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Angiotensin-(1-7) prevents diabetes-induced cardiovascular dysfunction
Ibrahim F Benter1, Mariam H M Yousif, Constantin Cojocel
1Dept. of Pharmacology and Toxicology, Faculty of Medicine, Kuwait University, P. O. Box 24923, Safat 13110, Kuwait. ibenter@hsc.edu.kw
Abstract:
The aim of this study was to test the hypothesis that treatment with angiotensin-(1-7) [ANG-(1-7)] or ANG-(1-7) nonpeptide analog AVE-0991 can produce protection against diabetes-induced cardiovascular dysfunction. We examined the influence of chronic treatment (4 wk) with ANG-(1-7) (576 microg.kg(-1).day(-1) ip) or AVE-0991 (576 microg.kg(-1).day(-1) ip) on proteinuria, vascular responsiveness of isolated carotid and renal artery ring segments and mesenteric bed to vasoactive agonists, and cardiac recovery from ischemia-reperfusion in streptozotocin-treated rats (diabetes). Animals were killed 4 wk after induction of diabetes and/or treatment with ANG-(1-7) or AVE-0991. There was a significant increase in urine protein (231 +/- 2 mg/24 h) in diabetic animals compared with controls (88 +/- 6 mg/24 h). Treatment of diabetic animals with ANG-(1-7) or AVE-0991 resulted in a significant reduction in urine protein compared with vehicle-treated diabetic animals (183 +/- 16 and 149 +/- 15 mg/24 h, respectively). Treatment with ANG-(1-7) or AVE-0991 also prevented the diabetes-induced abnormal vascular responsiveness to norepinephrine, endothelin-1, angiotensin II, carbachol, and histamine in the perfused mesenteric bed and isolated carotid and renal arteries. In isolated perfused hearts, recovery of left ventricular function from 40 min of global ischemia was significantly better in ANG-(1-7)- or AVE-0991-treated animals. These results suggest that activation of ANG-(1-7)-mediated signal transduction could be an important therapeutic strategy to reduce cardiovascular events in diabetic patients.
Insights
Treatment with angiotensin-(1-7) [ANG-(1-7)] or its analog AVE-0991 protected against diabetes-induced cardiovascular dysfunction. These findings suggest a potential therapeutic strategy for diabetic patients to reduce cardiovascular events.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Pharmacology
Background:
- Diabetes mellitus is associated with significant cardiovascular complications.
- Diabetic cardiovascular dysfunction involves alterations in vascular responsiveness and cardiac function.
- The renin-angiotensin system plays a critical role in cardiovascular regulation.
Purpose of the Study:
- To investigate the protective effects of angiotensin-(1-7) [ANG-(1-7)] and its nonpeptide analog AVE-0991 against diabetes-induced cardiovascular dysfunction.
- To assess the impact of ANG-(1-7) and AVE-0991 on proteinuria, vascular reactivity, and cardiac recovery from ischemia-reperfusion in a diabetic rat model.
Main Methods:
- Streptozotocin-induced diabetic rats were treated with ANG-(1-7) or AVE-0991 for 4 weeks.
- Evaluated proteinuria, vascular responsiveness to vasoactive agonists in isolated arteries and mesenteric beds.
- Assessed cardiac recovery from ischemia-reperfusion in isolated perfused hearts.
Main Results:
- Diabetes significantly increased proteinuria, which was reduced by ANG-(1-7) and AVE-0991 treatment.
- Both treatments prevented diabetes-induced abnormal vascular responsiveness to various agonists.
- Cardiac function recovery from ischemia-reperfusion was significantly improved in treated diabetic rats.
Conclusions:
- Activation of angiotensin-(1-7) [ANG-(1-7)]-mediated pathways confers protection against diabetes-induced cardiovascular dysfunction.
- ANG-(1-7) and AVE-0991 demonstrate therapeutic potential for mitigating cardiovascular complications in diabetes.
- Targeting ANG-(1-7) signaling represents a promising strategy for managing cardiovascular events in diabetic patients.
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