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Modulation of the apelin/APJ system in heart failure and atherosclerosis in man
Sarah L Pitkin1, Janet J Maguire, Rhoda E Kuc
1Clinical Pharmacology Unit, University of Cambridge, Level 6 Centre for Clinical Investigation, Box 110 Addenbrooke's Hospital, Cambridge, UK.
Insights
The apelin/APJ system shows altered expression in human cardiovascular disease, with decreased receptor density in heart failure and increased apelin in atherosclerotic arteries, suggesting a potential role in disease progression.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Molecular Biology
Background:
- The apelin/APJ system plays a role in cardiovascular function.
- Its involvement in human cardiovascular diseases is not fully understood.
Purpose of the Study:
- To investigate alterations in the apelin/APJ system at the protein level in human cardiovascular disease.
- To determine changes in apelin peptide and apelin receptor expression in diseased cardiac and vascular tissues.
Main Methods:
- Radioligand binding assays to quantify apelin receptor density in human cardiac tissue.
- Radioimmunoassay to measure apelin peptide levels in cardiovascular tissues.
- In vitro pharmacology and immunohistochemistry to assess apelin's vasoactive properties and localization in human coronary arteries.
Main Results:
- Apelin receptor density was significantly reduced in the left ventricle of patients with dilated cardiomyopathy or ischemic heart disease.
- Apelin peptide levels were unchanged in cardiac tissue but increased in atherosclerotic coronary arteries, localizing to plaques.
- Apelin demonstrated potent vasoconstrictive effects on human coronary arteries.
Conclusions:
- The apelin/APJ system is indeed altered in human cardiovascular and vascular diseases.
- Reduced receptor density in heart failure may impair apelin's positive inotropic effects, contributing to contractile dysfunction.
- Increased apelin in atherosclerotic arteries suggests a potential role in disease progression, warranting further investigation.
Background And Purpose:
The aim of this study was to determine whether the apelin/APJ system is altered in human cardiovascular disease by investigating whether the expression of apelin or its receptor is altered at the protein level.
Experimental Approach:
Radioligand binding studies were used to determine apelin receptor density in human cardiac tissues. Apelin peptide levels in cardiovascular tissues were determined by radioimmunoassay. In vitro pharmacology was used to assess vasoactive properties of apelin in human coronary artery. Localization of apelin and its receptor in coronary artery was determined using immunohistochemistry.
Key Results:
Apelin receptor density was significantly decreased in left ventricle from patients with dilated cardiomyopathy or ischaemic heart disease compared with controls, but apelin peptide levels remained unchanged. Apelin was up-regulated in human atherosclerotic coronary artery and this additional peptide localized to the plaque, colocalizing with markers for macrophages and smooth muscle cells. Apelin potently constricted human coronary artery.
Conclusions And Implications:
We have detected changes in the apelin/APJ system in human diseased cardiac and vascular tissue. The decrease in receptor density in heart failure may limit the positive inotropic actions of apelin, contributing to contractile dysfunction. The contribution of the increased apelin levels in atherosclerotic coronary artery to disease progression remains to be determined. These data suggest a potential role for the apelin/APJ system in human cardiovascular disease.
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