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Published on: June 7, 2016
Circulating rather than cardiac angiotensin-(1-7) stimulates cardioprotection after myocardial infarction
Yong Wang1, Cheng Qian, Anton J M Roks
1Centre for Biomedical Research, Hull York Medical School, University of Hull, Hull, United Kingdom.
Insights
Subcutaneous Angiotensin (1-7) peptide therapy benefits heart failure by stimulating cardiovascular progenitor cells. This promotes cardiac regeneration and improves heart function after myocardial infarction.
Area of Science:
- Cardiovascular Science
- Regenerative Medicine
- Endocrinology
Background:
- Angiotensin (1-7) peptide is known to attenuate heart failure development.
- Beyond cardiovascular tissue, Angiotensin (1-7) stimulates bone marrow cells, potentially complementing its therapeutic effects.
- The study investigates Angiotensin (1-7)'s role in heart failure, considering both local cardiac production and systemic administration.
Purpose of the Study:
- To investigate the effects of Angiotensin (1-7) on cardiovascular progenitor cells during heart failure induced by myocardial infarction.
- To compare the therapeutic efficacy of locally produced versus subcutaneously injected Angiotensin (1-7).
- To explore the role of cardiovascular progenitor cells in mediating the beneficial effects of Angiotensin (1-7).
Main Methods:
- In vitro and in vivo studies using rodent models, including Mas receptor-deficient and Angiotensin (1-7) overexpressing mice.
- Myocardial infarction was induced via permanent coronary artery occlusion.
- Effects of Angiotensin (1-7) on endothelial progenitor cell proliferation and cardiac function were assessed post-infarction.
Main Results:
- Angiotensin (1-7) significantly stimulated endothelial progenitor cell proliferation, an effect dependent on the Mas receptor.
- Subcutaneous Angiotensin (1-7) infusion post-myocardial infarction increased progenitor cell numbers in the heart, reduced cardiac hypertrophy, and improved cardiac function.
- Locally produced Angiotensin (1-7) within the heart did not yield similar beneficial effects.
Conclusions:
- Circulating Angiotensin (1-7) demonstrates therapeutic benefits following myocardial infarction, superior to cardiac-derived Angiotensin (1-7).
- The pro-regenerative effects are linked to Angiotensin (1-7)'s ability to stimulate cardiac progenitor cells.
- Angiotensin (1-7) represents a promising therapeutic agent for cardiovascular regeneration in pathological conditions.
Background:
Angiotensin (Ang)-(1-7) attenuates the development of heart failure. In addition to its local effects on cardiovascular tissue, Ang-(1-7) also stimulates bone marrow, which harbors cells that might complement the therapeutic effect of Ang-(1-7). We studied the effects of Ang-(1-7) either produced locally in the heart or subcutaneously injected during the development of heart failure induced by myocardial infarction (MI) and explored the role of cardiovascular progenitor cells in promoting the effects of this heptapeptide.
Methods And Results:
Effects of Ang-(1-7) on bone marrow-derived mononuclear cells in rodents, particularly endothelial progenitor cells, were investigated in vitro and in vivo in rats, in mice deficient for the putative Ang-(1-7) receptor Mas, and in mice overexpressing Ang-(1-7) exclusively in the heart. Three weeks after MI induction through permanent coronary artery occlusion, effects of Ang-(1-7) either produced locally in the heart or injected into the subcutaneous space were investigated. Ang-(1-7) stimulated proliferation of endothelial progenitor cells isolated from sham or infarcted rodents. The stimulation was blunted by A779, a Mas receptor blocker, or by Mas deficiency. Infusion of Ang-(1-7) after MI increased the number of c-kit- and vascular endothelial growth factor-positive cells in infarcted hearts, inhibited cardiac hypertrophy, and improved cardiac function 3 weeks after MI, whereas cardiomyocyte-derived Ang-(1-7) had no effect.
Conclusions:
Our data suggest circulating rather than cardiac Ang-(1-7) to be beneficial after MI. This beneficial effect correlates with a stimulation of cardiac progenitor cells in vitro and in vivo. This characterizes the heptapeptide as a promising new tool in stimulating cardiovascular regeneration under pathophysiological conditions.
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