ]
Pan, Chun Ming [4 ]
Song, Huai Dong [4 ]
Zhang, Ming Xiang [2 ]
Zhang, Yun [1 ,2 ]
机构
[1] Shandong Univ, Qilu Hosp, Chinese Minist Hlth, Jinan 250012, Shandong, Peoples R China
[2] Chinese Minist Educ, Key Lab Cardiovasc Remodeling & Funct Res, Jinan, Shandong, Peoples R China
[3] Shandong Univ, Shandong Prov Hosp, Dept Cardiol, Jinan 250012, Shandong, Peoples R China
[4] Shanghai Jiao Tong Univ, Ctr Mol Med, Shanghai Inst Endocrinol, State Key Lab Med Gen,Ruijin Hosp, Shanghai 200030, Peoples R China
关键词
atherosclerosis; angiotensin converting enzyme 2; angiotensin; inflammation; plaque stability;
D O I
10.1161/ATVBAHA.108.164715
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Objective-The purpose of this study was to test the hypothesis that ACE2 overexpression may enhance atherosclerotic plaque stability by antagonizing ACE activity and converting angiotensin II to angiotensin 1-7. Methods and Results-Atherosclerotic plaques were induced in the abdominal aorta of 114 rabbits by endothelial injury and atherogenic diet. Gene therapy was performed in group A at week 4 and in group B at week 12, respectively. Each group of rabbits were randomly divided into 3 subgroups which received, respectively, a recombinant ACE2 expressing vector (AdACE2), a control vector AdEGFP and AdACE2+A779, an antagonist of angiotensin 1-7 receptor. Local ACE2 overexpression attenuated the progression of lesions from week 4 to week 8, but not progression of plaque size from week 12 to week 16. In group B rabbits, local ACE2 overexpression resulted in stable plaque compositions, ie, fewer macrophages, less lipid deposition and more collagen contents, higher plaque stability scores, decreased angiotensin II levels, and increased angiotensin 1-7 levels in plaque tissues in the AdACE2 subgroup compared with those in the AdEGFP subgroup. Conclusions-Overexpression of ACE2 results in stabilized atherosclerotic plaques and the mechanism is probably the conversion of vasoconstrictive angiotensin II to vessel protective angiotensin 1-7.
引用
收藏
页码:1270 / 1276
页数:7
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