Endogenous activated angiotensin-(1-7) plays a protective effect against atherosclerotic plaques unstability in high

Jianmin Yang1, Xiaoyan Yang1, Xiao Meng1

  • 1The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Public Health, Qilu Hospital, Shandong University, Jinan, Shandong, PR China.

Abstract

Insights

Endogenous angiotensin-(1-7) [Ang-(1-7)] stabilizes late atherosclerotic plaques but does not impact early lesion formation. Therapies boosting Ang-(1-7) may reduce plaque vulnerability.

Area of Science:

  • Cardiovascular Research
  • Endocrinology
  • Vascular Biology

Background:

  • Exogenous angiotensin-(1-7) [Ang-(1-7)] inhibits Angiotensin II (Ang-II)-induced atherosclerosis and improves plaque stability.
  • The role of endogenous Ang-(1-7) in atherosclerosis remains to be fully elucidated.

Purpose of the Study:

  • To evaluate the role of endogenous activated Ang-(1-7) in the development and progression of atherosclerosis.

Main Methods:

  • ApoE knockout (ApoE-/-) mice on a high-fat diet were used to study atherogenesis.
  • Endogenous Ang-(1-7) was blocked using the antagonist A779.
  • Lesion formation, plaque composition (lipids, macrophages, VSMCs, collagen), and inflammatory markers were analyzed.

Main Results:

  • Blocking endogenous Ang-(1-7) did not affect early plaque formation but worsened late plaque stability.
  • A779 treatment increased lipids and macrophages, while decreasing VSMCs and collagen in late lesions.
  • Proinflammatory cytokines and matrix metalloproteinases were elevated in the A779-treated group.
  • Exogenous Ang-(1-7) attenuated early plaque formation and enhanced late plaque stability.
  • Ang-II, Ang-(1-7), and ACE2 levels were higher in late vs. early lesions.

Conclusions:

  • Endogenous Ang-(1-7) enhances atherosclerotic plaque stability in later stages.
  • Endogenous Ang-(1-7) does not influence early atherosclerotic plaque formation.
  • Therapeutic strategies aimed at increasing endogenous Ang-(1-7) show promise for treating atherosclerotic plaque vulnerability.