Articles |
the Institut National de la Sante et de la Recherche Medicale (INSERM) Unit 141, IFR Circulation Lariboisiere, Universite Paris (France) VII.
Correspondence to D. Henrion, PhD, INSERM U 141, Hopital Lariboisiere, 41 Bd de la Chapelle, 75475 Paris, cedex 10, France. E-mail levy@infobiogen.fr
| Abstract |
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Key Words: vascular reactivity angiotensin II angiotensin Iconverting enzyme inhibitor captopril cilazapril
| Introduction |
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Our hypothesis is that angiotensin Iconverting enzyme activity in a large artery wall, through its effect on the local renin-angiotensin system, might affect smooth muscle function in downstream resistance arteries. Thus, in order to investigate the existence of a functional tissue or local renin-angiotensin system in a resistance mesenteric artery and to determine the ability of a donor vessel to produce angiotensin II that will influence a resistance artery tone, a segment of rat mesenteric resistance artery and a segment of rat carotid artery were mounted in cascade in an arteriograph and perfused under a pressure of 100 mm Hg and a flow rate of 100 µL/min, which are physiological conditions for resistance mesenteric arteries.17 In addition, we measured the amount of angiotensin II released by the isolated carotid artery.
| Materials and Methods |
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200 µm) were isolated and cannulated at both ends and mounted in a video-monitored perfusion system.18 The arteries were bathed in two independent 5-mL organ baths (Fig 1
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Pressure and diameter measurements were collected by a computerized data acquisition system (Biopac MP 100), recorded, and analyzed on a Macintosh Quadra computer (Apple) using Acqknowledge software (Biopac). Results are given in micrometers for artery diameters or as changes in diameter (in micrometers).
Integrity of the endothelium was assessed in each mesenteric arterial segment by its ability to dilate to acetylcholine (1 µmol/L) after preconstriction with PE (0.1 µmol/L). Because diameter measurements could be performed on only one vessel, ie, the mesenteric artery in the present study, integrity of the carotid artery endothelium was assessed indirectly. After preconstriction of the mesenteric artery with PE (0.1 µmol/L) added to the superfusate, the further addition of PE (0.1 µmol/L) to the superfusate of the carotid artery induced a dilation of the mesenteric artery due to NO as it was blocked by L-NNA (10 µmol/L). Diffusion of PE into the lumen of the carotid artery and, consequently, to the lumen of the mesenteric artery had no more contracting effect, because the mesenteric artery was already preconstricted with PE (0.1 µmol/L). In addition, the integrity of the endothelial cells was verified as previously described.19 Briefly, the carotid and the mesenteric artery were opened longitudinally at the end of each experiment. Segments were washed and examined for bound Evans blue. No bound dye means that the endothelium surface is intact.19 Experiments in which the endothelium was stained at the end of the experiment were rejected.
In preliminary experiments, we determined that PE (0.1 µmol/L) added to the bath of the carotid artery induced a decrease in the diameter of the carotid artery (1125±160 to 1050±80 µm, n=4, P<.05). In another series of experiments, the addition of PE (0.1 µmol/L) to the bath of the carotid artery induced a decrease in diameter of the mesenteric artery (218±17 to 175±14 µm, n=5, P<.01) after 2 to 3 minutes. This experiment showed that drugs added to the organ bath of the carotid artery diffuse into the lumen of the vessel and are carried downstream to the mesenteric artery. As a consequence, we used an experimental protocol taking into account this diffusion of drugs through the vessel wall (see below). Diameters of carotid and mesenteric arteries could not be measured simultaneously. Thus, in all the experiences described below, only mesenteric arterial segment diameter was continuously measured. Indeed, the presence of a functional renin-angiotensin system in the carotid artery has been shown in a previous study.16 This is also our reason for using the carotid artery as a donor vessel.
Because substances added into the bath of the carotid artery diffuse through the vessel wall and then flow to the mesenteric artery, we first assessed the direct effect of adding ACEI to the recipient artery chamber; the additional effects of adding ACEI to both the donor and the recipient artery baths were attributed to ACE inhibition in the donor vessel.
Experimental Protocols
In the first group of experiments, the NO synthesis inhibitor L-NNA (10 µmol/L) was added into the chamber of the donor artery for 10 minutes, and then L-NNA was added to the chamber of the mesenteric artery ("recipient" vessel) for an additional 10-minute duration (protocol A, Fig 2
). In other experiments, L-NNA was added to the recipient vessel and then to the donor vessel.
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In a second group of experiments, the ACEI captopril or cilazapril (0.1 to 10 µmol/L) was added to the organ chamber of the recipient vessel (protocol B, Fig 2
). Each concentration was left for 20 minutes.
