Angiotensin-converting enzyme labeled with
[3H]captopril. Tissue localizations and changes
in different models of hypertension in the rat.
S K Wilson, … , D R Lynch, S H Snyder
J Clin Invest.
1987;
80(3)
:841-851.
https://doi.org/10.1172/JCI113142
.
In vitro autoradiography with [3H]captopril was used to localize and quantitate
angiotensin-converting enzyme (ACE) in various tissues in two-kidney, one-clip (2K-1C) hypertension,
one-kidney, one-clip (1K-1C) hypertension, desoxycorticosterone acetate (DOCA)-salt
hypertension, and a normotensive control group. There were no significant differences in
mean systolic blood pressure among the hypertensive groups. Plasma renin activity (PRA)
was highest in the 2K-1C group (6.20 +/- 2.17 ng/ml per h), intermediate in the 1K-1C group
(2.19 +/- 0.62 ng/ml per h) and control group (3.20 +/- 0.53 ng/ml per h), and lowest in the
DOCA-salt group (0.07 +/- 0.06 ng/ml per h). In the lungs, aorta, mesenteric arteries, and
adrenal medulla, ACE labeling was highest in the 2K-1C group, intermediate in the 1K-1C
and control groups, and lowest in the DOCA-salt group. ACE levels in these tissues
correlated positively with PRA. In the kidney, anterior pituitary, testis, and choroid plexus of
the brain, ACE levels correlated negatively with PRA, with lowest ACE levels in the 2K-1C
group and highest levels in the DOCA-salt group. In the epididymis, posterior pituitary, and
other regions of the brain, ACE levels did not differ significantly among the groups.
Research Article
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Angiotensin-converting
Enzyme
Labeled
with [3H]Captopril
Tissue Localizations
and Changes in Different Models of Hypertension inthe RatStephenK. Wilson, David R. Lynch,* and SolomonH.Snyder*
Departments ofPathology and*Neuroscience, TheJohns Hopkins UniversitySchool ofMedicine,Baltimore, Maryland 21205
Abstract
Invitro autoradiography with
[3Hjcaptopril
was used to local-ize and quantitate angiotensin-converting enzyme (ACE) in various tissues in two-kidney, one-clip(2K-1C)
hypertension,one-kidney, one-clip (1K-1C)
hypertension, desoxycorticoster-one acetate(DOCA)-salt
hypertension, and a normotensive control group. There were no significant differences in meansystolic
blood pressure among the hypertensive groups. Plasma renin activity (PRA) was highest in the 2K-1C group(6.20±2.17 ng/ml
per h), intermediate in the1K-1C
group(2.19±0.62 ng/ml
per h) and control group(3.20±0.53
ng/ml perh),
and lowest in theDOCA-salt
group(0.07±0.06ng/ml
per
h).
In the lungs,aorta,
mesenteric arteries, and adrenal medulla, ACE labeling was highest in the 2K-1C group, inter-mediate in the1K-iC
and controlgroups,
and lowest in theDOCA-salt
group. ACE levels in these tissues correlatedposi-tively
with PRA. In the kidney, anterior pituitary, testis, andchoroid
plexusof
thebrain,
ACE levels correlated negativelywith
PRA, with lowest ACE levels in the2K-IC
group andhighest
levels in the DOCA-salt group. In the epididymis,pos-terior
pituitary,
and other regionsof
thebrain,ACE
levels did notdiffer significantly among the groups.Introduction
Angiotensin-converting
enzyme(ACE)'
plays a role in blood pressureregulation
as a componentof
the plasma renin-an-giotensin system (RAS) by converting anrenin-an-giotensin I (ANG I) to the potent vasoconstrictor angiotensin II(ANG
II) andde-grading
thevasodilator
bradykinin
(1). In the plasma RAS, ACEconversion of
ANG I occursprimarily
in the lungs,pro-ducing changes
incirculating
ANGIIlevels that vary inac-cordance with
plasma
renin levels(2).
ACE also influences thelocal
production of
ANG II in various tissues. In blood vesselAddressreprintrequests toStephenK.Wilson, M.D., Department of Pathology, The Johns Hopkins Hospital, Baltimore,MD21205.
Receivedfor publication10February 1987 and inrevisedform27
April 1987.
