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Published Online
on January 5, 2009

Hypertension. 2009
Published online before print January 5, 2009, doi: 10.1161/HYPERTENSIONAHA.108.123844
A more recent version of this article appeared on February 1, 2009
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Submitted on September 29, 2008
Revised on October 16, 2008

Angiotensin II Type 1 Receptor–Mediated Reduction of Angiotensin-Converting Enzyme 2 Activity in the Brain Impairs Baroreflex Function in Hypertensive Mice

Huijing Xia; Yumei Feng; Teresa D. Obr; Peter J. Hickman; and Eric Lazartigues*

From the Department of Pharmacology and Experimental Therapeutics (H.X., Y.F., P.J.H., E.L.) and Cardiovascular Center of Excellence (E.L.), Louisiana State University Health Sciences Center, New Orleans, La; and the Department of Anatomy and Cell Biology (T.D.O.), University of Iowa, Iowa City.

* To whom correspondence should be addressed. E-mail: elazar{at}lsuhsc.edu.

Abstract—Angiotensin-converting enzyme 2 (ACE2), a new component of the brain renin-angiotensin system, has been suggested to participate in the central regulation of blood pressure (BP). To clarify the relationship between ACE2 and other brain renin-angiotensin system components, we hypothesized that central angiotensin II type 1 receptors reduce ACE2 expression/activity in hypertensive mice, thereby impairing baroreflex function and promoting hypertension. To test this hypothesis, chronically hypertensive mice (RA) with elevated angiotensin II levels were treated with losartan (angiotensin II type 1 receptor blocker) or PD123319 (angiotensin II type 2 antagonist; 10 mg/kg per day, SC) for 2 weeks. Baseline spontaneous baroreflex sensitivity and brain ACE2 activity were dramatically decreased in RA compared with nontransgenic mice, whereas peripheral ACE2 activity/expression remained unaffected. Losartan, but not PD123319, increased central ACE2 activity, spontaneous baroreflex sensitivity, and normalized BP in RA mice. To confirm the critical role of central ACE2 in BP regulation, we generated a triple-transgenic model with brain ACE2 overexpression on a hypertensive RA background. Triple-transgenic–model mice exhibit lower BP and blunted water intake versus RA, suggesting lower brain angiotensin II levels. Moreover, the impaired spontaneous baroreflex sensitivity, parasympathetic tone, and increased sympathetic drive, observed in RA, were normalized in triple-transgenic–model mice. These data suggest that angiotensin II type 1 receptors inhibit ACE2 activity in RA mice brain, thus contributing to the maintenance of hypertension. In addition, overexpression of ACE2 in the brain reduces hypertension by improving arterial baroreflex and autonomic function. Together, our data suggest that angiotensin II type 1 receptor–mediated ACE2 inhibition impairs baroreflex function and support a critical role for ACE2 in the central regulation of BP and the development of hypertension.


Key words: angiotensin • baroreflex • blood pressure • transgenic mice • nervous system