In a third group of experiments, the ACEI was added to the organ chamber of the donor artery for 20 minutes. The ACEI was then added to the organ chamber of the recipient artery for an additional period of 20 minutes (protocol C, Fig 2
).
In a fourth group of experiments, the ACEI was added to the organ chamber of the recipient vessel for 20 minutes and was then added to the organ chamber of the donor vessel for an additional period of 20 minutes (protocol D, Fig 2
).
In a fifth group of experiments, the angiotensin II receptor blocker losartan (10 µmol/L)20 was added to the organ chamber of the recipient vessel 20 minutes before the addition of the ACEI to the organ chamber of the donor vessel and/or of the recipient artery (protocol E, Fig 2
).
In a sixth group of experiments, losartan was added to the organ chamber of the donor vessel for 20 minutes (protocol F, Fig 2
).
Finally, HOE 140 (1 µmol/L), a specific bradykinin B2 receptor blocker,21 was added to the organ chamber of the recipient vessel after the addition of cilazapril (1 µmol/L) to the organ chamber of the recipient artery and/or to the organ chamber of the donor vessel (protocol G, Fig 2
). In some experiments, HOE 140 (1 µmol/L) was added to the organ chamber of the recipient artery after the addition of losartan and cilazapril (1 µmol/L) to the donor vessel or to the bath of the recipient vessel.
Care and euthanasia of the study animals were in accordance with the European Community standards on the care and use of laboratory animals (Ministere de l'agriculture, France, authorization nb 006422).
Determination of Angiotensin II in the Perfusate
In a separate series of experiments, carotid arteries were mounted in the arteriograph as described above. They were then perfused at a rate of 100 µL/min and under a pressure of 100 mm Hg. After 1 hour of equilibration, the perfusate was collected for 60 minutes and frozen before angiotensin II determination. In another series of experiments, carotid arteries were bathed in PSS containing cilazapril (1 µmol/L).
Angiotensin II was measured according to the method of Simon et al.22 Briefly, angiotensin peptides were extracted from the perfusate by reversible adsorption to bonded phase silica (Bond Elut, Analytichem). Angiotensin II in the solid-phase extract was then measured by a direct radioimmunoassay method with an immobilized monoclonal antibody, antiangiotensin II (ERIA Diagnostics Pasteur).
Statistical Analysis
Results are expressed as mean±SEM. Significance of the effect of a drug on the mesenteric arterial diameter was determined after one-factor ANOVA for repeated measures, and means were compared using the Bonferroni test. Values of P<.05 were considered to be significant.
Drugs
HEPES, L-NNA, captopril, and EGTA were purchased from Sigma Chemical Co. Cilazapril was obtained from Lederle, and HOE 140 was from Hoechst-France.
| Results |
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Only recipient vessels responding to acetylcholine (1 µmol/L) by dilation were included in an experimental protocol. Acetylcholine (1 µmol/L) induced a significant dilation (169±3 to 217±4 µm, n=65, P<.001) of PE-induced constriction (0.1 µmol/L, 230±4 to 169±3 µm) in recipient vessels. Similarly, only donor vessels able to dilate a recipient vessel preconstricted by PE (0.1 µmol/L) after the addition of PE (0.1 µmol/L) to the donor vessel were included in the study. Recipient arteries preconstricted with PE (0.1 µmol/L, 234±5 to 175±4 µm) were significantly dilated when PE (0.1 µmol/L) was added in the bath of the donor vessel (175±4 to 189±3 µm, n=65, P<.001).
Fig 3
shows typical recordings of experiments in which L-NNA (10 µmol/L) was added to the donor vessel chamber. L-NNA (10 µmol/L) induced two successive constrictions of the recipient vessel in addition to the constriction induced by PE (Fig 3
, upper trace). This was observed in three of five vessels. In Fig 3
(lower trace), the recipient artery was pretreated with L-NNA (10 µmol/L), and the further addition of L-NNA (10 µmol/L) to the donor vessel chamber induced only one constriction of the recipient vessel. The failure to see a second decrease in diameter suggests that the second decrease in diameter seen in the upper trace (Fig 3
) may be due to L-NNA transport to the recipient vessel.
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When added to the donor artery, L-NNA (10 µmol/L) induced a significant constriction (15±6% increase of PE-induced constriction) of the recipient artery. A further significant constriction (7±3% increase of PE-induced constriction) was observed when L-NNA (10 µmol/L) was added to the recipient vessel (Fig 4
, right panel). In another series of experiments, L-NNA significantly constricted the recipient vessel when added successively to the recipient vessel (32±7% increase of PE-induced constriction) and to the donor vessel (9±2% increase of PE-induced constriction) (Fig 4
, left panel).
