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Pulmonary angiotensin converting enzyme activity in elastase induced emphysema
1Department of Internal Medicine B, Bnai-Zion Medical Center, Haifa, Israel.
Summary
Pulmonary emphysema surprisingly elevates angiotensin converting enzyme (ACE) activity in the lungs. This adaptive increase in ACE may compensate for reduced capillary surface area in emphysema.
Area of Science:
- Pulmonary physiology
- Enzyme kinetics
- Cardiovascular research
Background:
- Pulmonary emphysema is characterized by a diminished capillary bed, which theoretically should reduce angiotensin converting enzyme (ACE) activity.
- Previous studies on transpulmonary angiotensin conversion in emphysema have yielded inconsistent results, showing unaffected or marginally reduced ACE activity.
Purpose of the Study:
- To investigate the activity of angiotensin converting enzyme (ACE) in an experimental model of pulmonary emphysema.
- To determine if emphysema affects the maximal velocity (Vmax) and Michaelis-Menten constant (Km) of ACE in lung homogenates.
Main Methods:
- An experimental model of emphysema was induced in hamsters using elastase.
- Lung homogenates from emphysematous and control hamsters were analyzed for ACE activity.
- Vmax and Km of ACE were determined using enzyme kinetic assays.
Main Results:
- ACE activity was significantly elevated in lungs with experimental emphysema compared to control lungs.
- The increase in ACE activity was primarily due to a marked rise in Vmax (19.2 +/- 1.7 vs. 4.9 +/- 1.6 nmol/min/mg protein, P < 0.01).
- The Km of ACE remained unaffected by the emphysematous condition.
Conclusions:
- Pulmonary emphysema leads to a significant increase in lung ACE activity, contrary to expectations based on capillary bed reduction.
- The elevated ACE activity, driven by increased Vmax, may represent an adaptive mechanism to maintain metabolic function despite reduced pulmonary capillary surface area.
- This finding suggests a complex interplay between emphysema pathology and pulmonary enzyme regulation.