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(Circulation Research. 1997;81:970-976.)
© 1997 American Heart Association, Inc.


Articles

Angiotensin II Induces Apoptosis of Human Endothelial Cells

Protective Effect of Nitric Oxide

Stefanie Dimmeler, Volker Rippmann, Ulrike Weiland, Judith Haendeler, , Andreas M. Zeiher

From Molecular Cardiology, Department of Internal Medicine IV, University of Frankfurt (Germany).

Correspondence to Stefanie Dimmeler, PhD, Department of Internal Medicine IV, Division of Cardiology, University of Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany. E-mail Dimmeler{at}em.uni-frankfurt.de

Abstract Angiotensin II (Ang II) importantly contributes to the pathobiology of atherosclerosis. Since endothelial injury is a key event early in the pathogenesis of atherosclerosis, we tested the hypothesis that Ang II may injure endothelial cells by activation of cellular suicide pathways leading to apoptosis. Human umbilical venous endothelial cells (HUVECs) were incubated with increasing doses of Ang II for 18 hours. Apoptosis of HUVECs was measured by ELISA specific for histone-associated DNA fragments and confirmed by DNA laddering and nuclear staining. Ang II dose-dependently induced apoptosis of HUVECs. Simultaneous blockade of both the AT1 and AT2 receptor prevented Ang II–induced apoptosis, whereas each individual receptor blocker alone was not effective. Selective agonistic stimulation of the AT2 receptor also dose-dependently induced apoptosis. Ang II–mediated as well as selective AT2 receptor stimulation–mediated apoptosis was associated with the activation of caspase-3, a central downstream effector of the caspase cascade executing the cell death program. Specific inhibition of caspase-3 activity abrogated Ang II–induced apoptosis. In addition, the NO donors sodium nitroprusside and S-nitrosopenicillamine completely inhibited Ang II–induced apoptosis and eliminated caspase-3 activity. Thus, Ang II induces apoptosis of HUVECs via activation of the caspase cascade, the central downstream effector arm executing the cell death program. NO completely abrogated Ang II–induced apoptosis by interfering with the activation of the caspase cascade.


Key Words: CPP32 • protease • CGP42112 • PD123177 • EXP3174




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J. Am. Coll. Cardiol., December 1, 1999; 34(7): 1857 - 1866.
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J. Clin. Endocrinol. Metab.Home page
E. Chamoux
Involvement of the Angiotensin II Type 2 Receptor in Apoptosis during Human Fetal Adrenal Gland Development
J. Clin. Endocrinol. Metab., December 1, 1999; 84(12): 4722 - 4730.
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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
R. Wang, C. Ramos, I. Joshi, A. Zagariya, A. Pardo, M. Selman, and B. D. Uhal
Human lung myofibroblast-derived inducers of alveolar epithelial apoptosis identified as angiotensin peptides
Am J Physiol Lung Cell Mol Physiol, December 1, 1999; 277(6): L1158 - L1164.
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HypertensionHome page
Q. N. Diep, J.-S. Li, and E. L. Schiffrin
In Vivo Study of AT1 and AT2 Angiotensin Receptors in Apoptosis in Rat Blood Vessels
Hypertension, October 1, 1999; 34(4): 617 - 624.
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Circ. Res.Home page
N. Wang, L. Verna, S. Hardy, Y. Zhu, K.-S. Ma, M. J. Birrer, and M. B. Stemerman
c-Jun Triggers Apoptosis in Human Vascular Endothelial Cells
Circ. Res., September 3, 1999; 85(5): 387 - 393.
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BloodHome page
T. Stefanec
Circulating Apoptotic Endothelial Cells
Blood, August 15, 1999; 94(4): 1482 - 1483.
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Mol. Endocrinol.Home page
J. Y. A. Lehtonen, L. Daviet, C. Nahmias, M. Horiuchi, and V. J. Dzau
Analysis of Functional Domains of Angiotensin II Type 2 Receptor Involved in Apoptosis
Mol. Endocrinol., July 1, 1999; 13(7): 1051 - 1060.
[Abstract] [Full Text]


