Effects of Tonin, an Angiotensin II-Forming Enzyme, on Vascular Smooth Muscle in the Normal Rabbit R A U L GARCIA, M.D., ERNESTO L. SCHIFFRIN, M.D., AND JACQUES GENEST, GAETAN THIBAULT, P H . D . , M.D. Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 SUMMARY Tonin is an enzyme of the serine protease family present in different rat tissues which releases angiotensin II (AH) directly from angiotensinogen and the tetradecapeptide renin substrate and from angiotensin I (AI). Tonin potentiates the effect of norepinephrine (NE) in the rat mesenteric artery preparation and in the aortic strips from normal and hypertensire rats. In rabbit aortic and mesenteric artery strips tonin potentiates the effect of NE, almost doubling its response. A similar effect was observed on the KG and All-induced contraction. This tonin-induced potentiation is reversible and long-lasting, persisting for 1 to 2 hours after being added into the tissue bath. In 75% of the vascular strips assayed, tonin elicited a contraction with a short latency period and with a maximum tension ranging from a few milligrams to over 1 g. To clarify the mechanisms of tonin effect on vascular smooth muscle, a variety of agents have been used. Neither indomethacin, saralasin, nor a- or /S-adrenergic blockers changed the direct contraction or the potentiation induced to NE. Db-cAMP and ttaeophylllne blocked the potentiation to the response to NE. A C»l+-free medium, La'*, and verapamil produced a 75% inhibition of the direct tonin-induced contraction. Papaverine, isoproterenol, and theophylline relaxed the same contraction. Enzymatic inactivation of tonin blocked completely the direct contraction but not the potentiation to NE. These experiments suggest that the vasoactive effect of tonin may be mediated by the release of intracellular-bound calcium, an effect dependent on a proteolytic effect of tonin, and by increasing the cellular permeability to calcium, which is not of a proteolytic effect. It is suggested that tonin remains attached to the vascular strips by mechanisms as yet not clarified. (Hypertension 3 (supp I): 1-101—1-106, 1981) KEY WORDS • tonin • vascular smooth muscle • vasoconstriction mechanisms • vascular relaxation • calcium antagonists • norepinephrine • arterial reactivity T ONIN is an enzyme of the serine proteases family that is present in different rat tissues and releases angiotensin II (All) from angiotensin I (AI) and directly from a natural substrate present in plasma, or from the synthetic tetradecapeptide renin substrate. 1 ' J It has been purified to homogeneity3 and recently crystallized.4 It has been demonstrated6 that tonin infusion into the rat mesenteric artery preparation potentiates the vasoconstrictor response to norepinephrine (NE). As this effect was similar to that produced by All and was not abolished by saralasin, the possibility that All was generated at a site inaccessible to the antagonist was suggested. However, a direct vasoactive effect of tonin itself could not be ruled out. We have previously presented evidence that tonin may be involved in the pathogenesis of one-kidney one clip hypertension in the rat" and rabbit.7 More recently," we have shown that tonin also potentiates the contraction induced by NE in aortic strips from normotensive and hypertensive rats. This effect was more pronounced in the one-kidney one clip hypertensive animals and was not abolished by saralasin, which is consistent with our previous results in the mesenteric preparation. The mechanism by which tonin potentiates the effect of NE in the vascular smooth muscle is by no means clear. The fact that this effect is not inhibited by saralasin casts some doubts on the in situ generation of All by tonin, as previously assumed. 