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Endocrinology Vol. 139, No. 5 2579-2587
Copyright © 1998 by The Endocrine Society


ARTICLES

Cardiac Senescence Is Associated with Enhanced Expression of Angiotensin II Receptor Subtypes1

Christophe Heymes, Jean-Sébastien Silvestre, Catherine Llorens-Cortes, Françoise Marotte, Brigitte Chevalier, Bernard I. Levy, Bernard Swynghedauw and Jane-Lise Samuel

INSERM U127 (C.H., J.-S.S., F.M., B.C., B.S., J.-L.S.), INSERM U141 (B.I.L.), IFR Circulation, Hôpital Lariboisière, 75475 Paris Cedex 10, France, INSERM U36 (C.L.-C.), Collège de France, 75475 Paris Cedex 5, France

Address all correspondence and requests for reprints to: Dr. Jane-Lise Samuel, INSERM U127, IFR Circulation, Hôpital Lariboisière, 41 bd de la Chapelle, 75475 Paris Cedex 10, France.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Recent studies have pointed out the differential role of angiotensin II (Ang II) receptor subtypes, AT1 and AT2, in cardiac hypertrophy and fibrosis during pathological cardiac growth. Because senescence is characterized by an important cardiovascular remodeling, we examined the age-related expression of cardiac Ang II receptors in rats.

AT1 and AT2 receptor subtype messenger RNA (mRNA) levels were quantitated by RT-PCR. In parallel, specific Ang II densities were determined in competition binding experiments using specific antagonists. AT1a and AT1b mRNA levels were markedly up-regulated (5.6-fold) in the left ventricle of 24-month-old rats compared with 3-month-old rats, but not in the right ventricle. In contrast, AT2 gene expression was increased in both ventricles of senescent rats (4.2- and 2.8-fold in the left and right ventricles, respectively). Similarly, AT1 and AT2 gene expression was increased 2.3- and 2-fold, respectively, in freshly isolated cardiomyocytes from aged rats. Furthermore, AT1 and AT2 specific binding was increased in the aged left ventricular myocardium.

Even though the mechanistic pathway of this up-regulation of Ang II receptor subtype gene expression might be intrinsic to developmental gene reprogramming, the up-regulation of AT1 mRNA accumulation in the left ventricle during aging could also be secondary to age-related hemodynamic changes, whereas increased AT2 gene expression in both ventricles may depend upon hormonal and humoral factors.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ANGIOTENSIN II (Ang II), the main effector peptide of the renin-angiotensin system (RAS), plays an important regulatory role in the cardiovascular system via diverse mechanisms, including vasoconstriction, stimulation of aldosterone production, facilitation of adrenergic release, and effects in growth response. Over the past decade, data have supported the existence of an Ang II-producing pathway in various tissues, including the kidney and blood vessels (1, 2). In the heart, the presence of angiotensinogen (ANG), renin, and angiotensin-converting enzyme (ACE) suggests local intracardiac synthesis of Ang II (3, 4). Ang II receptor subtypes have also been characterized in cardiac tissue. At least two main receptor subtypes, AT1 and AT2, have been identified using receptor subtype-specific antagonists (5). Furthermore, two AT1 receptor subtypes, encoded by two different genes (AT1a and AT1b), have been isolated in rat and mouse. They present high homologous sequences, similar binding and functional characteristics (6, 7, 8, 9). In the rat heart, levels of both AT1 and AT2 receptor expression are increased during the neonatal period and decrease with maturation (10, 11).

Though the favorable effects of ACE inhibition on cardiac function have generally been attributed to afterload reduction, many lines of evidence also suggest a pivotal role for the intracardiac Ang II-forming pathway in mediating cardiac hypertrophy and fibrosis (12, 13, 14). Moreover, recent studies have suggested a direct role for Ang II via its specific receptors. Indeed, Ang II promotes a growth response in cultured vascular smooth muscle cells (15), cardiomyocytes, and fibroblasts (16). Ang II also stimulates collagen synthesis in cardiac fibroblasts (17) and vascular smooth muscle cells (18). To date, most of the well-known cardiovascular functions of Ang II are mediated via the AT1 receptor, whereas there is little information regarding the physiological role of AT2 receptor. Enhanced Ang II receptor subtype expression has been demonstrated in cardiovascular diseases involving cardiovascular remodeling, but the expression of Ang II receptor subtypes has not been investigated in the aging heart (19, 20).