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Fig 5
shows a typical recording of an experiment in which cilazapril (1 µmol/L) was added first to the recipient vessel chamber and induced a dilation. When cilazapril (1 µmol/L) was added to both the donor and the recipient vessel baths, a second dilation of the recipient vessel was observed. This dilation was partly counteracted when HOE 140 (1 µmol/L) was added to the recipient vessel chamber. Finally, the passive diameter was determined by the addition of a Ca2+-free, SNP (10 µmol/L)containing, and EGTA (2 mmol/L)containing PSS.
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Cilazapril (0.1, 1, and 10 µmol/L) caused a concentration-dependent dilation of PE-induced constriction in the recipient vessel: 11±3% (n=4, P<.05), 35±10% (n=4, P<.05), and 33±8% (n=4, P<.05) dilation, respectively. In another group of experiments, cilazapril (1 µmol/L) induced a dilation (30±12% dilation of PE-induced constriction, n=7, P<.001) when added to the recipient vessel chamber and a further dilation (8±3% dilation of PE-induced constriction, n=7, P<.001) when added to the donor vessel (Fig 6
, left panel). Cilazapril (1 µmol/L) also caused cumulative dilations of the recipient vessel when added successively to the donor vessel (11±4% dilation of PE-induced constriction, n=7, P<.001) and the recipient vessel (12±5% dilation of PE-induced constriction, n=7, P<.001) (Fig 6
, right panel).
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After losartan (10 µmol/L)induced dilation of the recipient vessel (35±11% dilation of PE-induced constriction, n=5, P<.01), the addition of cilazapril (1 µmol/L) to the recipient vessel caused a further dilation (7±3% dilation of PE-induced constriction, n=5, P<.05), whereas the addition of cilazapril (1 µmol/L) to the donor vessel caused no more significant dilation (Fig 7
). Angiotensin II (10 nmol/L)induced constriction (218±11 to 133±9 µm, n=4, P<.001) was abolished by losartan (10 µmol/L) in the rat resistance mesenteric artery (228±13 µm, not significantly different from 225±12 µm, n=5).
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After losartan (10 µmol/L)induced dilation of the recipient vessel (24±8% dilation of PE-induced constriction, n=6, P<.01), the addition of cilazapril (1 µmol/L) to the donor vessel or to the recipient vessel caused a further and significant dilation (8±4% dilation of PE-induced constriction, n=6, P<.05), which was reversed by the addition of HOE 140 (1 µmol/L) to the recipient vessel (Fig 8
, left panel). When added to the recipient vessel after losartan (10 µmol/L), HOE 140 (1 µmol/L) prevented cilazapril (1 µmol/L)induced dilation (Fig 8
, right panel). HOE 140 (1 µmol/L) prevented bradykinin (1 µmol/L)induced dilation of the recipient vessel (4±2.5% dilation of PE-induced constriction [n=4 with HOE 140] versus 46±1% [n=5 without HOE 140], P<.01).
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The cumulative addition of captopril (0.1, 1, and 10 µmol/L) to the recipient vessel induced a dilation of the preconstricted recipient vessel (235±14 to 172±11 µm, n=4, P<.001) by 2±1.5% (n=4, P=NS), 14±4% (n=4, P<.05), and 24±6% (n=4, P<.01), respectively. In another group of experiments, captopril (10 µmol/L) induced a significant dilation (183±42 to 197±41 µm, n=6, P<.01) of the recipient vessel when added to the recipient vessel and a further significant dilation (197±41 to 214±47 µm, n=6, P<.05) when added to the donor vessel. Captopril (10 µmol/L) also caused cumulative dilations of the recipient when added successively to the donor vessel (190±46 to 210.5±44 µm, n=5, P<.05) and then to the recipient vessel (210.5±44 to 222±46 µm, n=5, P<.05). Losartan (10 µmol/L) induced a significant dilation (18±6% dilation of PE-induced constriction, n=6, P<.01) of the recipient vessel when added to the recipient vessel. Further addition of captopril (10 µmol/L) to the recipient vessel caused an additional dilation (13±5% dilation of PE-induced constriction, n=6, P<.01), whereas the further addition of captopril (10 µmol/L) to the donor vessel caused no more significant dilation.
