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Tissue-specific activation of cardiac angiotensin converting enzyme in experimental heart failure

A T Hirsch1, C E Talsness, H Schunkert

  • 1Cardiovascular Physiology Laboratory, Brigham and Women's Hospital, Boston, Mass.

Circulation Research
|August 1, 1991
PubMed

Insights

Congestive heart failure increases cardiac angiotensin converting enzyme (ACE) activity in the heart tissue, but not in circulation. This localized ACE increase correlates with myocardial infarction size in heart failure rats.

Area of Science:

  • Cardiovascular Physiology
  • Biochemistry

Background:

  • The renin-angiotensin system (RAS) plays a crucial role in cardiovascular homeostasis.
  • Both circulating and tissue-specific RAS have been identified, but their roles in pathological conditions like heart failure are not fully understood.

Purpose of the Study:

  • To investigate the activity of plasma and tissue angiotensin converting enzyme (ACE) in a rat model of compensated heart failure.
  • To compare ACE activity in circulating blood versus cardiac tissue in the context of heart failure.

Main Methods:

  • Experimental heart failure was induced in rats via coronary artery ligation.
  • Three groups were studied: non-operated, sham-operated, and heart failure rats.
  • Plasma renin concentration and ACE activity in serum, cardiac tissue (right ventricle, interventricular septum), and other organs (pulmonary, aortic, renal) were measured.

Main Results:

  • Plasma renin concentration and serum ACE activity did not differ between heart failure and control groups.
  • Cardiac ACE activity, specifically in the right ventricle and interventricular septum, approximately doubled in heart failure rats compared to controls.
  • Pulmonary, aortic, and renal ACE activities remained unchanged in heart failure.
  • A significant positive correlation was found between myocardial infarction size and right ventricular ACE activity.

Conclusions:

  • Congestive heart failure is associated with a marked increase in cardiac ACE activity within the heart tissue.
  • This increase in cardiac ACE activity is localized and does not affect circulating ACE levels or ACE in other major organs.
  • The findings suggest a potential role for tissue-specific RAS in the pathophysiology of heart failure and its progression.

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