Senescence is associated with marked changes in cardiac structure and morphology such as cardiomyocyte loss, hypertrophy of the remaining cells, and the development of fibrosis (21, 22). These changes may account for the functional characteristics of the senescent myocardium: namely, impaired myocardial perfusion (23), altered diastolic compliance (21), and arrhythmias (24). Vascular structure is also modified, and aging is associated with increased arterial wall stiffness, as shown by a significant decrease in systemic and local arterial compliance and an increase in aortic impedance (21, 25), which may induce mild left ventricular hypertrophy. Interestingly, there is now evidence that senescence is associated with increased cardiac ANG and ACE gene expression, suggesting increased cardiac Ang II synthesis, whereas plasma RAS activity is largely depressed (26).

The present study was thus undertaken to determine the expression of cardiac AT1 and AT2 receptor subtypes in the right and left ventricles of aged rats, at messenger RNA (mRNA) and protein level. The data demonstrate that AT1a and AT1b mRNA levels markedly increase in the left ventricle, whereas AT2 gene expression is up-regulated in both ventricles. To assess cellular expression precisely, we investigated Ang II receptor subtype gene expression in freshly isolated left ventricular cardiomyocytes. Ang II type 1 and type 2 receptor mRNA levels were increased in freshly isolated cardiomyocytes of aged rats compared with cardiomyocytes of young adult rats. Finally, the density of AT1 and AT2 receptors was homogeneously increased in the left ventricular myocardium of aged hearts.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Experimental protocol
This study was conducted in accordance with the institutional guidelines and those formulated by the European Community for the use of experimental animals (L358–86/609/EEC). Two groups (3-month-old rats, n = 6; 24-month-old rats, n = 6) of male Wistar rats (Iffa Credo, Lyon, France) were fed ad libitum and drank tap water. At the time the rats were killed, systolic blood pressure was measured using the plethysmographic tail-cuff method. Measurements of angiotensin I and aldosterone concentrations were conducted with RIA kits (kits SB-REN-2 and SB-ALDO-2, ERIA Diagnostics Pasteur, Marnes La Coquette, France). PRA was measured by RIA of the angiotensin I produced by incubation of plasma at 37 C for 1 h. Levels of corticosterone were also determined in duplicate by RIA using rabbit polyclonal antibody, as previously described (27).

The hearts were removed, and transverse sections of heart were embedded in mounting medium and frozen in liquid nitrogen-cooled isopentane. Left and right ventricles (LV, RV) were then separated from the remainder of the heart, and all samples were stored at -70 C until use.

Collagen morphometry
Transverse myocardial sections (5 µm thick) were stained with collagen-specific Sirius red stain (0.5% in saturated picric acid). Sections were studied blindly by a single examiner. Each field was digitized on a Macintosh Performa 5320 by a gray level camera (Hamamatsu) mounted on a light microscope (Leica) at 100x magnification, and collagen was quantified using image-analysis software (OPTILAB, Graftek, Mirmank, France).

RNA extraction
Total RNA was extracted according to the method of Chomczynski and Sacchi (28). Purified RNA was dissolved in water and the concentration measured by absorbance at 260 nm. The yields of total RNA extracted from LV and RV were similar and unchanged in senescent rats (data not shown). The quality of RNA was confirmed by ethidium bromide staining in 1% agarose gel. Quantitative RT-PCR was then performed for Ang II receptor subtype gene expression. Slot blot were also performed for quantification of ACE mRNA levels.

Isolation of cardiac myocytes
Left ventricular myocytes were isolated by the procedure of Dubus et al. (29). Briefly, the hearts of young adult and aged rats were cannulated through the aorta on a Langendorff apparatus, and perfused at 37 C for 3 min with a modified Krebs solution (10 mM HEPES buffer, pH 7.4, 35 mM NaCl, 10 mM glucose, 134 mM sucrose, 16 mM Na2HPO4, 25 mM NaHCO3, 4.75 mM KCl, 1.19 mM KH2PO4), then for 30 min with the same buffer supplemented with 1 mg/ml collagenase (EC 3.4.24.3., Boehringer, Mannheim) and 5 mg/ml of purified BSA (fraction V, Miles Laboratories) at a rate of 2 ml/min. Perfusion pressure was 60 mmHg. After perfusion, the LV was gently dissociated with forceps in Hepes buffer, and the resultant suspension filtered through a nylon mesh (500 µm) and centrifuged for 4 min at 50 x g. Cells were washed and sedimented twice in HEPES buffer to purify the myocytes. The fraction contained 90–95% myocytes, as assessed by microscopic observation of the cells. Total myocyte RNA was extracted according to the trizol reagent protocol (Life Technologies, Cergy Pontoise, France), and the quality of RNA was confirmed by ethidium bromide staining in 1% agarose gel.

