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Dong B, Zhang C, Feng JB, Zhao YX, Li SY, Yang YP, Dong QL, Deng BP, Zhu L, Yu QT, Liu CX, Liu B, Pan CM, Song HD, Zhang MX, Zhang Y. Overexpression of ACE2 Enhances Plaque Stability in a Rabbit Model of Atherosclerosis. Arterioscler Thromb Vasc Biol 2008; 28:1270-6. [PMID: 18403726 DOI: 10.1161/atvbaha.108.164715] [Citation(s) in RCA: 105] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective—
The purpose of this study was to test the hypothesis that ACE2 overexpression may enhance atherosclerotic plaque stability by antagonizing ACE activity and converting angiotensin II to angiotensin 1–7.
Methods and Results—
Atherosclerotic plaques were induced in the abdominal aorta of 114 rabbits by endothelial injury and atherogenic diet. Gene therapy was performed in group A at week 4 and in group B at week 12, respectively. Each group of rabbits were randomly divided into 3 subgroups which received, respectively, a recombinant ACE2 expressing vector (AdACE2), a control vector AdEGFP and AdACE2+A779, an antagonist of angiotensin 1–7 receptor. Local ACE2 overexpression attenuated the progression of lesions from week 4 to week 8, but not progression of plaque size from week 12 to week 16. In group B rabbits, local ACE2 overexpression resulted in stable plaque compositions, ie, fewer macrophages, less lipid deposition and more collagen contents, higher plaque stability scores, decreased angiotensin II levels, and increased angiotensin 1–7 levels in plaque tissues in the AdACE2 subgroup compared with those in the AdEGFP subgroup.
Conclusions—
Overexpression of ACE2 results in stabilized atherosclerotic plaques and the mechanism is probably the conversion of vasoconstrictive angiotensin II to vessel protective angiotensin 1–7.
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Affiliation(s)
- Bo Dong
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Cheng Zhang
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Jing Bo Feng
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Yu Xia Zhao
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Shu Ying Li
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Ya Pei Yang
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Qiu Li Dong
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Bi Ping Deng
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Li Zhu
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Qing Tao Yu
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Chun Xi Liu
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Bin Liu
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Chun Ming Pan
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Huai Dong Song
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Ming Xiang Zhang
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
| | - Yun Zhang
- From the Key Laboratory of Cardiovascular Remodeling and Function Research (B.D., C.Z., J.B.F., Y.X.Z., S.Y.L., Y.P.Y., Q.L.D., B.P.D., L.Z., Q.T.Y., C.X.L., B.L., M.X.Z., Y.Z.), Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Jinan, Shandong, P.R. China; the Department of Cardiology (B.D), Shandong Provincial Hospital, Shandong University, Jinan, Shandong, P.R. China; Center of Molecular Medicine (C.M.P., H.D.S.), Shanghai Institute of Endocrinology,
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