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ACE2 activation promotes antithrombotic activity.

Rodrigo A Fraga-Silva1, Brian S Sorg, Mamta Wankhede

  • 1Department of Physiology and Functional Genomics, University of Florida, Gainesville, Florida 32610, United States of America.

Molecular Medicine (Cambridge, Mass.)
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Activating angiotensin-converting enzyme 2 (ACE2) protects against thrombosis. This study shows ACE2 activation reduces thrombus formation and platelet aggregation, suggesting ACE2 as a novel therapeutic target for thrombotic diseases.

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Area of Science:

  • Cardiovascular Biology
  • Thrombosis Research
  • Enzymology

Background:

  • The renin-angiotensin system plays a crucial role in cardiovascular homeostasis.
  • Dysregulation of angiotensin-converting enzyme 2 (ACE2) activity is implicated in thrombotic disorders.
  • The protective role of the ACE2/angiotensin-(1-7)/Mas receptor axis in thrombosis requires further investigation.

Purpose of the Study:

  • To evaluate the protective effects of a novel ACE2 activator (XNT) against thrombosis.
  • To test the hypothesis that activating the ACE2 axis can prevent thrombus formation.
  • To investigate the association between ACE2 activity and thrombus formation in spontaneously hypertensive rats (SHR).

Main Methods:

  • Thrombus induction in the vena cava of spontaneously hypertensive rats (SHR) and Wistar Kyoto (WKY) rats.
  • Measurement of ACE2 and ACE activity within thrombi.
  • Real-time thrombus formation visualization using intravital microscopy in nude mice.
  • Administration of ACE2 inhibitor (DX600) and ACE2 activator (XNT) to assess their effects on thrombus formation.

Main Results:

  • SHR exhibited significantly greater thrombus weight compared to WKY rats, associated with reduced thrombus ACE2 activity.
  • ACE2 inhibition (DX600) increased thrombus weight, while XNT treatment significantly attenuated thrombus formation in SHR.
  • XNT treatment reduced platelet attachment to injured vessels, decreased thrombus size, and prolonged occlusion time in mice.

Conclusions:

  • Decreased thrombus ACE2 activity is linked to enhanced thrombus formation in SHR.
  • Activation of ACE2 by XNT effectively attenuates thrombus formation and reduces platelet aggregation.
  • The ACE2 pathway represents a promising therapeutic target for managing thrombotic diseases.