8 The present experiments have been designed to clarify this point. From the Clinical Research Institute of Montreal, Montreal, Quebec, Canada. Supported by a group grant given by the Medical Research Council of Canada to the Multidisciplinary Research Group on Hypertension of the Clinical Research Institute of Montreal. Address for reprints: Raul Garcia, M.D., Clinical Research Institute of Montreal, 110 Pine Avc West, Montreal, Quebec, Canada, H2W 1R7. Materials and Methods Male New Zealand rabbits weighing 1.8 to 2.0 kg were fed Purina rabbit chow and allowed free access to tap water. The day of each experiment the animals 1-101 1-102 PATHOPHYSIOLOGY OF HYPERTENSION Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 were anesthetized with sodium pentobarbital (Nembutal, 30 mg/kg, i.v.). The thoracic aorta and mesenteric artery were rapidly removed and helically cut as described by Furchgott and Bhadrakom.' Each vascular strip of approximately 2 mm width and 20 to 25 mm length for the mesenteric artery, and 3 mm width and 30 to 35 mm length for the aorta, was suspended individually in a 20 ml tissue bath containing Krebs solution at 37°C, which was continuously oxygenated with a mixture of 95% O2 and 5% CO, (pH 7.4). The strips were mounted between a fixed base and a forcedisplacement transducer (GrasS'FT-03C). The contractions were recorded on a Grass Model 5 or Model 7 polygraph. A tension of 1000 to 1500 mg was applied to each mesenteric strip and 2500 to 3000 mg to each aortic strip, and the strips were allowed to equilibrate for 2 ' hours before the experimental procedures began. The bathing fluid was removed and the strip tension adjusted to the starting value at 15-minute intervals. The composition of the solution used in this study was (mmole/liter): NaCl 119, KC1 4.7, KH,PO 4 1.8, MgSO 4 - 7H 2 O 1.17, CaCl, • 6H,O 2.5, NaHCO, 25.0, and dextrose 5.5. Fresh solutions of NE (L-norepinephrine bitartrate, Sigma Chemicals) were prepared immediately before use. Each arterial strip was exposed to NE, and a dose-response curve was obtained. Once the contraction reached a stable plateau, the tissue was washed with fresh Krebs until the tension returned to the baseline and a new dose was assayed. The interval between doses was at least 15 minutes. When a maximal response was attained, an ED M value (concentration of the agonist required to produce 50% of the maximal response) was estimated. The contractile response to an ED M dose was studied before and 5 minutes after the addition of tonin to the bath to a final concentration of 1.7 X 10"7 mole/liter. The tonin used was purified from rat submaxillary glands.' In some experiments, dose-response curves to All (Hypertensin, Ciba) and potassium chloride were obtained, and the effect of tonin on the response to an ED M dose of the agonist studied. To investigate the mechanisms of the tonin effects on vascular smooth muscle, the following pharmacological agents were used: indomethacin (1.4 X 10"' to 1.4 X 10"4 mole/liter, Sigma Chemicals); phenoxyenzamine (10~5 mole/liter, Smith, Kline and French, I.A.C.); propranolol (10"* mole/ liter, DL-propranolol hydrochloride, Sigma Chemicals); isoproterenol (10° mole/liter, DL-isoproterenol hydrochloride, Sigma Chemicals); theophylline (10~J mole/liter, Sigma Chemicals); dibutyryl cyclic AMP (Db-cAMP) (10-3 mole/liter, Sigma Chemicals); papaverine (10~4 mole/liter, papaverine hydrochloride, Sigma Chemicals); Sar1, Ala'-angiotensin II (10~* to 1.5 X 10 5 mole/liter, Peninsula Laboratories, Inc.); verapamil (10* mole/liter, isoptin hydrochloride, Knoll AG-Ludwigshafen); and lanthanum chloride (2 X 10"4 to 4 X 10"s mole/liter, Sigma Chemicals). SUPP I, HYPERTENSION, VOL 3, No 3, MAY-JUNE, 1981 Enzymatically inactive tonin was prepared by incubating 1 mg of tonin with 10 s M diisopropyl fluorophosphate (DFP) for 24 hours at room temperature and 48 hours at 6°C. The DFP was removed after incubation by dialyzing the mixture for 24 hours at 6°C. An enzymatic inhibition of 95% was attained, as measured by His-Leu released from AI and a fluorometric method.2 Statistical analysis was performed by the Student's paired t test. Results As seen in figure 1 and table 1, tonin potentiates the response to NE in the aorta and mesenteric artery strips. A similar effect was observed on the potassium chloride- and All-induced contractions, increasing the response from 692 ± 74 to 1193 ± 108 mg (n = 6, p < 0.001) in the former and from 521 ± 61 to 851 ± 188 mg (n = 6, p < 0.001) in the latter. This tonin-induced potentiation, though reversible, is longlasting, even after repeated washings of the strips, returning gradually to basal levels in 1 to 2 hours after being added into the