Slot blot analysis of ACE mRNA accumulation
For quantification of ACE mRNA levels, slot blot hybridization analyses were performed on total RNA from left and right ventricles and on fragments of mRNA prepared by synthesizing the sense RNA strand from the ACE plasmid vectors. Samples were formaldehyde-denatured and then serially diluted in 20 x SSC (pH 7.0) and blotted to nylon filters (Hybond-N, Amersham, France). Six different concentrations of total RNA (20, 17.5, 15, 12.5, 10, 7.5 µg and 6.4, 4.8, 3.2, 2.4, 1.2, 0.8 µg for the LV and RV) and six amounts of in vitro synthesized ACE mRNA (20, 17.5, 15, 12.5, 10, 7.5 pg) were studied.

The ACE complementary DNA (cDNA) was labeled by the random priming method (Multiprime DNA labeling system, Amersham) with (a-32P)dCTP (3,000 Ci/mmol) to a specific activity of 1–1.5 x 109 cpm/µg DNA. The membranes were prehybridized overnight at 42 C in a buffer containing 50% deionized formamide, 5 x Denhardt’s solution, 5 x SSC, 50 mM Na phosphate, pH 6.8, 0.1% SDS, and 250 µg/ml sonicated denaturated herring sperm DNA and hybridized in the same buffer containing labeled probes. For hybridization, 32P-labeled ACE cDNA probe was added to a final concentration of 1–1.8 x 106 cpm/ml. After hybridization, blots were washed in 0.5 x SSC, 0.1% SDS three times for 15 min at room temperature, and twice for 15 min at 60 C. Autoradiograms generated by slot blots were scanned with a microdensitometer. The background was set to zero for each autoradiograph. Regression lines were calculated from integral values obtained by scanning the serial concentrations of each sample. The relative signals of the specific mRNA were estimated from the slope of the regression line. Experiments with synthetic mRNAs as a standard were carried out under conditions described above. One picogram of the 381 bases synthetic ACE mRNA fragment corresponds to 11.3 pg of the 4300 bases ACE mRNA (4300/381 = 11.3).

Quantitative RT-PCR of Ang II receptor subtypes
Oligonucleotides used for RT-PCR. For AT1, the antisense primer was 5'GCACAATCGCCATAATTATCC3' (extending from base 719 to base 739 of the coding sequence), and the sense primer was 5'CACCTATGTAAGATCGCTTC3' (extending from base 295 to base 314 of the coding sequence), giving a DNA fragment of 444 bp. For AT2, the antisense primer was 5'ACCACTGAGCATATTTCTCGGG3' (extending from base 600 to base 622 of the coding sequence) and the sense primer was 5'TGAGTCCGCATTTAACTGC3' (extending from base 86 to base 105 of the coding sequence), giving a DNA fragment of 536 bp. The oligonucleotides were synthesized by Bioprobe Systems (Montreuil, France).

Internal standard preparation. Quantification of AT1 and AT2 mRNAs was performed in the presence of a defined concentration of specific RNA mutant as an internal standard.

For AT1, an internal standard was synthesized by in vitro transcription of the plasmid Bsd AT1a [a kind gift from Dr. C. Llorens-Cortes (30)] containing the entire coding sequence of the rat AT1a (nucleotides -182 to 1935), except for a 63-nucleotide deletion (nucleotides 502 to 564) containing the EcoRI restriction site. This results in a 384-bp amplification product. The deleted AT1a RNA was obtained using T7 RNA polymerase after linearization with SalI. The transcription reaction was performed in the presence of labeled UTP as a precursor and the concentration of the transcript was determined after measurement of the radioactivity incorporated into RNA product.