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CirculationHome page
J.-E. Fabre, A. Rivard, M. Magner, M. Silver, and J. M. Isner
Tissue Inhibition of Angiotensin-Converting Enzyme Activity Stimulates Angiogenesis In Vivo
Circulation, June 15, 1999; 99(23): 3043 - 3049.
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Circ. Res.Home page
D. Y. Li, Y. C. Zhang, M. I. Philips, T. Sawamura, and J. L. Mehta
Upregulation of Endothelial Receptor for Oxidized Low-Density Lipoprotein (LOX-1) in Cultured Human Coronary Artery Endothelial Cells by Angiotensin II Type 1 Receptor Activation
Circ. Res., May 14, 1999; 84(9): 1043 - 1049.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
R. Wang, A. Zagariya, O. Ibarra-Sunga, C. Gidea, E. Ang, S. Deshmukh, G. Chaudhary, J. Baraboutis, G. Filippatos, and B. D. Uhal
Angiotensin II induces apoptosis in human and rat alveolar epithelial cells
Am J Physiol Lung Cell Mol Physiol, May 1, 1999; 276(5): L885 - L889.
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Circ. Res.Home page
M. Horiuchi, W. Hayashida, M. Akishita, K. Tamura, L. Daviet, J. Y. A. Lehtonen, and V. J. Dzau
Stimulation of Different Subtypes of Angiotensin II Receptors, AT1 and AT2 Receptors, Regulates STAT Activation by Negative Crosstalk
Circ. Res., April 30, 1999; 84(8): 876 - 882.
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HypertensionHome page
M. Horiuchi, M. Akishita, and V. J. Dzau
Recent Progress in Angiotensin II Type 2 Receptor Research in the Cardiovascular System
Hypertension, February 1, 1999; 33(2): 613 - 621.
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Circ. Res.Home page
D. J. Ing, J. Zang, V. J. Dzau, K. A. Webster, and N. H. Bishopric
Modulation of Cytokine-Induced Cardiac Myocyte Apoptosis by Nitric Oxide, Bak, and Bcl-x
Circ. Res., January 22, 1999; 84(1): 21 - 33.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
U. V. Shenoy, E. M. Richards, X.-C. Huang, and C. Sumners
Angiotensin II Type 2 Receptor-Mediated Apoptosis of Cultured Neurons from Newborn Rat Brain
Endocrinology, January 1, 1999; 140(1): 500 - 509.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. J. M. Best, D. Hasdai, G. Sangiorgi, R. S. Schwartz, D. R. Holmes Jr, R. D. Simari, and A. Lerman
Apoptosis : Basic Concepts and Implications in Coronary Artery Disease
Arterioscler Thromb Vasc Biol, January 1, 1999; 19(1): 14 - 22.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Horiuchi, H. Yamada, M. Akishita, M. Ito, K. Tamura, and V. J. Dzau
Interferon Regulatory Factors Regulate Interleukin-1ß–Converting Enzyme Expression and Apoptosis in Vascular Smooth Muscle Cells
Hypertension, January 1, 1999; 33(1): 162 - 166.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J.-D. Chiche, S. M. Schlutsmeyer, D. B. Bloch, S. M. de la Monte, J. D. Roberts Jr., G. Filippov, S. P. Janssens, A. Rosenzweig, and K. D. Bloch
Adenovirus-mediated Gene Transfer of cGMP-dependent Protein Kinase Increases the Sensitivity of Cultured Vascular Smooth Muscle Cells to the Antiproliferative and Pro-apoptotic Effects of Nitric Oxide/cGMP
J. Biol. Chem., December 18, 1998; 273(51): 34263 - 34271.
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J. Biol. Chem.Home page
A. M. Diehl
Roles of CCAAT/Enhancer-binding Proteins in Regulation of Liver Regenerative Growth
J. Biol. Chem., November 20, 1998; 273(47): 30843 - 30846.
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CirculationHome page
D. H. Walter, J. Haendeler, J. Galle, A. M. Zeiher, and S. Dimmeler
Cyclosporin A Inhibits Apoptosis of Human Endothelial Cells by Preventing Release of Cytochrome C From Mitochondria
Circulation, September 22, 1998; 98(12): 1153 - 1157.
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J. Biol. Chem.Home page
S. Kotamraju, N. Hogg, J. Joseph, L. K. Keefer, and B. Kalyanaraman
Inhibition of Oxidized Low-density Lipoprotein-induced Apoptosis in Endothelial Cells by Nitric Oxide. PEROXYL RADICAL SCAVENGING AS AN ANTIAPOPTOTIC MECHANISM
J. Biol. Chem., May 11, 2001; 276(20): 17316 - 17323.
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J. Biol. Chem.Home page
U. Schmitz, K. Thommes, I. Beier, W. Wagner, A. Sachinidis, R. Dusing, and H. Vetter
Angiotensin II-induced Stimulation of p21-activated Kinase and c-Jun NH2-terminal Kinase Is Mediated by Rac1 and Nck
J. Biol. Chem., June 15, 2001; 276(25): 22003 - 22010.
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J. Biol. Chem.Home page
J.-R. Nofer, B. Levkau, I. Wolinska, R. Junker, M. Fobker, A. von Eckardstein, U. Seedorf, and G. Assmann
Suppression of Endothelial Cell Apoptosis by High Density Lipoproteins (HDL) and HDL-associated Lysosphingolipids
J. Biol. Chem., September 7, 2001; 276(37): 34480 - 34485.
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Circ. Res.Home page
J. Hoffmann, J. Haendeler, A. Aicher, L. Rossig, M. Vasa, A. M. Zeiher, and S. Dimmeler
Aging Enhances the Sensitivity of Endothelial Cells Toward Apoptotic Stimuli: Important Role of Nitric Oxide
Circ. Res., October 12, 2001; 89(8): 709 - 715.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
F. J. Miller Jr, W. J. Sharp, X. Fang, L. W. Oberley, T. D. Oberley, and N. L. Weintraub
Oxidative Stress in Human Abdominal Aortic Aneurysms: A Potential Mediator of Aneurysmal Remodeling
Arterioscler Thromb Vasc Biol, April 1, 2002; 22(4): 560 - 565.
[Abstract] [Full Text] [PDF]