Cardiac left ventricular hypertrophy is most commonly associated with hypertension and is an independent risk factor for cardiovascular events in patients with hypertension. Mechanical load or stretching in cardiac tissue has been identified as a growth stimulus and may be relevant in hypertension-induced cardiac hypertrophy.1) Hormonal stimuli, such as angiotensin II, endothelins, norepinephrine, and thyroid hormone, have also been postulated to play a role in the regulation of cardiac cell growh.2-5) Based on the finding that angiotensin II stimulates protein synthesis of cardiac myocytes 6) and that angiotensin-converting enzyme (ACE) inhibitor induces regression of cardiac hypertrophy both in experimental animal models 7) and in hypertensive patients, 8) several studies have suggested a crucial role of the renin-angiotensin system locally present in the cardiac tissue in the formation of hypertrophy. 9) Indeed, the activation of the cardiac renin-angiotensin system, such as the upregulation of angiotensinogen, ACE and angiotensin II type-1 (AT1) receptor mRNAs, have been demonstrated in association with cardiac hypertrophy. [10][11][12][13] In contrast to angiotensin II, kinins produced by the kallikrein-kinin system have been postulated to participate in the beneficial effects of ACE inhibitors, because ACE inhibitors prevent the degradation of kinins into inactive peptides by inhibiting kininase II, and B2 receptor antagonist abolished the reduction of cardiac hypertrophy by an ACE inhibitor in the rat aortic-banding model. 14,15) Kinins are released from high-and low-molecular-weight kininogens (H-and L-kininogens, respectively) by kininogenases such as plasma and tissue kallikreins.16) Evidence suggests that a local kallikrein-kinin system exists in the heart, which enables it to synthesize and release kinins. 17) In this respect, we have demonstrated that rat cardiac myocytes express mRNAs for bradykinin B2-receptor, kininogen and kallikrein, supporting the presence of the local kallikreinkinin system in the heart. 18) Recent studies have provided evidence that kinins released locally in the heart may act as autocrine/paracrine hormones, inhibiting the cardiac remodeling process, such as cardiomyocyte hypertrophy and hyperplasia of interstitial fibroblasts, suggesting that kinins are cardioprotective factors inhibiting the progression of cardiac hypertrophy. [19][20][21][22] In these studies, however, alterations of the cardiac kallikrein-kinin system during the formation of hypertrophy were not investigated. We hypothesized that the cardiac kallikrein-kinin system may be altered during the development of heart failure and may contribute to the pathophysiology of this disease state. Therefore, the present study was designed to answer this question by determining mRNA levels of the kallikrein-kinin components, such as kininogens, tissue kallikrein and bradykinin receptors, during the development of pressure-overload cardiac hypertrophy in mice.
MATERIALS AND METHODSAbdominal Aorta Constriction Adult male...