For AT2, the PCR product was subcloned into a pCRTMII-vector (TA Cloning Kit, Invitrogen). The AT2 PCR product was then linearized with HpaI and ligated with the 69-bp insert (a PvuI/ScaI fragment of pBluescript II SK phagemid), resulting in a 605-bp amplification product. The internal standard AT2 RNA was obtained using T7 RNA polymerase after the template had been linearised with HindIII. The transcription reaction was performed in the presence of labeled UTP as a precursor and the concentration of the transcript was determined after measurement of the radioactivity incorporated into RNA product.

Quantitative RT-PCR protocol. Total RNA was reverse-transcribed with a fixed amount of the specific synthetic RNA and 200 U of Moloney murine leukemia virus reverse transcriptase (Life Technologies) for 90 min at 39 C. The reaction was performed in 20 µl of a mixture containing 0.4 µM of the reverse primer, 50 mM Tris-HCl (pH 8.3), 75 mM KCl, 3 mM MgCl2, 2.5 mM dNTP, 10 mM DTT, and 50 U RNase inhibitor (Promega, Charbonnières, France). The reaction was stopped by heating samples for 10 min at 70 C. For PCR amplification, the resulting cDNA was amplified using 2.5 U Taq DNA polymerase (Boehringer, Meylan, France) and 80 nM primers in 50 µl of 50 mM KCl, 10 mM Tris-HCl (pH 8.3), 2 mM MgCl2, 0.5 mM dNTP, 2 mM DTT and 0.01% gelatine. Thirty amplification cycles were undertaken as follows: denaturation at 95 C for 1 min, annealing at 54 C and 53 C for AT1 and AT2 respectively for 1 min, and extension at 72 C for 1 min 30 sec. To quantify AT1 and AT2 mRNA levels, a trace amount of (32P)-dCTP was included in the PCR reaction, and the number of C residues present in each fragment was taken into account for further quantification (AT1a = 117, AT1b = 113, AT1 internal standard = 105, AT2 = 105, AT2 internal standard = 123). After PCR amplification, the PCR products were digested by EcoRI to distinguish the AT1a from the AT1b subtype. The PCR products were then separated on a 5% polyacrylamide gel, and radioactive signals were analyzed using a computer based imaging system (Fuji Bas 1000, Fuji Medical Systems, Clichy, France).

Quantitative autoradiography of AT1 and AT2
Transverse ventricular sections (20 µm thick) were cut on a cryostat, and thaw mounted on gelatin coated glass slides. Ang II binding sites were labeled with (125I-Sar1-Ile8)-Ang II (NEN; iodinated by DuPont; specific activity 2200 Ci/mmol) as previously described (31). Briefly, consecutive sections were preincubated for 30 min at 22 C in 10 mM sodium phosphate buffer (pH 7.4) containing 120 mM NaCl, 5 mM Na2EDTA, 0.2% proteinase-free BSA (Sigma Chemical Co., Saint Quentin Fallavier, France) and 0.005% bacitracin (Sigma) to remove endogenous bound ligand. Sections were incubated for 120 min at room temperature in fresh buffer containing either 2 nM (125I-Sar1-Ile8)-Ang II to determine the total number of angiotensin II receptors, 0.5 nM (125I-Sar1-Ile8)-Ang II in the presence of the AT1 antagonist losartan (10-5 M, Dupont) to identify AT2 receptors or AT2 antagonist PD 123319 (10-5 M, provided by IdRS, Surcones, France) to identify the AT1 receptors. Nonspecific binding was determined in the presence of unlabeled Ang II (5 µM; Sigma). After incubation, sections were washed four times for 1 min in fresh Tris-HCl buffer 50 mM (pH 7.4, 4 C) and once in water at 4 C for 30 sec. Slides were first exposed to Fuji Bas 1000 screens (Fuji Medical Systems, Clichy, France) for further quantification and then to (3H)-hyperfilm in x-ray cassettes. A series of 20 µm autoradiographic 125I- labeled microscales (Amersham, Courtaboeuf, France) was included in each cassette. After a 4-week exposure period, films were developed for 4 min in D19 Kodak (Rochester, NY) developer, washed for 15 sec in 0.6% acetic acid, and fixed for 4 min with Kodak rapid fixer. The radioactive signals were analyzed using a computer-based imaging system (Fuji Bas 1000). Optical densities of the autoradiograms were determined by computerized densitometry and expressed as fmol/mg of protein by comparison with a calibration curve constructed from the 125I-labeled standards. The quantification of Ang II receptor subtype densities was performed on the left ventricle, which represent the majority of the section surface.

