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ACE2-like enzyme B38-CAP suppresses abdominal sepsis and severe acute lung injury.

Abstract
Angiotensin-converting enzyme 2 (ACE2) is the carboxypeptidase to degrade angiotensin II (Ang II) to angiotensin 1-7 (Ang 1-7) and improves the pathologies of cardiovascular disease and acute respiratory distress syndrome (ARDS)/acute lung injury. B38-CAP is a bacteria-derived ACE2-like carboxypeptidase as potent as human ACE2 and ameliorates hypertension, heart failure and SARS-CoV-2-induced lung injury in mice. Recombinant B38-CAP is prepared with E. coli protein expression system more efficiently than recombinant soluble human ACE2. Here we show therapeutic effects of B38-CAP on abdominal sepsis- or acid aspiration-induced acute lung injury. ACE2 expression was downregulated in the lungs of mice with cecal ligation puncture (CLP)-induced sepsis or acid-induced lung injury thereby leading to upregulation of Ang II levels. Intraperitoneal injection of B38-CAP significantly decreased Ang II levels while upregulated angiotensin 1-7 levels. B38-CAP improved survival rate of the mice under sepsis. B38-CAP suppressed the pathologies of lung inflammation, improved lung dysfunction and downregulated elevated cytokine mRNA levels in the mice with acute lung injury. Thus, systemic treatment with an ACE2-like enzyme might be a potential therapeutic strategy for the patients with severe sepsis or ARDS.
AuthorsTakafumi Minato, Tomokazu Yamaguchi, Midori Hoshizaki, Satoru Nirasawa, Jianbo An, Saori Takahashi, Josef M Penninger, Yumiko Imai, Keiji Kuba
JournalPloS one (PLoS One) Vol. 17 Issue 7 Pg. e0270920 ( 2022) ISSN: 1932-6203 [Electronic] United States
PMID35867642 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Angiotensin II
  • Carboxypeptidases
  • Peptidyl-Dipeptidase A
  • Angiotensin-Converting Enzyme 2
Topics
  • Acute Lung Injury (pathology)
  • Angiotensin II (metabolism)
  • Angiotensin-Converting Enzyme 2
  • Animals
  • COVID-19
  • Carboxypeptidases (metabolism)
  • Escherichia coli (metabolism)
  • Humans
  • Lung (pathology)
  • Mice
  • Peptidyl-Dipeptidase A (metabolism)
  • Renin-Angiotensin System
  • Respiratory Distress Syndrome (drug therapy)
  • SARS-CoV-2
  • Sepsis (complications, drug therapy, metabolism)

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