E ndothelial cells play a central role in maintaining vascular



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ONLINE SUPPLEMENT 

 

 



ANGIOTENSIN-CONVERTING ENZYME 2 ACTIVATION IMPROVES 

ENDOTHELIAL FUNCTION 

 

 



Rodrigo A. Fraga-Silva

1,6


, Fabiana P. Costa-Fraga

2

, Tatiane M. Murça



3

, Patrícia L. Moraes

3



Augusto Martins Lima



1,2

, Roberto Q. Lautner

1,2

, Carlos H. Castro



1,4

, Célia Maria A. Soares

4



Clayton L. Borges



4

, Ana Paula Nadu

2

, Marilene L. Oliveira



2

, Vinayak Shenoy

5

, Michael J. 



Katovich

5

, Robson A.S. Santos



1,2

, Mohan K. Raizada

6

, Anderson J. Ferreira



1,3

 

 



 

1

National Institute of Science and Technology in Nanobiopharmaceutics (NanoBiofar); 



Departments of 

2

Physiology and Biophysics and 



3

Morphology, Federal University of Minas 

Gerais, Brazil; 

4

Department of Physiological Sciences, Federal University of Goiás, Brazil; 



Departments of 

5

Pharmacodynamics and



  6

Physiology and Functional Genomics, University of 

Florida, USA. 

 

 



 

 

 



 

 

 



 

 

 



 

Short title: ACE2 Activation and Endothelial Function 

 

 



 

 

 



 

 

Address for Correspondence:   Anderson José Ferreira, PhD 

Department of Morphology 

Federal University of Minas Gerais 

Av. Antônio Carlos, 6627 

31.270-901, Belo Horizonte, MG, Brazil 

FAX: (55-31) 3409-2810 - Phone: (55-31) 3409-2811 

e-mail: anderson@icb.ufmg.br 




 

2

METHODS 



Experimental Model of Diabetes 

 

Diabetes was induced in Wistar rats using streptozotocin (STZ; Sigma-Aldrich, USA; 



Cat# S0130), as described elsewhere.

1

 Briefly, anesthetized rats (100mg/kg ketamine and 



10mg/kg xylazine) were injected with STZ (50mg/kg), intravenously. The animals were deprived 

of food twelve hours before the STZ injection. After ten days, blood glucose levels were 

measured using a glucometer and the treatment with XNT (1mg/kg per day, during four weeks, 

gavage) was initiated. At the end of the XNT treatment, the measurement of the blood glucose 

levels was repeated and the animals were sacrificed. 

 

Isolated Aortic Rings Preparation 

Isolated aortic rings were used to evaluate the acute and chronic (SHR and diabetic 

animals) vascular effects of XNT. Aortic rings (4mm) from the descending thoracic aorta, free of 

adipose and connective tissues, were set up in gassed (95%O

2

 and 5%CO



2

) Krebs-Henseleit 

solution (110.8mmol/L NaCl, 5.9mmol/L KCl, 25.0mmol/L NaHCO

3

, 1.1mmol/L MgSO



4

2.5mmol/L CaCl



2

, 2.3mmol/L NaH

2

PO

4



 and 11.5mmol/L glucose) at 37

o

C under a tension of 1g 



for 1 hour to equilibrate. The vessels from mice were stabilized with 0.5g of tension. Mechanical 

activity was recorded isometrically using a force transducer (World Precision Instruments, 

USA), amplified (Model TMB-4; World Precision Instruments, USA) and stored in a personal 

computer equipped with an analogue-to-digital converter board (AD16JR; World Precision 

Instruments, USA) utilizing the CVMS data acquisition/recording software (World Precision 

Instruments, USA). The effects of XNT were evaluated in aortic rings pre-constricted with 

phenylephrine (0.1µmol/L). In the acute protocols (Sprague-Dawley rats, n=8 to 10), XNT was 

added into the bath in increasing cumulative concentrations (0.1nmol/L to 100µmol/L) or as an 

unique submaximal concentration (10µmol/L) after the stabilization of the response to 

phenylephrine. To evaluate the role of Mas, D-pro

7

-Ang-(1-7) (1µmol/L and 10µmol/L) or A-



779 (10µmol/L) was added into the bath associated to the XNT (10µmol/L). Aortic rings of 

Mas


+/+

 and Mas


-/-

 mice were incubated with the submaximal concentration (10µmol/L) of XNT 

in the absence or presence of losartan after the stabilization of the response to phenylephrine. In 

addition, the acetylcholine (ACh, at 1nmol/L to 1µmol/L) and sodium nitroprusside (SNP, at 

1nmol/L to 1µmol/L) vasorelaxant responses were used to evaluate the endothelial function of 

chronically XNT-treated SHR (1mg/kg per day, for four weeks, osmotic minipumps, model 

2ML4-Alzet

®

) and of chronically XNT-treated diabetic rats (Wistar rats, 1mg/kg per day, four 



weeks, gavage). Also, the participation of the endothelium in the vasorelaxant effects of XNT 

was examined by incubating this compound with aortic rings from normal Wistar rats with or 

without intact endothelium. 