1. Abbreviations usedinthis paper: ACE, angiotensin-converting en-zyme; ANG I andANGII, angiotensinIandII;DOCA,
desoxycorti-costeroneacetate; lK-lC, one-kidney, one-clip hypertension; 2K-1C,
two-kidney, one-cliphypertension;PRA, plasma reninactivity;RAS,
renin-angiotensin
system.walls, for example, ACE may generate ANG II locally as
part
of the vascular RAS (3-7). ACE and other
componentsof this
vascular system may be
involved in maintaining certain forms
of
hypertension,
perhaps independently of
theplasma
RAS (3-5). ACEis
alsoresponsible for
local ANG IIproduction in
some
regions of the brain (8, 9).
ACEoccurs inothertissues,
such
asadrenal, kidney, and pituitary gland (10),
whereit
may also generateANG
II, but its
endogenous substrate is notclearly established.
The
intent
of the
presentstudy was toexamine
therela-tionship of ACE
tochanges
inthe
plasma RAS in
hyperten-sion.
Todo
so,westudied
three models of
hypertension
asso-ciated with
high, normal,
orlowplasma renin
levels.ACE
waslabeled
byin
vitro autoradiography with
[3H]captopril,
which
binds
exclusively
toACE both in tissue
homogenates
andsec-tions (11-15),
permitting
the localization of
particulate
ACE
in tissue
aswell
asquantitation
of ACE levels by densitometry
(16,
17).Methods
MaleWistarratswithinitialweights of 200-220g wereobtained from Charles River Laboratories, Inc., Wilmington, MA. For each rat a baselinesystolicbloodpressure wasrecorded beforesurgery.Baseline bloodpressuresand allsubsequentpressures weretakenbythetailcuff method(18), during which ratswerelightlyanesthetized with ether. Pressuretracingswererecordedon aphysiograph (Narco Biosystems, Houston,TX). Ratswerethendivided into fourexperimentalgroups.
Group1:two-kidney, one-clip (2K-IC) hypertension.Afterrats were
anesthetized with sodiumpentobarbital (40 mg/kg bodywt,i.p.),an abdominal incisionwasmade anda0.2-mmsilverclip placedonthe left renal artery. The rightkidney andrenal arteryremained un-touched. Aftersurgery,bloodpressuresweretaken twiceweekly (tail
cuffmethod)for4wk.Animalsweregivenfreeaccess totapwaterand ratchow.
Group 2:one-kidney, one-clip
(1K-IC)
hypertension.
Inthis groupa 0.2-mm silverclipwasplacedontheleft renal arteryand theright
kidney
wasremoved. Bloodpressureswererecorded twiceweekly,and theratsreceivedtapwaterand normalratchow.Group 3: desoxycorticosteroneacetate
(DOCA)-salt
hypertension.
Animals in thisgroup underwent excision of theright
kidney;
then silicone rubber moldscontaining DOCA(Sigma
ChemicalCo.,
St.Louis,MO; 200mg/kgbodywt)wereimplanted
subcutaneously
(19).
Thisgroupwasgiven 1%NaCl (insteadoftapwater)andnormalrat chow.Blood pressureswererecorded twice
weekly.
Group4: nonhypertensive
(control)
group. Shamoperations
wereperformed in which the leftrenal arterywas
manipulated
(but
notclipped)and theright kidneywasleft intact. Animalswere
given
tapwater andnormalratchow,andbloodpressureswererecordedtwice
weekly.
4wkaftersurgery allanimalsweresacrificed
by
decapitation.
- 2 mlarterial blood from eachratwascollected in chilled tubes contain-ing 0.2ml EDTAfordetermination ofplasmareninactivity
(PRA);
allJ.Clin.Invest.
©TheAmerican SocietyforClinical
Investigation,
Inc.0021-9738/87/09/0841/11 $2.00
samples were collected inonemorningtoavoid diurnal variation in renin levels (20). Serumwasfrozenat-20'C,andat alater time PRA wasdetermined by a modification of the microradioimmunoassay method of Husain and Jones(21). Sections oflung,aorta,mesentery, kidney, adrenal gland,testis,brain,andpituitaryglandwererapidly removed, embedded in Tissue-Tek (Miles Laboratories Inc., Naper-ville, IL) or brain paste (except lung), and quickly frozen in liquid nitrogen.Tissue sections(8
Am)
were cut on acryostat, mountedongelatin-coated slides, and storedat-20'C.
