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Neprilysin is a Mediator of Alternative Renin-Angiotensin-System Activation in the Murine and Human Kidney
Scientific Reports
  • Oliver Domenig
  • Arndt Manzel
  • Nadja Grobe, Wright State University - Main Campus
  • Eva Königshausen
  • Christopher C. Kaltenecker
  • Johannes J. Kovarik
  • Susan B. Gurley
  • Dunja van Oyen
  • Marlies Antlanger
  • Michael Bader
  • Daisy Motta-Santos
  • Jose Carlos Santos
  • Robson A. Santos
  • Khalid M. Elased, Wright State University - Main Campus
  • Marcus D. Säemann
  • Ralf A. Linker
  • Marko Poglitsch
Document Type
Article
Publication Date
9-21-2016
Abstract

Cardiovascular and renal pathologies are frequently associated with an activated renin-angiotensin-system (RAS) and increased levels of its main effector and vasoconstrictor hormone angiotensin II (Ang II). Angiotensin-converting-enzyme-2 (ACE2) has been described as a crucial enzymatic player in shifting the RAS towards its so-called alternative vasodilative and reno-protective axis by enzymatically converting Ang II to angiotensin-(1-7) (Ang-(1-7)). Yet, the relative contribution of ACE2 to Ang-(1-7) formation in vivo has not been elucidated. Mass spectrometry based quantification of angiotensin metabolites in the kidney and plasma of ACE2 KO mice surprisingly revealed an increase in Ang-(1-7), suggesting additional pathways to be responsible for alternative RAS activation in vivo. Following assessment of angiotensin metabolism in kidney homogenates, we identified neprilysin (NEP) to be a major source of renal Ang-(1-7) in mice and humans. These findings were supported by MALDI imaging, showing NEP mediated Ang-(1-7) formation in whole kidney cryo-sections in mice. Finally, pharmacologic inhibition of NEP resulted in strongly decreased Ang-(1-7) levels in murine kidneys. This unexpected new role of NEP may have implications for the combination therapy with NEP-inhibitors and angiotensin-receptor-blockade, which has been shown being a promising therapeutic approach for heart failure therapy.

Citation Information
Oliver Domenig, Arndt Manzel, Nadja Grobe, Eva Königshausen, et al.. "Neprilysin is a Mediator of Alternative Renin-Angiotensin-System Activation in the Murine and Human Kidney" Scientific Reports (2016) ISSN: 045-2322
Available at: http://works.bepress.com/khalid_elased/43/