 

Measurement of ACE2 Activity 

The enzymatic activity (n=5) of human recombinant ACE2 (rhACE2; R&D systems, 

USA; Cat# 933-ZN) and of aorta samples from normal and diabetic animals (n=6-8) was 

determined using a fluorogenic substrate (fluorogenic peptide VI; R&D systems, USA; Cat# 

ES007) in the presence or absence of XNT. Enzymatic activity was measured with a Spectra 

Max Gemini EM Fluorescence Reader (Molecular Devices, USA), as previously described.

2,3


 

Samples were read every 30 seconds for, at least, 40 minutes immediately after the addition of 

the fluorogenic peptide substrate at 37°C. The data obtained using tissue samples were 

represented as the average of all readings. 




 

3

 



Angiotensin-(1-7) Measurement 

Aortas (n=5) were homogenized with 0.045 N HCl in ethanol (10 ml/g of tissue) 

containing 0.90 µmol/l p-hydroxymercuribenzoate, 131.50 µmol/l of 1,10-phenanthroline, 0.90 

µmol/l phenylmethylsulfonyl fluoride (PMSF), 1.75 µmol/l pepstatin A, 0.032% EDTA, and 

0.0043% protease-free bovine serum albumin (BSA) and evaporated. After evaporation, the 

samples were dissolved in 0.003% trifluoracetic acid (TFA). Blood samples (n=8) were collected 

and transferred to polypropylene tubes containing 1 mmol/l p-hydroxymercuribenzoate, 30 

mmol/l of 1,10-phenanthroline, 1 mmol/l PMSF, 1 mmol/l pepstatin A, and 7.5% EDTA (50 

µl/ml of blood). After centrifugation, plasma samples were frozen in dry ice and stored at -80°C. 

Ang II and Ang-(1-7) was extracted onto a BondElut phenylsilane cartridge (Varian). The 

columns were preactivated by sequential washes with 10 ml of 99.9% acetonitrile/0.1% 

heptafluorobutyric acid (HFBA) and 10 ml of 0.1% HFBA. Sequential washes with 10 ml of 

99.9% acetonitrile/0.1% HFBA, 10 ml of 0.1% HFBA, 3 ml of 0.1% HFBA containing 0.1% 

BSA, 10 ml of 10% acetonitrile/0.1% HFBA, and 3 ml of 0.1% HFBA were used to activate the 

columns. After sample application, the columns were washed with 20 ml of 0.1% HFBA and 3 

ml of 20% acetonitrile/0.1% HFBA. The adsorbed peptide was eluted with 3 ml of 99.9% 

acetonitrile/0.1% HFBA into polypropylene tubes rinsed with 0.1% fat-free BSA. After 

evaporation, Ang II and Ang-(1-7) levels were measured by radioimmunoassay (RIA), as 

previously described.

4

 Protein concentration in the crude homogenates was determined by the 



Bradford method. 

 

Western Blotting 

Descending thoracic aorta of diabetic rats (Wistar rats, n=4 to 10) were collected and 

homogenized in lysis buffer containing 9mol/l ureia and 2% CHAPS with freshly added protease 

inhibitor mix (GE Healthcare, UK; Cat# 80-6501-23). Thirty micrograms of protein were 

separated by electrophoresis on a 10% polyacrylamide gel and transferred to nitrocellulose 

membranes. Non-specific bindings were blocked with TBS-T (Tris-base at 3%, Tween 20, pH 

7.6) containing 5% non-fat skim milk. Membranes were probed with one of following specific 

primary antibodies: anti-catalase (1:1000, Cell Signaling Technology, USA; Cat# 8841), anti-

SOD (1:1000, Cell Signaling Technology, USA; Cat# 2770), anti-NOX2 (1:250, Santa Cruz 

Biotechnology, USA; Cat# SC-130549), anti-ACE2 (1:500, Gene Tex, CA, USA; Cat# 

GTX15348) or anti-GAPDH (1:5000, Santa Cruz Biotechnology, USA; Cat# sc-166545) 

followed by incubation with secondary antibodies. Immunoreactive bands were quantified by 

densitometry. 

