Angiotensin II receptors are expressed and functional in human esophageal mucosa

A Casselbrant, A Edebo, P Hallersund… - American Journal …, 2009 - journals.physiology.org
A Casselbrant, A Edebo, P Hallersund, E Spak, HF Helander, C Jönson, L Fändriks
American Journal of Physiology-Gastrointestinal and Liver …, 2009journals.physiology.org
Only few studies have been devoted to the actions of the renin-angiotensin system (RAS) in
the human gastrointestinal tract. The present study was undertaken to elucidate the
expression and action of RAS in the human esophageal mucosa. Mucosal specimens with
normal histological appearance were obtained from healthy subjects undergoing endoscopy
and from patients undergoing esophagectomy due to neoplasm. Gene and protein
expressions of angiotensin II (Ang II) receptor type 1 (AT1) and type 2 (AT2) and angiotensin …
Only few studies have been devoted to the actions of the renin-angiotensin system (RAS) in the human gastrointestinal tract. The present study was undertaken to elucidate the expression and action of RAS in the human esophageal mucosa. Mucosal specimens with normal histological appearance were obtained from healthy subjects undergoing endoscopy and from patients undergoing esophagectomy due to neoplasm. Gene and protein expressions of angiotensin II (Ang II) receptor type 1 (AT1) and type 2 (AT2) and angiotensin-converting enzyme (ACE) were analyzed. In vivo functionality in healthy volunteers was reflected by assessing transmucosal potential difference (PD). Ussing chamber technique was used to analyze the different effects of Ang II on its AT1 and AT2 receptors. Immunoreactivity to AT1 and AT2 was localized to stratum superficiale and spinosum in the epithelium. ACE, AT1, and AT2 were found in blood vessel walls. Transmucosal PD in vivo increased following administration of the AT1 receptor antagonist candesartan. In Ussing preparations mean basal transmural PD was −6.4 mV, epithelial current (Iep) 34 μA/cm2, and epithelial resistance (Rep) 321 Ω·cm2. Serosal exposure to Ang II increased PD as a result of increased Iep, whereas Rep was constant. Ang II given together with the selective AT1-receptor antagonist losartan, or AT2 agonist C21 given alone, resulted in a similar effect. Ang II given in presence of the AT2-receptor antagonist PD123319 did not influence PD, but Iep decreased and Rep increased. In conclusion, Ang II receptors and ACE are expressed in the human esophageal epithelium. The results suggest that AT2-receptor stimulation increases epithelial ion transport, whereas the AT1 receptor inhibits ion transport and increases Rep.
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