For invitroautoradiographic studies, (prolyl-3, 4-[3H])-S-acetyl-captopril(NewEnglandNuclear, Boston,MA;50
Ci/mmol)
wascon-verted to [3Hlcaptopril with 0.1 M NaOH for 20 min at230C as
previously described (15). Slide-mounted tissuewasfirstincubated ina
buffer of 50mMTris-HCl,pH 7.9(40C),and 100 mMNaClat4VC
for 5min,thentransferredto asolution of
[3H]captopril
(8nM)in thesamebuffer for 40 minat4VC. Slidesweregiventwo1-min washes in buffer,briefly dipped in distilled water, and dried ina streamof cool air. Toassessnonspecificbinding,slide-mountedtissuewastreatedas
described above except that the incubation solution contained 1 UM
unlabeledcaptoprilorenalaprilat.
Autoradiograms were produced by placingeitherUltrofilm or
emulsion-coatedcoverslipsovertheslide-mounted tissue for 12 dat
4VC.Densityof
[3H]captopril
labelingonUltrofilmwasquantitated by microdensitometry and converted tofemtomoles of[3H]captopril
bound per milligram protein using [3H] standards obtained from Amersham (ArlingtonHeights,IL)(16). Tissuewasstained with tolui-dine blue afterautoradiography.[3H]Captopril
bindinginhomoge-natesof the lungswasassayedasdescribedpreviously ( 14).
Thedrug andpeptidespecificityof
[3HI
captoprilbindingin ho-mogenates and brain slides used forautoradiographyarethesamein brain, choroid plexus, lung,pituitary, adrenal, testis,and epididymis (11-15).Inpreliminaryexperimentsweobservedasimilarspecificityinmesentericarteries,kidney,andaorta(datanotshown).
Densitometric studiesofunperfusedmesenteric arteries couldnot
be performed because the vessels were collapsed and convoluted. Therefore four additional experimental groups (2K-
1GC,
K-1C, DOCA-salt, and nonhypertensive controls)were setup asdescribed above butweresacrificed by vascularperfusionratherthandecapita-tion. PRAswere notdetermined in thissetofanimals owingtothe effects of anesthesiaon PRA(22). Ratswereanesthetized with sodium
pentobarbital (40mg/kgbody wt, i.p.),andmesenteric
arteries
were perfused through the aorta with asolution of 1.0% NaCI and 5.5% dextrose in 0.1 M phosphate buffer.Longitudinalsections of mesen-teric arteriesweremountedonmicrotome chucksandquickly frozen inliquid nitrogen; then8-gm
sections were cut and mounted on slides. Slides wereincubated in[3H]captopril
asdescribed above, covered withemulsion-coated
coverslips, and exposed for 2 wk at 40C.Slidesof mesenteric arterieswereexamined inamodel3 photomi-croscope(CarlZeiss,
Inc.,
Thornwood,NY), and vessel segments were photographedfirst with transmitted light, then under darkfield condi-tionswithidenticalexposuretimes. Darkfield negatives were enlarged threetimes andprintswereusedtoquantitate grain density over the endothelium bymicrodensitometry(16, 17).Toperformstatistical tests, means and standard errors for blood pressure, PRA, and specific[3H]captopril binding in various tissues
werecalculated for each rat, then for each group of rats. Comparisons amonggroupswereperformed by analysis of variance, and differences between paired groups were compared by the Walker-Duncan adap-tive procedure (23). Correlation coefficients for all variables were cal-culated by theSpearmanrank ordermethodand the level of
signifi-cancedetermined by a two-tailed test (23).
Results
.q 0.. 0.. A;c,0, kBaseline
meansystolic
blood
pressures(SBP)±SEM
for the
four
groups
were100.3±1.4
mmHg
for
the2K-IC
group(n
=
8),
105.4±2.8
mmHg
for
the1K-IC
group(n
=5),
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§
it105.7±1.7
mmHg
for the DOCA-salt group (n = 6), and 101.0±2.3 mmHg for the nonhypertensive control group (n=
5)
(nostatistically significant differences
among the groups).During
the week of sacrifice, SBPs for the four groups were 151.7±3.7 mmHg (2K-iC), 156.8±5.3 mmHg(1K-IC),
157.3±1.8 mmHg (DOCA-salt), and 109.2±2.2 mmHg
(con-trol). Paired comparisons
showed no statistically significant differences among the three hypertensive groups, but meanSBPs in
eachof
the hypertensive groups were significantlyhigher
than those of the control group (P < 0.01 for allcom-parisons).