 

Immunohistochemistry 

Paraffin-embedded ventricular sections (6µm, n=4 to 6 sections) were first incubated with 

0.3% H

2

O



2

 in phosphate-buffered saline (PBS) for 15 minutes followed by incubation with 2% 

BSA in PBS containing 0.3% Triton X100 for 1 hour. Sections were incubated overnight at 4

o



with the anti-ACE2 antibody (1:250, Gene Tex, CA, USA; Cat# GTX15348) diluted in PBS 

containing 0.3% Triton X100 and 0.3% BSA. After four or five rinses in PBS, biotinylated goat 

anti-rabbit IgG secondary antibody was added for 1 hour followed by incubation with avidin-

biotin-peroxidase complex reagents (Dako LSAB+System-HRP, Dako, Inc., Carpinteria, CA, 

USA) for 1 hour. The sections were stained with diaminobenzidine solution for 4 minutes and 

counterstained with hematoxylin. Each step was followed by washing the sections with PBS 




 

4

containing 0.3% Triton X100. Sections incubated without primary antibodies were used as 



negative controls. The sections were analyzed using an Olympus BX 41 microscope (Olympus, 

Inc., Irving, TX, USA). Five fields of each section were sequentially photographed under 40x 

objective. The strongest labeling area of the positive labeled tissue was measured using the 

Image Pro-Plus software and the results were expressed in percentage of occupied area. The 

segmentation was based in the pixels number of the strongest labeling area. 

 

Detection of Reactive Oxygen Species 

To detect ROS production in aorta of diabetic rats (Wistar rats, n=6 to 8), 30µm-

cryosections of the descending thoracic aorta were stained with dihydroethidium (DHE; Sigma-

Aldrich, USA, Cat# 37291) at 2µmol/L in PBS for 15 minutes at 37ºC.

5

 The slices were washed 



with PBS and examined on a fluorescence microscope equipped with a digital imaging system 

(Carl Zeiss MicroImaging, USA). Furthermore, the intracellular levels of ROS (n=9 to 12 

experiments) in human aortic endothelial cells (HAEC; Cascade Biologics, USA; Cat# C-006-

5C) were also measured using DHE, as described elsewhere.

6

 Briefly, cells were grown in glass 



slides in a humidified 5% CO

2

/95% O



2

 atmosphere at 37

o

C. ROS production was stimulated by 



Ang II at 0.1µmol/L in the presence or absence of XNT at 1µmol/L. After 20 minutes, the cells 

were washed twice with PBS and loaded with DHE at 2µmol/L for 5 minutes. HAEC were 

washed with PBS and examined on a fluorescence microscope (Carl Zeiss MicroImaging, USA). 

DHE fluorescence intensity of acquired digital images was quantified by the NIH software 

Image J. 

 

REFERENCES 

1.

 

Dall'Ago P, Fernandes TG, Machado UF, Belló AA, Irigoyen MC. Baroreflex and 



chemoreflex dysfunction in streptozotocin-diabetic rats. Braz J Med Biol Res. 1997;30:119-124. 

2.

 



Hernández Prada JA, Ferreira AJ, Katovich MJ, Shenoy V, Qi Y, Santos RAS, Castellano 

RK, Lampkins AJ, Gubala V, Ostrov DA, Raizada MK. Structure-based identification of small-

molecule angiotensin-converting enzyme 2 activators as novel antihypertensive agents. 

Hypertension. 2008;51:1312-1317. 

3.

 



Huentelman MJ, Zubcevic J, Katovich MJ, Raizada MK. Cloning and characterization of a 

secreted form of angiotensin-converting enzyme 2. Regul Pept. 2004;122:61-67. 

4.

 

Botelho LMO, Block CH, Khosla MC, Santos RAS. Plasma angiotensin-(1-7) 



immunoreactivity is increased by salt load, water deprivation, and hemorrhage. Peptides. 

1994;15:723-729. 

5.

 

Sukhanov S, Higashi Y, Shai SY, Vaughn C, Mohler J, Li Y, Song YH, Titterington J, 



Delafontaine P. IGF-1 reduces inflammatory responses, suppresses oxidative stress, and 

decreases atherosclerosis progression in ApoE-deficient mice. Arterioscler Thromb Vasc Biol

2007;27:2684-2690. 

6.

 



Cai S, Khoo J, Channon KM. Augmented BH4 by gene transfer restores nitric oxide synthase 

function in hyperglycemic human endothelial cells. Cardiovasc Res. 2005;65:823-831. 




 

5

RESULTS 



 

10

20

30

40

0

1000

2000

3000

4000

5000

rhACE2+XNT, n=5

rhACE2, n=5

Negative Control, n=5

*

*

*

Time (minutes)

R

e

la

ti

ve

 Fl

uo

re

s

c

enc

e

 f

o

r

rh

A

C

E

2

 A

c

ti

v

ity

 (A

.U

.)

