Angiotensin-converting enzyme 2 is an essential regulator of heart function

Nature. 2002 Jun 20;417(6891):822-8. doi: 10.1038/nature00786.

Abstract

Cardiovascular diseases are predicted to be the most common cause of death worldwide by 2020. Here we show that angiotensin-converting enzyme 2 (ace2) maps to a defined quantitative trait locus (QTL) on the X chromosome in three different rat models of hypertension. In all hypertensive rat strains, ACE2 messenger RNA and protein expression were markedly reduced, suggesting that ace2 is a candidate gene for this QTL. Targeted disruption of ACE2 in mice results in a severe cardiac contractility defect, increased angiotensin II levels, and upregulation of hypoxia-induced genes in the heart. Genetic ablation of ACE on an ACE2 mutant background completely rescues the cardiac phenotype. But disruption of ACER, a Drosophila ACE2 homologue, results in a severe defect of heart morphogenesis. These genetic data for ACE2 show that it is an essential regulator of heart function in vivo.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin II / blood
  • Angiotensin II / metabolism
  • Animals
  • Blood Pressure / genetics
  • Cloning, Molecular
  • Drosophila Proteins*
  • Drosophila melanogaster / enzymology
  • Drosophila melanogaster / genetics
  • Drosophila melanogaster / physiology
  • Female
  • Gene Deletion
  • Gene Expression Regulation, Enzymologic
  • Heart / physiology*
  • Heart / physiopathology
  • Hypertension / genetics
  • Hypoxia / genetics
  • Male
  • Metalloendopeptidases / deficiency
  • Metalloendopeptidases / genetics
  • Metalloendopeptidases / metabolism
  • Mice
  • Mice, Knockout
  • Myocardial Contraction
  • Myocardium / enzymology*
  • Peptidyl-Dipeptidase A / deficiency
  • Peptidyl-Dipeptidase A / genetics
  • Peptidyl-Dipeptidase A / metabolism*
  • Quantitative Trait, Heritable
  • Radiation Hybrid Mapping
  • Rats
  • Up-Regulation
  • X Chromosome / genetics

Substances

  • Drosophila Proteins
  • Angiotensin II
  • Acer protein, Drosophila
  • Peptidyl-Dipeptidase A
  • Metalloendopeptidases