PRAs
for
thefour
groups were 6.20±2.17 ng/ml per h (2K-1C, n = 8), 2.19±0.62 ng/ml per h(lK-lC,
n = 5),0.07±0.06 ng/ml
per h (DOCA-salt, n = 6), and 3.20±0.53 ng/ml per h (control, n = 5).Differences
among the groups werestatistically significant by analysis of variance (P < 0.05). Mean PRA values ofthe
2K-1C
group weresignificantly
greaterthan those
of
thelK-lC
group (P < 0.05), DOCA-salt group (P < 0.01), and controls (P < 0.05). PRAs for the lK-lCand control
groups weresignificantly
greaterthan those of
theDOCA-salt
group (P <0.01
for bothcomparisons).
Mean
densities for specific
[3H]captopril
binding
toACE
in varioustissues
are presentedin
Table I. InTable
II,
Spear-man's
rankorder correlation coefficients
arelisted for
PRA, blood pressure,and tissues for which
statistically
significantdifferences exist.
Table
II.
Spearman's Rank Order CorrelationCoefficients
forPRA, andSpecific
[3H]Captopril
Binding
in Various TissuesIn thelungs[3H1captopril binding in homogenates was
sig-nificantly different
amongthe
groups,with
highest levels in the2K-IC
group,intermediate
levels in the lK-lC group and control group, andlowest
binding
inthe DOCA-salt
group (Table 1). Pulmonary[3H]captopril
binding correlated posi-tively with PRA and [3H]captopril binding in the aorta andadrenal
medulla,
butnegatively
withbinding
levels in the testisand
choroid plexus (Table II).
Inthe aorta,
labeling for
ACE wasdensest
in theendothe-lium
andadventitia. Minimal labeling
wasobserved in
the tunica media (Fig. 1). The density of endothelial but notad-ventitial labeling differed
amongthe
groups.Grain densities
over
the
aortic endothelium(Table I)
weregreater in 2K-iC rats than in controls(P
<0.05), whereas in DOCA-salt ratsdensities
werelower than those in controls(NS).
Endothelialdensities
in1K-IC
rats wereslightly higher
than those ofDOCA-salt animals but lower than those of controls (NS).
Aortic
endothelial ACE
levels correlatedpositively
with thosein
thelung and adrenal medulla
andwith PRA,
but correlatednegatively
with ACE levels
inthe testis
and choroidplexus
(Table II).
In the
perfused mesenteric arteries,
as inthe
aorta, denselabeling of ACE
wasobserved
overthe
endotheliallayer,
withpatchier and less dense labeling
intheperivascular
andinter-stitial tissue
(Fig. 2).
Endothelial
labeling
inthe
mesenteric vesselsdiffered
significantly
among the groups,with
greatestBlood
Pressure,Adrenal Anterior Choroid Blood
PRA Lung Aorta medulla Kidney pituitary Testis plexus pressuret
PRA 0.45 0.44 0.62 -0.58 -0.49 -0.47 -0.68 -0.18
(P<0.05) (P<0.05) (P<0.01) (P<0.01) (P<0.05) (P<0.05) (P<0.01) (NS)
Lung 0.43 0.76 -0.30 -0.30 -0.43 -0.47 0.06
(P<0.05) (P<0.01) (NS) (NS) (P<0.05) (P<0.05) (NS)
Aorta 0.47 -0.56 -0.12 -0.32 -0.66 -0.20
(P<0.05) (P<0.01) (NS) (NS) (P<0.01) (NS)
Adrenal
medulla -0.49 -0.78 -0.80 -0.94 -0.16
(P
<0.05) (P<0.01) (P<0.01) (P<0.01)(NS)
Kidney - 0.28 0.27 0.15 0.18
(NS) (NS) (NS) (NS)
Anterior
pituitary - - - 0.83 0.30 0.33
(P<0.01) (NS) (NS)
Testis - - 0.42 0.33
(P<0.05) (NS)
Choroid
plexus - 0.15
(NS)
Blood
pressure
L
A
4
L
i\A
*A< mov.m-M
N.
L
A.
E
L
I
._
~~~~~~~~.
M oa-a*.-F
tI.
I+
G
densities
occurring
in the 2K-IC group,intermediate
values inthe
1K-IC groupsand control
group, andlowest
levelsin
the DOCA-saltrats(Fig. 2, Table I).
