Adrenomedullin is increased in alveolar macrophages and released from the lungs into the circulation in severe heart failure

Adrenomedullin (AM) is a potent vasorelaxing peptide with natriuretic, diuretic, and growth inhibitory properties. Plasma concentrations and myocardial AM expression are increased in heart failure (HF). Since AM and AM binding sites are abundantly expressed in the lungs, we investigated to what exte...

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Veröffentlicht in:Basic research in cardiology 2010, Vol.105 (1), p.89-98
Hauptverfasser: Øie, Erik, Ahmed, Mohammed Shakil, Ueland, Thor, Sikkeland, Liv Ingunn Bjoner, Dahl, Christen P., Hagelin, Else Marie Valbjørn, von Lueder, Thomas, Edvardsen, Thor, Andreassen, Arne K., Gullestad, Lars, Aukrust, Pål, Yndestad, Arne, Vinge, Leif Erik, Attramadal, Håvard
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container_issue 1
container_start_page 89
container_title Basic research in cardiology
container_volume 105
creator Øie, Erik
Ahmed, Mohammed Shakil
Ueland, Thor
Sikkeland, Liv Ingunn Bjoner
Dahl, Christen P.
Hagelin, Else Marie Valbjørn
von Lueder, Thomas
Edvardsen, Thor
Andreassen, Arne K.
Gullestad, Lars
Aukrust, Pål
Yndestad, Arne
Vinge, Leif Erik
Attramadal, Håvard
description Adrenomedullin (AM) is a potent vasorelaxing peptide with natriuretic, diuretic, and growth inhibitory properties. Plasma concentrations and myocardial AM expression are increased in heart failure (HF). Since AM and AM binding sites are abundantly expressed in the lungs, we investigated to what extent pulmonary AM and AM receptor subtypes [CRLR/RAMP2 (AM 1 ) and CRLR/RAMP3 (AM 2 )] are changed in HF and whether the lungs contribute to the increased plasma concentrations of AM reported in HF. Pulmonary AM mRNA and protein expression were increased by 2.8- and 2.6-fold, respectively, whereas mRNA expression of RAMP2 and CRLR was decreased in rats with HF 7 days after induction of MI compared to sham-operated rats ( P  
doi_str_mv 10.1007/s00395-009-0070-y
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Plasma concentrations and myocardial AM expression are increased in heart failure (HF). Since AM and AM binding sites are abundantly expressed in the lungs, we investigated to what extent pulmonary AM and AM receptor subtypes [CRLR/RAMP2 (AM 1 ) and CRLR/RAMP3 (AM 2 )] are changed in HF and whether the lungs contribute to the increased plasma concentrations of AM reported in HF. Pulmonary AM mRNA and protein expression were increased by 2.8- and 2.6-fold, respectively, whereas mRNA expression of RAMP2 and CRLR was decreased in rats with HF 7 days after induction of MI compared to sham-operated rats ( P  &lt; 0.05). Pulmonary AM receptor density was substantially decreased in HF rats compared to sham (3.7 ± 0.6 vs. 29.9 ± 1.1 fmol/mg membrane protein; P  &lt; 0.05). Immunoreactivities against AM and the AM receptor components CRLR, RAMP2, and RAMP3 in the pulmonary tissue were seen in vascular smooth muscle cells, vascular endothelial cells, and in alveolar macrophages. AM mRNA expression in alveolar macrophages obtained from HF rats by bronchoalveolar lavage was 2.9-fold higher than in sham-operated rats ( P  &lt; 0.05). An even more substantial increase of AM mRNA expression was found in alveolar macrophages from patients with HF (10-fold, P  &lt; 0.05), and this increase displayed a negative correlation to left ventricular systolic function ( P  &lt; 0.05). Furthermore, a net release of AM from the lungs into the circulation was only found in HF patients with the most severe left ventricular systolic dysfunction. Thus, our data demonstrate increased expression and decreased receptor binding of AM in the lungs in severe HF. Furthermore, our data indicate that alveolar macrophages are an important source of pulmonary AM in both experimental and clinical HF. 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Plasma concentrations and myocardial AM expression are increased in heart failure (HF). Since AM and AM binding sites are abundantly expressed in the lungs, we investigated to what extent pulmonary AM and AM receptor subtypes [CRLR/RAMP2 (AM 1 ) and CRLR/RAMP3 (AM 2 )] are changed in HF and whether the lungs contribute to the increased plasma concentrations of AM reported in HF. Pulmonary AM mRNA and protein expression were increased by 2.8- and 2.6-fold, respectively, whereas mRNA expression of RAMP2 and CRLR was decreased in rats with HF 7 days after induction of MI compared to sham-operated rats ( P  &lt; 0.05). Pulmonary AM receptor density was substantially decreased in HF rats compared to sham (3.7 ± 0.6 vs. 29.9 ± 1.1 fmol/mg membrane protein; P  &lt; 0.05). Immunoreactivities against AM and the AM receptor components CRLR, RAMP2, and RAMP3 in the pulmonary tissue were seen in vascular smooth muscle cells, vascular endothelial cells, and in alveolar macrophages. AM mRNA expression in alveolar macrophages obtained from HF rats by bronchoalveolar lavage was 2.9-fold higher than in sham-operated rats ( P  &lt; 0.05). An even more substantial increase of AM mRNA expression was found in alveolar macrophages from patients with HF (10-fold, P  &lt; 0.05), and this increase displayed a negative correlation to left ventricular systolic function ( P  &lt; 0.05). Furthermore, a net release of AM from the lungs into the circulation was only found in HF patients with the most severe left ventricular systolic dysfunction. Thus, our data demonstrate increased expression and decreased receptor binding of AM in the lungs in severe HF. Furthermore, our data indicate that alveolar macrophages are an important source of pulmonary AM in both experimental and clinical HF. 