 

Supplemental Figure S1. XNT enhances the activity of recombinant human ACE2 (rhACE2). 

The fluorescence resulted from the breakdown of the fluorogenic substrate by rhACE2 in the 

presence or absence of XNT. *P<0.001 (Two-way ANOVA followed by the Bonferroni's 

multiple comparison test). Each point represents the mean ± SEM (n=5) of relative fluorescence 

in arbitrary unit (A.U.). 

 

CTRL



CTRL+XNT

STZ

STZ+XNT

0

100

200

300

*

*

*

*

R

e

la

ti

ve Fl

u

o

resce

nce f

o

r

 A

o

rt

ic

 A

C

E

2

 a

c

tiv

ity

 (A

.U

.)

 

Supplemental Figure S2. XNT enhances the activity of aortic ACE2 of normal (CTRL) and 

diabetic (STZ) rats. The fluorescence resulted from the breakdown of the fluorogenic substrate 

by ACE2 in the presence or absence of XNT. *P<0.05 (Student t-test). The data represent the 

average of all readings (n=6-8 in each group). A.U.: arbitrary unit (A.U.). 



 

6

 



 



STZ

STZ+XNT

0

10

20

30

40

50

60

70

*

n=8

n=8

pg/

m

l pl

a

s

m

a

 

 



 

 

 



STZ

STZ+XNT

0

1

2

3

4

n=5

n=5

pg/

m

g p

ro

tei

n

 

Supplemental Figure S3. Ang-(1-7) levels in (A) plasma and (B) aorta of diabetic (STZ) rats 

treated or not with XNT. ACE2 activation significantly increased the concentration of Ang-(1-7) 

in the plasma of diabetic rats. *P<0.05 (Student t-test). 




 

7

 



 

 

STZ



STZ+XNT

0

10

20

30

40

50

60

70

n=8

n=8

p

g

/m

l p

la

s

m

a

 

 



Supplemental Figure S4. Plasma Ang II levels in diabetic (STZ) rats treated or not with XNT. 

No significant changes were observed between the groups (Student t-test). 

 

 

 



 

Supplemental Figure S5. Angiotensin-converting enzyme 2 (ACE2) protein expression in aorta 

of control (non-diabetic) and diabetic rats treated or not with XNT. Representative blot and 

quantification of the expression. A total of 30µg of protein was applied to the gel. Data were 

normalized using GAPDH. One-way ANOVA followed by the Bonferroni’s multiple 

comparison test. The data are presented as mean ± SEM (n=4 to 5). 

 



 

8

 



 

 

Supplemental Figure S6. Expression of Angiotensin-converting enzyme 2 (ACE2) in aorta of 

control (non-diabetic) and diabetic rats treated or not with XNT. Representative 

photomicrographs of (A) control, (B) diabetic rat treated with saline and (C) diabetic rat treated 

with XNT. The negative control (inset) was obtained by omitting the primary antibody from the 

incubation procedure. (D) Quantification of ACE2 in aorta of control (non-diabetic) and diabetic 

rats treated or not with XNT. One-way ANOVA followed by the Bonferroni’s multiple 

comparison test. The data are presented as mean ± SEM. Scale bar represents 50 µm. 




 

9



 



 



Supplemental Figure S7. Catalase, superoxide dismutase (SOD) and NOX2 protein expression 

in aorta of diabetic rats. Representative blots and quantification of the expression of (A) catalase, 

(B) SOD and (C) NOX2 in aorta of control (non-diabetic) and diabetic rats treated or not with 

XNT. For each blot a total of 30µg of protein was applied to the gel. Data were normalized using 

GAPDH. One-way ANOVA followed by the Bonferroni’s multiple comparison test. The data are 

presented as mean ± SEM (n=6 to 10). 

 



 

10

 



Supplemental Figure S8. XNT attenuates the Ang II-induced reactive oxygen species (ROS) 

production in human aortic endothelial cells (HAEC). The cells were incubated with Ang II 

(0.1µmol/L) in the presence or absence of XNT (1µmol/L). ROS production was detected using 

dihydroethidium (DHE; 2µmol/L). Representative photomicrographs of HAEC showing the 

ROS production in control cells (A), Ang II-treated cells (B), XNT-treated cells (C) and Ang 

II+XNT-treated cells (D). Quantification of ROS content (E). **p<0.01 and ***p<0.001 (One-

way ANOVA followed by the Bonferroni’s multiple comparison test). Each column represents 

the mean ± SEM (n=9 to 12 experiments) of relative fluorescence in arbitrary unit (A.U.). 



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