Labeling
in the adrenalgland
waslocalized
tothe medullaand
to athin, less
densecapsular
orpericortical
rim;
minimallabeling
wasobserved in thecortex(Fig.
3).
Labeling densities
in
the
medulla weresignificantly different
among the groups(Table I).
Highest
levelsof
[3H]captopril
binding
werefound in
the 2K- IC
animals,
intermediate
levelsin
the 1K- IC andcon-trol
animals,
andlowest levels in theDOCA-saltrats(Fig. 3,
Table
I).
Significant positive correlations
werefound
between adrenalmedullary densities
andPRA, lungdensities,
andaor-tic densities. Significant negative correlations
were observed betweenlabeling densities
in the adrenal medulla and those in theanterior
pituitary, kidney, testis, and choroid plexus(Table
II).
In
the
kidney,
high-density
labeling
for ACE in all groupswas
localized
overtubulesin
theinner
cortexandjuxtamedul-lary
regions, with minimal
orlow-density
labelingoccurring in the medulla andouter cortex(Fig.
4).Small
areasof
infarction
were
occasionally
seen intheclipped
kidneys ofthe2K-IC
andFigure1. Lightmicrographs and correspondingdarkfield
micro-graphs
of[3H]captopril
binding
in aortas.(A andB) 2K- ICrat.(C andD)1K-ICrat.(E andF) DOCA-salt
rat.(GandH)Control (normoten-sive)rat.(L)vessellumen; (arrows) adventitial layer. The density of en-dotheliallabeling (adjacenttovessel LA _ lumen) is highest inB, intermediate
in D and
H,
the lowestin F. Label-ingisminimal in themedial layer,and thedensityofadventitial
label-ingdoes not varysubstantially
among the groups. 15X.
1K- lC
groups;these showed no labeling for ACE and were notincluded in densitometry
studies. Labeling densities werelow-estinthe
clipped
kidneys of
the 2K- IC group,intermediate
in thekidneys of
1K-lC
and control groups, and highest in thekidneys of
the DOCA-salt group; these differences werestatis-tically significant
(TableI). ACEbinding
densities in the leftkidneys of all
groupscorrelatednegatively with PRA andden-sities in the
aortaand adrenal medulla (Table II).ACE
labeling in
thepituitary gland was patchy in the ante-rior lobe and more dense and homogeneous in the posteante-riorlobe.
Nolabeling
wasobserved in the intermediate lobe (Fig. 5). In the anterior lobe[3H~captopril
binding was significantlydifferent
amongthe groups, with binding levels lowest in the 2K-IC group,intermediate
in thelK-lC
and control groups, andhighest
in the DOCA-salt rats (Table I). Densities in theanterior pituitary
werepositively correlated with those in thetestis
andnegatively
correlated with those in the adrenal me-dulla andPRA(Table II). Densities in the posterior pituitary wereslightly
elevated in all three hypertensive groupscom-pared with
control groups but there were nosignificant
differ-encesamong the groups(Table
I).
There were also nostatisti-844 S. K
Wilson,
D. R.Lynch,
and S.H.Snyder
IL. !M.
L
L~
-Ak_I.
L_
G
t-> [Figure 2.Light micrographs and correspondingdarkfield micro-graphsof
[3H]captopril
binding in small arteries of the mesentery. (AandB)2K-ICrat.(C and D)
1K-IC
rat. (E and F) DOCA-salt rat. (G and H) Control (normotensive) rat. (L) Vessel lumen. The den-sity of endothelial labeling (adjacent to the vessel lumen) is highest in B,intermediate in D and H, the lowest in F. Patchy, less dense label-ing is seen in the perivascular and interstitial tissue.40X.cally
significant
correlations between
ACElabeling
in thepos-terior
pituitary
andlabeling
inother
tissues, PRA,
or blood pressure.[3H]Captopril
binding
to ACE wasquantitated
invarious
regions of
thebrain, including
thechoroid plexus, supraoptic
nucleus, paraventricular nucleus,
andcorpus striatum (rostral
and
caudal
regions
[24]).
Inthechoroid
plexus,[3H]captopril
labeling
was denser than inother regions
anddiffered
signifi-cantly among the groups, with lowest densities in
the2K-1C
group,
intermediate
densities
in theIK-IC andcontrol groups,
and
highest densities in
theDOCA-salt group
(Fig. 6, Table I).ACE levels in the choroid plexus correlated positively
withthose in
thetestis
andnegatively with those in
theadrenal
medulla, aorta, lung,
andwith
PRA(Table II). Other regions
of
thebrain showed
nostatistically
significant differences
among the
groups and nosignificant
correlations with
binding
levels in
othertissues.
