Direct Actions of AT1 (Type 1 Angiotensin) Receptors in Cardiomyocytes Do Not Contribute to Cardiac Hypertrophy

MA Sparks, F Rianto, E Diaz, R Revoori, T Hoang… - …, 2021 - Am Heart Assoc
MA Sparks, F Rianto, E Diaz, R Revoori, T Hoang, L Bouknight, J Stegbauer
Hypertension, 2021Am Heart Assoc
Activation of AT1 (type 1 Ang) receptors stimulates cardiomyocyte hypertrophy in vitro.
Accordingly, it has been suggested that regression of cardiac hypertrophy associated with
renin-Ang system blockade is due to inhibition of cellular actions of Ang II in the heart, above
and beyond their effects to reduce pressure overload. We generated 2 distinct mouse lines
with cell-specific deletion of AT1A receptors, from cardiomyocytes. In the first line (C-SMKO),
elimination of AT1A receptors was achieved using a heterologous Cre recombinase …
Activation of AT1 (type 1 Ang) receptors stimulates cardiomyocyte hypertrophy in vitro. Accordingly, it has been suggested that regression of cardiac hypertrophy associated with renin-Ang system blockade is due to inhibition of cellular actions of Ang II in the heart, above and beyond their effects to reduce pressure overload. We generated 2 distinct mouse lines with cell-specific deletion of AT1A receptors, from cardiomyocytes. In the first line (C-SMKO), elimination of AT1A receptors was achieved using a heterologous Cre recombinase transgene under control of the Sm22 promoter, which expresses in cells of smooth muscle lineage including cardiomyocytes and vascular smooth muscle cells of conduit but not resistance vessels. The second line (R-SMKO) utilized a Cre transgene knocked-in to the Sm22 locus, which drives expression in cardiac myocytes and vascular smooth muscle cells in both conduit and resistance arteries. Thus, although both groups lack AT1 receptors in the cardiomyocytes, they are distinguished by presence (C-SMKO) or absence (R-SMKO) of peripheral vascular responses to Ang II. Similar to wild-types, chronic Ang II infusion caused hypertension and cardiac hypertrophy in C-SMKO mice, whereas both hypertension and cardiac hypertrophy were reduced in R-SMKOs. Thus, despite the absence of AT1A receptors in cardiomyocytes, C-SMKOs develop robust cardiac hypertrophy. By contrast, R-SMKOs developed identical levels of hypertrophy in response to pressure overload–induced by transverse aortic banding. Our findings suggest that direct activation of AT1 receptors in cardiac myocytes has minimal influence on cardiac hypertrophy induced by renin-Ang system activation or pressure overload.
Am Heart Assoc