Increased ACE 2 and decreased ACE protein in renal tubules from diabetic mice: a renoprotective combination?

M Ye, J Wysocki, P Naaz, MR Salabat, MS LaPointe… - …, 2004 - Am Heart Assoc
M Ye, J Wysocki, P Naaz, MR Salabat, MS LaPointe, D Batlle
Hypertension, 2004Am Heart Assoc
Unlike the ubiquitous angiotensin-converting enzyme (ACE), the ACE-related
carboxypeptidase 2 (ACE 2) is predominantly expressed in the heart, kidney, and testis.
ACE 2 degrades angiotensin (Ang) II to Ang (1–7) and Ang I to Ang (1–9). We investigated
the expression of ACE and ACE 2 in a rodent model of type 2 diabetes. ACE and ACE 2
were measured in kidney and heart from 8-week-old no diabetic control (db/m) mice and
diabetic (db/db) mice, which at this young age have obesity and hyperglycemia without …
Unlike the ubiquitous angiotensin-converting enzyme (ACE), the ACE-related carboxypeptidase 2 (ACE 2) is predominantly expressed in the heart, kidney, and testis. ACE 2 degrades angiotensin (Ang) II to Ang (1–7) and Ang I to Ang (1–9). We investigated the expression of ACE and ACE 2 in a rodent model of type 2 diabetes. ACE and ACE 2 were measured in kidney and heart from 8-week-old no diabetic control (db/m) mice and diabetic (db/db) mice, which at this young age have obesity and hyperglycemia without nephropathy. In renal cortical tissue, ACE mRNA was reduced (db/db 0.31±0.06 versus db/m 0.99±0.05; P<0.005), whereas ACE 2 mRNA was not (db/db 0.94±0.05 versus db/m 1.03±0.11, NS). ACE protein was markedly reduced in kidney cortex of db/db mice (db/db 0.24±0.13 versus db/m 1.02±0.12; P<0.005), and this was associated with a corresponding decrease in renal ACE activity (db/db 12.7±3.7 versus db/m 61.6±4.4 mIU/mg protein; P<0.001). ACE 2 protein, by contrast, was increased in kidneys from diabetic mice (db/db 1.39±0.14 versus db/m 0.53±0.04; P<0.005). An increase in ACE 2 protein and a decrease in ACE protein, respectively, were also seen by immunostaining of renal cortical tubules from the db/db mice. In heart tissue, there were no significant differences between db/db and db/m mice in either ACE mRNA and protein or ACE 2 mRNA and protein. We conclude that in young db/db mice, ACE 2 protein in renal cortical tubules is increased, whereas ACE protein is decreased. We propose that the pattern of low ACE protein coupled with increased ACE 2 protein expression may be renoprotective in early stages of diabetes.
Am Heart Assoc