ACE labeling
in thetestis
wasdiffuse
andsomewhat
patchy,
while that in the head of the epididymis
wasmore
dense.
Grain densities
werelowest in the
2K- ICgroup,
inter-mediate in the lK-lC
andcontrol groups, and highest in the
DOCA-salt
group, but thesedifferences
were notstatistically
significant (Table I).
Testicular
ACElabeling
densities
corre-lated
positively
with those in the anteriorpituitary
andchoroid
plexus,
and negatively
with those in theadrenal
medulla,
aorta, and with PRA
(Table II).
Nostatistically
significant
differences
wereobserved
among the groups for ACElabeling
in the
epididymis,
and there were nosignificant correlations
between densities
in theepididymis
andthose in other tissues.Discussion
Inthe present
study
tissue and vascular ACElevels
show dis-tinct patterns of variation indifferent
models ofhypertension.
In the
lungs,
aorta, smallmesenteric arteries, and adrenalme-dulla,
ACE levels vary inaccordance
withlevels
of PRA. ACElevels
inthese
tissues arehighest
in thehigh-renin
model(2K-1C hypertension), intermediate
in the normal renin model(1K-lC
hypertension)
and normotensive controls, and lowest in thelow-renin
model(DOCA-salt hypertension).
In contrast, ACE in the anteriorpituitary, kidney, testis,
and cho-roidplexus
of the brain variesinversely
with plasma renin values. In theseregions
ACE densities are lowest in thehigh-renin
model andhighest
in thelow-renin
model.Finally,
ACElevels
in sites suchasthe posteriorpituitary, epididymis,
andmost
regions
of thebrain
do not differsignificantly
amongthedifferent
models ofhypertension.
These findings
areofpartic-ular interest in
assessing
therelationship between
circulating
renin
levels
(or
theplasma RAS)
andmorelocalized
renin-an-giotensin
systems in thevessels, brain,
and othertissues.
In the three models of
hypertension
examined here,high
blood
pressureinvolves
distinctpathogenetic
mechanismsas-sociated with different levels of PRA (25, 26). PRAs in this
study
correspond with thosepreviously
reported (25), withactivities being highest
in the2K-lC
group,intermediate in thelK-lC
and control groups, and very low in theDOCA-salt
group.
However,
thedegree
ofhypertension
is similar in thethree experimental
groups,facilitating
comparison of PRA with tissue and vascular ACE levels.In the lung ACE levels vary among the
hypertensive
groups and correlatepositively
with PRA. Our results agree with arecent report of
increased pulmonary
ACE activity in2K-IC
rats at 2-16 wk after renal artery
clipping (other
models ofhypertension
were notstudied) (27). The lungs,highly
vascular organs, areprobably the principal sites of conversion ofplasma
ANG I to ANG 11 (2), and our data suggest that
pulmonary
ACE levels are regulated in coordination with the
plasma
RAS. Our observations of dense ACElabeling
overthe endothe-lium of the aorta and small mesenteric arteries fits with immu-nohistochemical localization of ACE (28,29),
and endothelial ACE has been shown to play an essential role in the vascular conversion of ANG I to ANG 11 (30). We also detect ACE in the aortic adventitia and perivascular tissue of mesentericar-teries,
but here it does not appear to be regulated in the same fashion as endothelial ACE. The absence of substantial[3H]captopril binding
in the tunica media of the aortadiffers
from an earlier report which
suggested
that ACE activity occursin the aortic media of rats(31).
Endothelial ACE levels in the aorta and
mesenteric
arteries varyamong
thethreehypertensive
groups inparallel with
PRAit
Figure3.
[3H]Captopril
binding in adrenalglands.(A) 2K-ICrat.(B)1K-ICrat.(C) DOCA-saltrat.(D) Control(normotensive)rat.The density oflabeling in the adrenal medullaishighest in A, interme-diate inBand D, the lowest in C. Faint pericorticallabeling (arrows)
canbeseenbut thereis minimal la-beling ofthe cortexitself. 16X.
andpulmonary
ACE, with variations
evenmoreprominent
inmesenteric vessels than the
aorta. Anearlier
report detectedhigher
ACEactivity
in homogenatesof
rataortain 2K-IC
ratscompared with 1K-
1C
rats and controls(the
DOCA-salt model was notstudied)
(32). In anotherstudy (27),
ACEactiv-ity
was alsosignificantly higher in
the aorta andmesenteric
artery in2K-IC rats, butonly after 16wkofhypertension,not asearlyas 4wkas wehave observed.