Determination of Angiotensin II in the Perfusate of the Carotid Artery
Angiotensin II was measured in the perfusate flowing through the lumen of the carotid artery for 60 minutes. The amount of angiotensin II released was 11.9±2.2 pg (n=8, P<.01 versus blank). It was significantly decreased to 1.4±0.5 (n=4, P<.01) by cilazapril (1 µmol/L). The "blank" measurement was performed with a PSS that did not perfuse the artery (0.77 pg). The limit of detection of the technique was 0.76 pg per essay, and the range of the calibration curve was 1.5 to 60 pg.
| Discussion |
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The angiotensin Iconverting enzyme catalyzes the generation of the vasoconstrictor angiotensin II and the degradation of the vasodilator bradykinin. The antihypertensive action of ACEIs can be attributed to both the inhibition of the synthesis of angiotensin II and the inhibition of the degradation of bradykinin. The vasorelaxant effect of bradykinin is enhanced by ACEI,23 24 25 26 and plasma kinins increase in patients treated with ACEI.27 Functionally, it has been shown that angiotensin II potentiates vessel responses to vasoconstrictor agonists in vitro28 29 30 31 32 33 and that endogenous angiotensin II potentiates PE-induced constriction in vivo.34
In a previous study,16 we have shown that the carotid artery under physiological conditions of length, flow, and pressure possesses a basal tone that is decreased by ACEI and by the angiotensin II receptor blocker losartan, whereas HOE 140, the bradykinin B2 receptor blocker,21 has no effect. Thus, we used the carotid artery as a donor vessel in the present study because this vessel possesses the ability to produce angiotensin II locally. We used the mesenteric resistance artery as in a previous study,34 and we have shown in vivo that endogenous angiotensin II modulates mesenteric arterial vascular tone.
The arteriograph used in the present study allowed the perfusion and the pressurization of two isolated arteries mounted in cascade: one was a large "donor" vessel, and one was a small resistance artery, the "recipient" vessel. Transit time of the intraluminal physiological solution between donor and recipient vessels was 5 to 6 seconds. The release of NO by isolated vessels has already been widely documented,35 36 and in perfused arteries, NO is most probably released upon stimulation by shear stress due to flow.37 38 39 40
In the present study, we demonstrated that angiotensin II produced by the wall of an artery was able to influence the diameter of another artery located downstream. Under control conditions, angiotensin II produced by the carotid artery increased mesenteric arterial tone. This was antagonized by the addition of an ACEI to the bath of the donor vessel and by the addition of losartan to the bath of the recipient vessel. Furthermore, angiotensin II produced by the carotid artery in the perfusate could be measured and was significantly decreased by the ACEI. The amount of angiotensin II released in 60 minutes by the carotid artery is of the same order as that found in a previous study in an organ culture model of rabbit aorta.41
We also found that a small mesenteric resistance artery is probably capable of producing angiotensin II (since ACEI relaxed the vessel) and that losartan can partially prevent this effect. This is the demonstration of a local production of angiotensin II in a resistance artery. This result is consistent with our previous studies performed in the carotid artery,16 in large mesenteric arteries,34 and in the microcirculation.15 Other studies have also shown that angiotensin I is produced by the arterial wall7 and that renin is present in the vessel wall8 after extraction from the circulation.12 13 14 15 To avoid nonspecific effects, we used two different ACEIs, captopril and cilazapril, and we found a concentration-dependent effect of each ACEI.
Losartan blocked approximately two thirds of the ACEI-induced dilation of the mesenteric resistance artery when ACEIs were added either to the donor or to the recipient vessel. The proportion of the ACEI-induced dilation that was not blocked by losartan most probably was due to bradykinin, since HOE 140 suppressed this dilation. This is the first functional evidence that in addition to angiotensin II, bradykinin is produced locally in the carotid artery and in the mesenteric artery and is able to modulate mesenteric resistance arterial tone. Previous studies have shown that ACEIs potentiate bradykinin-induced dilation both in large23 24 and small26 blood vessels. In another study, it has been shown that in rat skeletal muscle arterioles, bradykinin contributes to basal tone but not to PE-induced tone.42 In the present study, vascular tone was mainly due to PE, and both ACEI and HOE 140 were efficient in modulating this tone. In addition, in large mesenteric arteries precontracted with PE34 as well as in carotid arteries with spontaneous tone,16 HOE 140 does not seem to have an effect. This most likely demonstrates that the repartition between angiotensin II and bradykinin in the control of vascular tone and in the effect of ACEI depends on the vascular region and on the type of tone involved.
In conclusion, we confirmed in the present work that isolated mesenteric resistance arterial tone is influenced by angiotensin II and bradykinin produced locally. More important, we show for the first time that angiotensin II and bradykinin produced by a large vessel (the carotid artery) could influence arterial tone in a resistance artery (mesenteric) located downstream.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received May 31, 1996; accepted November 12, 1996.
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