Statistics
Statistical significance was estimated between two groups using one-way ANOVA and group-to-group comparison using the Student’s t test. The test was considered significant for P < 0.05. The values presented are mean ± SEM.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Physiological data
The mean systolic blood pressure value in the senescent group (145 ± 3 mmHg) was similar to that of the young adult rats (149 ± 3 mmHg). Left ventricular weight (LVW) and right ventricular weight (RVW) were significantly increased in aged rats. The LVW/RVW ratio remained stable in aged rats, whereas the LVW/BW and RVW/BW ratios were diminished, due to marked increase in the body weight (BW) with age (Table 1Go). Both the renin activity and angiotensin I concentration were significantly reduced, as previously described (25). The aldosterone concentration remained unchanged, and the plasma cortisol level increased in senescent rats (Table 1Go).


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Table 1. Physiological data

 
Histological studies
The interstitial space was markedly enlarged in ventricular equatorial sections of 24-month old rats compared with the 3-month old controls (Fig. 1AGo), as previously described (23). Sirius red staining revealed an increase in myocardial fibrosis (i.e. the ratio of total collagen surface area to total ventricular surface area, expressed as a percentage) in the aged group relative to controls. Senescent rat heart was characterized by an increase in interstitial connective tissue surrounding individual myocytes. There was also a large increase in perivascular fibrosis. Quantification displayed a 3-fold increase in interstitial fibrosis in both LV and RV (P < 0.005) of aged rats, as compared with young adult rats (Fig. 1BGo).



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Figure 1. Photomicrographs of cardiac sections from young adult and aged rats stained with Sirius red (A). Collagen fibers appear in black, and myocytes and intramyocardial vessels in white. Interstitial and perivascular fibrosis were greatly increased in the myocardium of 24-month old rats. Data are mean ± SEM of six separate experiments. **, P < 0.005 (B).

 
Ang II receptor subtype mRNA accumulation
Validity of the RT-PCR method. To quantify the AT1 and AT2 transcripts by RT-PCR amplification, the target mRNA was coamplified with a specific internal standard. The number of amplification cycles was chosen within the exponential phase. Figure 2Go, A and B, shows that the amplification rate was exponential between 25 and 31 cycles for AT1 and AT2 cardiac mRNA as well as their specific internal standard. All experiments were therefore performed at 30 cycles because this was in the exponential phase and the radioactive signal was strongly detected.



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Figure 2. Linearity of amplification conditions for AT1 mRNA (A) and AT2 mRNA (B). Total RNA from rat ventricles (500 ng, {circ}) and internal RT-PCR standard RNA (10,000 molecules, {blacksquare}) were coamplified for a varying number of PCR cycles. Panels C and D demonstrate the lack of competition between endogenous AT1 mRNA, AT2 mRNA and their specific internal standards. Different amounts of total RNA ({circ}) were reverse-transcribed and amplified by PCR for 30 cycles in the presence of a fixed amount of internal standard RNA (10,000 molecules, {blacksquare}).

 
The amplification efficiency was 97% for both AT1 and AT2. In Fig. 2Go, A and B, the slopes of the curves are identical, demonstrating that the RT-PCR amplification efficiency was the same for each Ang II receptor subtype and its specific internal standard (slopes 0.229 and 0.234, respectively, for AT1; slopes 0.257 and 0.253, respectively, for AT2).

To avoid competition between endogenous and synthetic RNAs, different amounts of total RNA combined with 10,000 molecules of the internal standard were reverse-transcribed, and the resultant cDNA mixtures were amplified by PCR. Figure 2Go, C and D, shows a linear relation between the radioactivity incorporated into the PCR products and the amount of starting RNA (200 to 1, 400 ng), whereas the radioactivity incorporated into the internal standard of each tube remained unchanged. This indicates the absence of competition between endogenous and synthetic RNAs.