Asdemonstrated inhindquarter arteries of the rat (33, 34), ACE and the vascular RAS probably regulate vasoconstriction by local production of ANG
II.
Moreover, vascular ACE may beratelimiting
in the formationof
ANG IIin vessel walls (35). ACE and the vascular RAS probably play a role in maintainingsome
forms of hypertension
(4,5,7),
and theantihypertensive
effects
of the ACE inhibitors captopril
andenalapril
may be mediated byinhibiting
the vascular RAS (3, 36-40). The high-density labeling of ACE that we find in vascularendothe-lium supports a
major
physiological role for the vascular
RAS. However,thepositive correlation
between vascularACE
and PRAindicates
a closelink
between plasma and vascularrenin-angiotensin
systems,and it
seemsunlikely
that vascular ACEis
regulatedindependently of
theplasma RAS inhyper-tension.
Wefind
noevidence of increased
vascularpoolsof
ACE in hypertensive rats
with
normal plasmarenin
levels (1K- IC group) as some investigators have suggested (31, 37).The
high densities of
ACE in the adrenal medulla observed here and in previous studies(11,
41) mayreflect
a rolefor
ANGII in adrenal
catecholamine
release(11,
42), although medullary catecholamines are not thought to regulate blood pressure on a long-termbasis (43). Elevated plasmacatechol-amine
levels have beenreported
in 2K- IC andDOCA-salt
hypertension,
butthese probablyreflect increased sympathetic
activity
andnotnecessarily ANG II-stimulated release of
adre-nalcatecholamines (43).
Nonetheless, the markedalterations
Figure 4.
[3H]Captopril
binding inkidneys.(A)Unclipped
kid-neyof2K-ICrat.(B)Clippedkidneyof 2K-ICrat.(C) Clippedkidneyof
1K-IC
rat.(D)
Kidney of DOCA-saltrat.(E)Unclipped kidneyof control (normotensive) rat. The density of labeling in the inner renal
cortex islowest inAand B, in-termediate in C and E,
and
highest in D. There is minimal
labelingin the medulla and
outer cortex.Theouteredgeof thecortexisdesignated by
arrows.4X.
in
adrenalmedullary
ACEin the hypertensive models studied here suggest afunction
for the adrenal enzyme in hypertensivepathophysiology.
The ACE
localization
weobserved over inner cortical kid-neytubules corresponds
toearlier
reports ofthe
enzymeasso-ciated with proximal
tubules (44, 45), especially at brushborders
(45). Whether renal ACE
generates ANG II,inacti-vates
kinins,
orcleaves other substrates is unclear, althoughANG II
does enhance sodium and fluid reabsorption via directeffects
onproximal tubules
(46). The negative correlation weobserve
between renalrenin
production and tubular ACElevels
is
notreadily explained.
The low levels of ACE in theclipped
(renin-producing) kidneys of 2K-IC
rats cannot beattributed
simply
toischemia from
renal arteryconstriction,
askidneys from
1K-IC
rats with the same constriction showdif-ferent ACE
responses.Elevated
renal ACEin DOCA-salt rats cannotderive solely from
renal hypertrophy because theun-clipped kidneys of 2K-IC
rats are alsohypertrophied
but do notshow
similar increases
in renal ACE. Thefunctional
rela-tionship of altered
renalACE
toelevated blood
pressurein
this
study is
notclear.
The exact
function of
anterior pituitary ACE is
notestab-lished.
One
of its roles
may be toinactivate
luteinizing
hor-mone-releasing hormone (47). ACE
may also generate ANG II locally,and
theANG
II-stimulated
releaseof
adrenocortico-tropic
hormone(48),
prolactin (49),
and
beta-endorphin (50)
and
ANG IIimmunoreactivity
in gonadotrops
andlactotrops
(51) implies
aphysiological role for ACE.
Thesimilar
responseof
anterior
pituitary
and renalACE
inthe various forms of
hypertension
suggestssimilar regulatory mechanisms
in these organs,perhaps
reflecting
reciprocal
regulation
of localized
ANG
IIproduction in response
tocirculating levels of renin
Figure5.
