Benter IF, Yousif MH, Cojocel C, Al-Maghrebi M, Diz DI. Angiotensin-(1-7) prevents diabetes-induced cardiovascular dysfunction. Am J Physiol Heart Circ Physiol 292: H666 -H672, 2007; doi:10.1152/ajpheart.00372.2006.-The aim of this study was to test the hypothesis that treatment with angiotensin-(1-7) [ANG-(1-7)] or ANG-(1-7) nonpeptide analog AVE-0991 can produce protection against diabetes-induced cardiovascular dysfunction. We examined the influence of chronic treatment (4 wk) with ANG-(1-7) (576 g ⅐ kg Ϫ1 ⅐ day Ϫ1 ip) or AVE-0991 (576 g ⅐ kg Ϫ1 ⅐ day Ϫ1 ip) on proteinuria, vascular responsiveness of isolated carotid and renal artery ring segments and mesenteric bed to vasoactive agonists, and cardiac recovery from ischemia-reperfusion in streptozotocin-treated rats (diabetes). Animals were killed 4 wk after induction of diabetes and/or treatment with ANG-(1-7) or AVE-0991. There was a significant increase in urine protein (231 Ϯ 2 mg/24 h) in diabetic animals compared with controls (88 Ϯ 6 mg/24 h). Treatment of diabetic animals with ANG-(1-7) or AVE-0991 resulted in a significant reduction in urine protein compared with vehicle-treated diabetic animals (183 Ϯ 16 and 149 Ϯ 15 mg/24 h, respectively). Treatment with ANG-(1-7) or AVE-0991 also prevented the diabetes-induced abnormal vascular responsiveness to norepinephrine, endothelin-1, angiotensin II, carbachol, and histamine in the perfused mesenteric bed and isolated carotid and renal arteries. In isolated perfused hearts, recovery of left ventricular function from 40 min of global ischemia was significantly better in ANG-(1-7)-or AVE-0991-treated animals. These results suggest that activation of ANG-(1-7)-mediated signal transduction could be an important therapeutic strategy to reduce cardiovascular events in diabetic patients. diabetes; AVE-0991; vascular dysfunction; carotid artery DIABETES MELLITUS IS A MAJOR debilitating disease affecting millions worldwide. The quality of life of patients with diabetes is largely determined by the complications rather than the primary disease. Among these, micro-and macrovascular dysfunctions are probably the most dominant factors because they result in a three-to fivefold increase in deaths in diabetics compared with the normal population. Diabetes-induced cardiovascular dysfunction is evidenced clinically by accelerated atherosclerosis, retinopathy, nephropathy, occlusive vascular disease, and hypertension (18,26,34). Alterations within the renin-angiotensin system are considered to be important for the development of diabetic complications, particularly diabetic renal disease and hypertension (10,38,46,47). Suppression of angiotensin II (ANG II) synthesis or activity can prevent or slow the progression of diabetes-induced cardiovascular complications. Indeed, angiotensin-converting enzyme (ACE) inhibitors and ANG II receptor blockers have become an integral part of any therapeutic strategy to reduce renal and cardiovascular events in patients with diabetes (10, 35).Angiotensin-(1-7) [ANG-(1-7)] is a vasodilator ...