Changes in ventricular Ang II receptor subtype mRNA levels. Figures 3AGo and 4AGo show typical RT-PCR analysis of AT1 and AT2 subtype mRNA in the LV of the young adult and aged rats. After PCR amplification, we obtained a PCR product of 444 bp for AT1 mRNA, as expected (Fig. 3AGo). The two subtypes of AT1 mRNA could then be differentiated by size after exposure to EcoRI, which hydrolyzed the AT1a mRNA into two fragments of 269 and 175 bp but did not affect the AT1b or internal standard mRNAs (Fig. 3BGo). As shown in Fig. 3CGo, the AT1 mRNA level was 2.6-fold higher in the RV than in the LV of the young adult rat heart (60, 728 ± 4,063 and 21, 707 ± 2, 101 molecules of AT1 mRNA/µg of total RNA, P < 0.0001, respectively). With aging, AT1 gene expression was increased 5.6-fold in the LV (P < 0.0001), but remained unchanged in the RV. The AT1 mRNA level was thus 2-fold higher in the LV than in the RV of aged rats. The percentages of AT1a mRNA (81%) and AT1b mRNA (19%) were the same in both adult and aged hearts and were independent of the ventricle analyzed.



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Figure 3. Effect of aging on AT1 mRNA expression in the left (LV) and right (RV) ventricles of young adult and aged rats. RT-PCR analysis of cardiac AT1 receptor (A) and AT1 receptor subtype (B) mRNA levels in the left ventricle of young adult (lanes 1 and 2) and aged rats (lanes 3 and 4). 400 and 800 ng of total RNA with 10,000 molecules of internal standard were assayed. The RT-PCR products were loaded onto 5% polyacrylamide gel. Data are mean ± SEM of six separate experiments (C). MWM, Molecular weight marker.

 


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Figure 4. Effect of aging on AT2 mRNA expression in the left (LV) and right (RV) ventricles of young adult and aged rats. RT-PCR analysis of cardiac angiotensin AT2 receptor (A) mRNA levels in the left ventricle of young adult (lanes 1 and 2) and aged rats (lanes 3 and 4). 400 and 800 ng of total RNA with 10,000 molecules of internal standard AT2 RNA were assayed. The RT-PCR products were loaded onto a 5% polyacrylamide gel. Data are mean ± SEM of six separate experiments (B). MWM, Molecular weight marker.

 
For AT2 mRNA, a PCR product of 536 bp was obtained, as expected (Fig. 4AGo). The AT2 mRNA level was higher in the RV than in the LV of the young adult rat heart (33, 838 ± 2, 485 and 23, 821 ± 1, 257 molecules of AT2 mRNA/µg of total RNA, P < 0.008, respectively). With aging, AT2 gene expression was increased 4.2-fold in the LV (P < 0.0001) and 2.8-fold in the RV (P < 0.0001) (Fig. 4BGo).

To assess the cellular expression of Ang II receptor subtypes, we analyzed their relative level in freshly isolated cardiomyocytes. As shown in Fig. 5Go, A and B, freshly isolated myocytes from the LV of young adult rat hearts expressed both AT1 and AT2 mRNAs. Quantification showed a 2.3- (P < 0.003) and 2.1-fold (P < 0.01) increase in AT1 and AT2 mRNA accumulations, respectively, in the cardiomyocytes of senescent rats (Fig. 5CGo).



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Figure 5. Effect of aging on AT1 (A) and AT2 (B) gene expression in freshly isolated cardiomyocytes of young adult and aged rats. The levels of each subtype were quantified by RT-PCR as described in Fig 2Go. The RT-PCR products were loaded onto a 5% polyacrylamide gel. The absolute values in the control group were expressed as molecules/µg of total RNA. An experiment was performed using total RNA extracted from cells obtained by a single preparation. Data are mean ± SEM of six separate experiments. **, P < 0.01 (C). MWM, Molecular weight marker.

 
ACE mRNA accumulation
Finally, because ACE mRNA level has been recently correlated with that of AT1-receptor signaling, we quantified levels of ACE mRNA. ACE mRNA level was 40-fold higher in the RV than in the LV of the young adult rat heart (P < 0.0001). ACE gene expression was increased 1.9-fold in the LV of senescent rats as compared with young animals (1,089 ± 0, 136 vs. 551 ± 29 fg mRNA/µg total RNA, P < 0.003), but remained unchanged in the RV (22,797 ± 2,154 vs. 21,830 ± 2,414 fg mRNA/µg total RNA, P = NS).