[3H]Captopril
binding in pituitary glands. (A)2K-ICrat. (B)
1K-IC
rat.(C) DOCA-salt rat. (D) Control (normoten-sive) rat. Labeling in the anterior pituitary (bottom of each figure) is patchy, and labeling density is lowestin A, intermediate in B and D, and highest in C. Label-ing is dense and homogeneous in theposterior pituitary (top of each figure), with nosub-stantial differences among the groups. 18X.
ACE
levels. ACE in the
posterior pituitary
is
probably
notdirectly associated with
vasopressin
release
orprocessing(11),
and
vasopressin itself is probably
not amajor
factor in thepathogenesis
of
themodels
of
hypertension
weevaluated(53).
In contrast to our
findings,
anearlier
study showed
that alow-sodium diet (which increases plasma renin levels)
in-creased
pituitary
ACEactivity
(54). However, it is
notstated whether theincrease occurred
in theanterior
lobe,posterior
lobe, or both.
In the
brain
thechoroid plexus is
the onlyregion
westud-ied with
ACEalterations in hypertension.
In thechoroid
plexus, ACE may be
involved in
the localproduction of
ANG II,which
in turnaffects thirst
and blood pressure through actions oncircumventricular
organs (55). In the choroid plexus ACE levels arenegatively
correlated with PRA,sug-gesting reciprocal regulation of
localized ANGIIproduction. ACE levels in other areasof
the brain thatlie
inside theblood-brain
barrierapparently
arenot regulated by or coordinatedwith
theplasma RAS. At some of these sites ACE is thought tofunction
aspart of another peptidergic system(15,
55), and inother
areas(e.g.,
supraoptic
andparaventricular nuclei)
ACE may generate ANGIIlocally as part of an independent RAS inthe central
nervous system(56). Our findings
in thebrain
differ somewhat from earlier
reportsof
increased ACEactivity
in the
hypothalamus of 2K-IC
rats ascompared
with lK-lC
ratsand
normotensive controls (27), and low
midbrain,
stria-tal, and
hypothalamic
ACE in
sodium-loaded
rats(a
low-renin
state)
(54).
Testicular ACE levels
areinversely correlated with PRA,
with highest densities
in thelow-renin
group and lowestdensi-ties
in thehigh-renin
animals-a
patternlike
thatof
theante-rior pituitary, kidneys,
andchoroid plexus. Testicular
ACEis
physicochemically
andimmunologically distinct from
ACEin
the
lungs
orothertissues (57). Testicular ACE is localized
tospermatid
heads andthe lumina of seminiferous
tubules in stages I-VIII and XII-XIV(12).
Thefunction of testicular
ACE
is
not welldelineated,
but it seems unlikely that it isregulated directly
by the plasma RASowing
to theblood-testis
barrier (57). ACE
levelsin
thetestis
may belinked
tothose in theanterior
pituitary,
because thepituitary
gland is necessaryfor
themaintenance
oftesticular
ACE,
andhypophysectomy
in mature male rats depletes ACEfrom
thetestis
(58, 59). Wefind
a strongpositive correlation
betweenACE levels in the anteriorpituitary
and those in the testis. In theepididymis,
however, ACE levels do not vary among the groups,
consistent
with findings
that nonsoluble ACE in theepididymis
is notregulated by
theanterior
pituitary
and represents adistinct
protein from
thetesticular
enzyme(58).
Figure6.
[3H]Captopril
binding inthe cho-roidplexusof brain sections (A)2K-ICrat.(B)
IK-IC
rat.(C) DOCA-saltrat.(D) Control (normotensive)rat. Labeling den-sity in the choroid plexus (arrows) islowestinA,intermediate inBandD,the highest in
C.
(C)Caudate-putamen.loX.
Acknowledgments
The authors wishtothank DorisDay, Pamela Happel, Dawn Ledbet-ter,and Marilyn Miller for technical assistance,Judy Herman and the
laboratory ofDr. W. Gordon Walkerforplasmarenin assays, and MarySwaner for secretarial assistance.
This workwassupported by UnitedStatesPublicHealth Service
grantDA-00226,E. R.Squibband Sons, Inc., and NationalInstitutes of Health New Investigator Award R23 HL-34398 to Dr. Wilson,
traininggrantGM-07309to Dr.Lynch, and Research Scientist Award
DA-00074to Dr.Snyder.
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