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Angiotensin-converting enzyme 2 is an essential regulator of heart function
Authors:Crackower Michael A  Sarao Renu  Oudit Gavin Y  Yagil Chana  Kozieradzki Ivona  Scanga Sam E  Oliveira-dos-Santos Antonio J  da Costa Joan  Zhang Liyong  Pei York  Scholey James  Ferrario Carlos M  Manoukian Armen S  Chappell Mark C  Backx Peter H  Yagil Yoram  Penninger Josef M
Institution:Amgen Research Institute/Ontario Cancer Institute and Department of Medical Biophysics and Immunology, University of Toronto, University Avenue, Toronto, Ontario M5G 2M9, Canada.
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.
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