Ang II binding assay
125I-Ang II binding was uniformly distributed throughout the ventricular myocardium (Fig. 6AGo). Addition of 10-6 M of Ang II reduced binding in all structures (Fig. 6BGo). No difference was observed between the specific binding in the LV and RV of both adult and senescent rat hearts (Fig. 6Go, C and D, respectively). PD 123319 (Fig. 6Go, E and F) and losartan (Fig. 6Go, G and H) also inhibited radioligand binding in all structures of both adult and senescent rat myocardium. Quantification of specific binding in the LV myocardium of young adult rats indicated that the density of AT1 and AT2 was similar (53% for AT1 and 47% for AT2), in agreement with previous studies in normal rat hearts (32, 33). The mean Ang II receptor density was 7.92 fmol/mg of protein, as previously described (31).



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Figure 6. Age-related regulation of rat myocardial angiotensin II (Ang II) receptor and Ang II receptor subtype (AT1 and AT2) densities. Equatorial sections (20 µm) of rat heart were incubated with 2 nM (125I-Sar1-Ile8)-Angiotensin II. Ligand binding was widely distributed in the myocardium (A). Incubation with 5 µM Ang II markedly inhibited radioligand binding (B). Panels C and D show the specific binding in both adult and senescent rat hearts, respectively. Identification of Ang II receptor subtypes (AT1 and AT2) was determined in competition binding experiments by their sensitivity to subtype-selective concentrations of PD123319 or losartan. Specific 125I-angiotensin II binding sensitive to PD123319 or losartan is estimated as the density of AT1 receptor (panel E for young adult rat myocardium, and panel F for senescent rat myocardium) or the density of AT2 receptor (panel G for young adult rat myocardium, and panel H for senescent rat myocardium), respectively. Specific binding was calculated as the difference between total and nonspecific binding. Values are given as the mean ± SEM of six separate experiments. **, P < 0.0001.

 
Quantification of 125I-Ang II binding (Fig. 6Go, right panel) demonstrated a 3.9-fold increase in specific binding in the LV myocardium of senescent rats (30.67 ± 3.13 vs. 7.92 ± 0.72 fmol/mg protein in aged and young rat myocardium, respectively, P < 0.0001). The percentage of AT-R subtypes did not change with aging (55% and 45% for AT1 and AT2, respectively).

Statistical analysis
As shown in Table 2Go, linear regression analysis was performed for each parameter in both ventricles. In the LV, significant correlations were observed between all parameters studied. By contrast, in the RV only AT2 mRNA level was significantly correlated with fibrosis.


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Table 2. Simple correlations between Ang II receptor subtype mRNA levels, ACE mRNA levels, and interstitial fibrosis in the ventricles of aged rat myocardium

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have previously demonstrated activation of intracardiac Ang II synthesis during aging (26). Thus, the aim of the present study was to test the hypothesis that the expression of Ang II receptor subtypes was also modified.

The present study demonstrates differential expression of AT1 and AT2 receptor subtype mRNAs in the rat heart. In the young adult, the levels of AT1 and AT2 mRNA are markedly higher in the right than in the left ventricle. Interestingly, such differences in gene expression between the RV and LV have been previously described for other components of the cardiac RAS, such as ANG and ACE mRNA (26). With aging, we observed that AT2 mRNA level increase equally in both ventricles, whereas AT1a and AT1b mRNA levels increase markedly in the LV only.

The increase in mRNA levels coding for Ang II receptor subtypes detected in the LV of senescent rats was also observed in freshly isolated cardiomyocytes. However, the magnitude of the increase in LV cardiomyocytes (>2-fold increase for both subtypes) was less prominent compared with that in LV tissue (>4-fold increase for both subtypes). Therefore, AT1 and AT2 gene expression in aged rat LV is also increased, and to a greater extent, in the nonmyocyte cell population (including fibroblasts, vascular smooth muscle cells and endothelial cells), which is known to express both Ang II receptor subtypes (34, 35, 36). Finally, the increase in Ang II receptor subtype mRNA levels in the LV is quite similar to that observed for the corresponding protein, suggesting transcriptional regulation of these genes in the LV of aged rats.

