Activation of angiotensin-converting enzyme 2/angiotensin-(1-7)/Mas axis attenuates the cardiac reactivity to acute emotional stress

被引：38

作者：

Lima, Augusto Martins ^{[1
]}

Xavier, Carlos Henrique ^{[1
,5
]}

Ferreira, Anderson Jose ^{[2
]}

Raizada, Mohan K. ^{[3
]}

Wallukat, Gerd ^{[4
]}

Pimenta Velloso, Elizabeth Portugal ^{[1
]}

Sousa dos Santos, Robson Augusto ^{[1
]}

Peliky Fontes, Marco Antonio ^{[1
]}

机构：

[1] Univ Fed Minas Gerais, Dept Fisiol & Biofis ICB, Inst Ciencias Biol, Natl Inst Sci & Technol Nanobiopharmaceut INCT Na, BR-31270901 Belo Horizonte, MG, Brazil

[2] Univ Fed Minas Gerais, Inst Ciencias Biol, Dept Morfol, BR-31270901 Belo Horizonte, MG, Brazil

[3] Univ Florida, Dept Physiol & Funct Gen, Gainesville, FL USA

[4] Max Delbruck Ctr Mol Med, Berlin, Germany

[5] Univ Fed Goias, Inst Ciencias Biol, Dept Ciencias Fisiol, Goiania, Go, Brazil

来源：

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY | 2013年 / 305卷 / 07期

关键词：

angiotensin; cardiovascular; stress; ROSTRAL VENTROLATERAL MEDULLA; SPONTANEOUSLY HYPERTENSIVE-RATS; BRAIN-SELECTIVE OVEREXPRESSION; CENTRAL-NERVOUS-SYSTEM; CHRONIC HEART-FAILURE; BLOOD-PRESSURE; CARDIOVASCULAR-RESPONSES; DORSOMEDIAL HYPOTHALAMUS; ARTERIAL BARORECEPTORS; MAS PROTOONCOGENE;

D O I：

10.1152/ajpheart.00433.2013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recent data indicate the brain angiotensin-converting enzyme/ANG II/AT(1) receptor axis enhances emotional stress responses. In this study, we investigated whether its counterregulatory axis, the angiotensin-converting enzyme 2 (ACE2)/ANG-(1-7)/Mas axis, attenuate the cardiovascular responses to acute emotional stress. In conscious male Wistar rats, the tachycardia induced by acute stress (air jet 10 l/min) was attenuated by intravenous injection of ANG-(1-7) [Delta heart rate (HR): saline 136 +/- 22 vs. ANG-(1-7) 61 +/- 25 beats/min; P < 0.05]. Peripheral injection of the ACE2 activator compound, XNT, abolished the tachycardia induced by acute stress. We found a similar effect after intracerebroventricular injections of either ANG-(1-7) or XNT. Under urethane anesthesia, the tachycardia evoked by the beta-adrenergic agonist was markedly reduced by ANG-(1-7) [Delta HR: saline 100 +/- 16 vs. ANG-(1-7) 18 +/- 15 beats/min; P < 0.05]. The increase in renal sympathetic nerve activity (RSNA) evoked by isoproterenol was also abolished after the treatment with ANG-(1-7) [Delta RSNA: saline 39% vs. ANG-(1-7) -23%; P < 0.05]. The tachycardia evoked by disinhibition of dorsomedial hypothalamus neurons, a key nucleus for the cardiovascular response to emotional stress, was reduced by similar to 45% after intravenous injection of ANG-(1-7). In cardiomyocyte, the incubation with ANG-(1-7) (1 mu M) markedly attenuated the increases in beating rate induced by isoproterenol. Our data show that activation of the ACE2/ANG-(1-7)/Mas axis attenuates stress-induced tachycardia. This effect might be either via the central nervous system reducing anxiety level and/or interfering with the positive chronotropy mediated by activation of cardiac beta adrenergic receptors. Therefore, ANG-(1-7) might contribute to reduce the sympathetic load to the heart during situations of emotional stress, reducing the cardiovascular risk.

引用

页码：H1057 / H1067

页数：11