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Dahl, Christen P. ; Hagelin, Else Marie Valbjørn ; von Lueder, Thomas ; Edvardsen, Thor ; Andreassen, Arne K. ; Gullestad, Lars ; Aukrust, Pål ; Yndestad, Arne ; Vinge, Leif Erik ; Attramadal, Håvard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-ade467eecc3c38408525d9dce66b6c1a128bd9b37900070d1a93ce41a85d0b9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adrenomedullin - metabolism</topic><topic>Animals</topic><topic>Binding Sites</topic><topic>Blood Pressure</topic><topic>Calcitonin Receptor-Like Protein</topic><topic>Cardiology</topic><topic>Gene Expression</topic><topic>Heart Failure - immunology</topic><topic>Heart Failure - metabolism</topic><topic>Heart Failure - physiopathology</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Intracellular Signaling Peptides and Proteins - metabolism</topic><topic>Lung - metabolism</topic><topic>Lung - pathology</topic><topic>Macrophages, Alveolar - metabolism</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; 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Plasma concentrations and myocardial AM expression are increased in heart failure (HF). Since AM and AM binding sites are abundantly expressed in the lungs, we investigated to what extent pulmonary AM and AM receptor subtypes [CRLR/RAMP2 (AM 1 ) and CRLR/RAMP3 (AM 2 )] are changed in HF and whether the lungs contribute to the increased plasma concentrations of AM reported in HF. Pulmonary AM mRNA and protein expression were increased by 2.8- and 2.6-fold, respectively, whereas mRNA expression of RAMP2 and CRLR was decreased in rats with HF 7 days after induction of MI compared to sham-operated rats ( P  &lt; 0.05). Pulmonary AM receptor density was substantially decreased in HF rats compared to sham (3.7 ± 0.6 vs. 29.9 ± 1.1 fmol/mg membrane protein; P  &lt; 0.05). Immunoreactivities against AM and the AM receptor components CRLR, RAMP2, and RAMP3 in the pulmonary tissue were seen in vascular smooth muscle cells, vascular endothelial cells, and in alveolar macrophages. AM mRNA expression in alveolar macrophages obtained from HF rats by bronchoalveolar lavage was 2.9-fold higher than in sham-operated rats ( P  &lt; 0.05). An even more substantial increase of AM mRNA expression was found in alveolar macrophages from patients with HF (10-fold, P  &lt; 0.05), and this increase displayed a negative correlation to left ventricular systolic function ( P  &lt; 0.05). Furthermore, a net release of AM from the lungs into the circulation was only found in HF patients with the most severe left ventricular systolic dysfunction. Thus, our data demonstrate increased expression and decreased receptor binding of AM in the lungs in severe HF. Furthermore, our data indicate that alveolar macrophages are an important source of pulmonary AM in both experimental and clinical HF. Finally, a net release of AM from the lungs into the circulation was only found in patients with severe systolic dysfunction.</abstract><cop>Heidelberg</cop><pub>D. 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ispartof Basic research in cardiology, 2010, Vol.105 (1), p.89-98
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subjects Adrenomedullin - metabolism
Animals
Binding Sites
Blood Pressure
Calcitonin Receptor-Like Protein
Cardiology
Gene Expression
Heart Failure - immunology
Heart Failure - metabolism
Heart Failure - physiopathology
Humans
Immunohistochemistry
Intracellular Signaling Peptides and Proteins - metabolism
Lung - metabolism
Lung - pathology
Macrophages, Alveolar - metabolism
Male
Medicine
Medicine & Public Health
Membrane Proteins - metabolism
Myocardial Infarction - metabolism
Myocardial Infarction - physiopathology
Myocardium - pathology
Organ Size
Original Contribution
Rats
Rats, Wistar
Receptor Activity-Modifying Protein 2
Receptor Activity-Modifying Protein 3
Receptor Activity-Modifying Proteins
Receptors, Adrenomedullin
Receptors, Calcitonin - metabolism
Receptors, Peptide - metabolism
RNA, Messenger - metabolism
Systole
Ventricular Function, Left
title Adrenomedullin is increased in alveolar macrophages and released from the lungs into the circulation in severe heart failure
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