The presumed mechanistic pathways involved in the increase in cardiac Ang II receptor gene expression are multiple. First, this up-regulation could be intrinsic to the developmental gene reprogramming often associated with senescence. Indeed, it is well established that cardiac senescence is characterized by the reexpression of fetal proteins, such as the contractile protein isoform ß-MHC and the atrial natriuretic peptide gene (37, 38). On the other hand, several studies in rat ventricular tissue have previously demonstrated developmental regulation of cardiac Ang II receptor subtype densities and gene expression, which are abundant during the neonatal period and decrease with maturation (31, 34, 39). Secondly, humoro-hormonal status is modified during senescence, and is characterized by a large decrease in plasma Ang II synthesis, and an increase in plasma cortisol level (26). A number of circulating factors, such as vasoactive substances, growth factors, and steroids, modulate AT1 expression via their effects on the transcriptional activity of AT1 gene (40, 41, 42, 43). However, the differential pattern of AT1 gene expression observed in the LV and RV of aged rats makes a major role of hormones in the regulation of AT1 gene expression unlikely. In contrast, much less is known about the hormonal regulation of AT2 mRNA level. However, based on the up-regulation of AT2 gene expression in both ventricles of aged rats, hormonal and humoral factors might be one of the triggers for the increase in cardiac AT2 gene expression during senescence. Thirdly, mechanical factors are repeatedly proposed as triggers for the regulation of genetic expression during the development of cardiac hypertrophy. Activation of AT1 and/or AT2 gene expression has been demonstrated in ventricular tissue during hemodynamic overload (19, 33). Mechanical stretch has also been recently shown to up-regulate AT1 and AT2 gene expression in neonatal rat cardiac myocytes, the increase in AT1 gene expression being mainly due to increased transcription, whereas that of AT2 results from stabilization of AT2 mRNA metabolism (44). Even though cardiac output and ejection fraction of both aged human and rat hearts are unaltered, the increase in vascular stiffness and aortic impedance during aging result in a moderate increase in LV afterload (45, 46). These changes in LV properties might therefore account, at least in part, for the up-regulation of AT1 gene expression in the LV of aged rats.

The present study demonstrates increased density of both AT1 and AT2 receptors in the LV myocardium of senescent rats and extends our previous observations concerning an activation of the intracardiac RAS in aging, associated with suppression of plasma Ang II synthesis. Such local and independent regulation of intracardiac Ang II synthesis and receptor subtype expression could account for both autocrine and paracrine actions (47) and support the concept of intracardiac Ang II production as a regulator of cardiac hypertrophy and collagen accumulation. We and others have demonstrated that cardiac senescence is associated with both modulation of myocardial phenotype and remodeling of both ventricles, characterized by increased deposition of extracellular matrix proteins, such as collagen, in the interstitium and around vessels (22, 25). Cardiac fibrosis is a major factor in enhancing myocardial stiffness and results in altered diastolic compliance. Recently, it has been shown that age-induced cardiac fibrosis mainly results from decreased collagenase activity, and not from collagen gene up-regulation (48). Moreover, Ang II has been proposed to contribute directly to the development of fibrosis via both AT1 and AT2 receptor subtypes. In vitro, Ang II induces cardiac fibroblast hyperplasia and collagen expression via AT1 receptor (16, 49). Activation of the AT2 receptor also seems to be involved in the fibrotic process because Ang II stimulates collagen synthesis via this receptor (50). The strong correlation between AT2 gene expression and fibrosis in both ventricles in the present study, compared with the correlation of AT1 and ACE mRNA levels with LV fibrosis only, leads us to propose that age-associated cardiac fibrosis is more closely related to the AT2 than the AT1 receptor subtype. These data are in agreement with the recent study of Lorell et al., who demonstrated that both AT1 inhibition and decrease in ACE gene expression affected neither cardiac fibrosis or hypertrophy in a presssure-overload rat model (51).

In conclusion, the present study extends our previous observations demonstrating the activation of an intracardiac RAS in senescent rats. Such up-regulation of the cardiac RAS may, in part, compensate for the large age-related fall in plasma Ang II synthesis. However, activation of the intracardiac RAS and increased expression of Ang II receptor subtypes might have detrimental effects when other pathologies often associated with senescence, such as hypertension and heart failure, are superimposed. Ang II receptor subtype antagonists could be therapeutically useful in elderly people. However, this possibility would require direct testing in experimental animals.


    Acknowledgments
 
The authors thank Dr. L. Rappaport for helpful discussions, and Dr. S. Lehoux and Dr. B. Prendergast for kind help in preparing the manuscript. They also thank Mr. T. Dakhli for animal handling.


    Footnotes
 
1 This study was supported in part by grants from Fédération Française de Cardiologie, Fondation pour la Recherche Médicale, and Société Française d’Hypertension Artérielle, INSERM. Back

Received December 4, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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