bath. In contrast to what has previously been described in the rat, 8 in 75% of the rabbit aortic and mesenteric strips tonin elicited by itself a contraction (fig. 2), Im/n NE Imin f TONIN NE FIGURE 1. Effect of tonin on the response to NE of the rabbit aortic (upper panel) and mesenteric (lower panel) strips. TABLE 1. Potentiation by Tonin of the Contractile Response to an EDfio Dose of Norepinephrine by the Rabbit Aorta and Mesenteric Artery Strips Contraction Contraction force force before after tonin tonin Increase Strip n (mg) (mg) (%) 712 ±96* Aorta 19 386 ± 5 3 191 ± 7 Mesenteric 8 197 ± 2 2 409 ±43* 216 ± 18 artery *p < 0.001. Mean ± SEM. TONIN AND VASCULAR SMOOTH MUSCLE/Garcia et al. Imin FIGURE 2. Direct contraction induced by tonin in two rabbit aortic strips. Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 which appears immediately, with a slow phasic component and a maximum contraction ranging from a few milligrams to over 1 g, which returns to the baseline 15 to 30 minutes after washing the strips. No correlation was found between the contraction produced by tonin and the potentiation induced to various agents, as potentiation was present even in the absence of a tonin-induced contraction. Of those pharmacological agents that ave been used, neither indomethacin, saralasin, nor a- or /3adrenergic blockers have changed the direct vasoconstriction or the potentiation induced by tonin. The Db-cAMP at concentrations that do not interfere with NE prevents the potentiation induced by tonin to NE, reducing the response from 180% ± 6% in its absence to 96% ± 9% in its presence (n = 6, p < 0.01) (fig. 3). A late potentiation appears once the Db-cAMP has been washed away, without adding tonin for a second time. This late potentiation is not seen if tonin was not added previously and is reversed by a new addition of Db-cAMP. Similar results were found with theophylline (not shown). Isoproterenol, a /3-adrenergic agonist, papaverine, and theophylline relax the tonin-induced contraction (figs. 4 and 5). In contrast, dopamine, in a phenoxybenzamine-treated strip, does not produce any change. The effect of tonin is partially inhibited in a Ca I + free solution (fig. 5). In the upper two channels, it can be seen that this inhibition is reversed when the strips are washed with a normal Ca 1+ -Krebs. In the lower two channels, it is shown that La a+ blocks this reversion, which appears once La3+ has been washed away. This enhanced contraction is not apparent in control Imin NE NE •i Db-cAMP TONIN i - *•• • FIGURE 3. -_±L Db-cAMP WASH-OUT / \ A | « Effect of Db-cAMP on tonin-induced potentiation of NE in the rabbit aortic strips. Imin t DOPAMINE (10 - * M ) PAPAVERINE(IO"*M; tmin 4 TOWN I 1-103 ISOPftO-'M) i 3FIGURE 4. Effect of dopamine, papaverine, and isoproterenol on the tonin-induced contraction in the rabbit aortic strips. PATHOPHYSIOLOGY OF HYPERTENSION 1-104 I mm 2 Co *FREE -KRESS 2 3 'Co * -KRESS THEOPHY.(K)- M) SUPP I, HYPERTENSION, VOL 3, No 3, MAY-JUNE, 1981 The DFP treatment abolishes completely the contractile effect of tonin on the aortic strips; however, the potentiation induced to NE was only reduced to 74% ± 6% of the maximum effect (fig. 8). Discussion Ca2>FREE -KRESS 'Co2* -KRESS Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 FIGURE 5. Tracings obtained from simultaneous experiments on rabbit aortic strips before and after the addition ofCat+ to the tissue bath in the absence and presence of La**. Upper two channels, show the effect of theophylline. strips in which no tonin has been added. These results are quantified in figure 6. Verapamil, another calcium antagonist, partially inhibits the tonin-induced contraction. This inhibition is similar to that produced by La 3+ and a Ca 2+ -free medium (fig. 6). The effect of different La 3+ concentrations on tonininduced potentiation of the response of the aortic strip to N E is shown in figure 7 (three upper channels). If they are compared with the lower channel in which no La 3+ has been added, an inhibition is observed that is more pronounced in the phasic phase of the contraction. 600 Co2' FREE-KBES5 Lo 3 * VERAMMB. 9.500 E MEAN!SCM *p<aooi * * p<aoi 300 50 200 s wo (n=1IJ (n=8) (n = 6) 6. Effect ofCa*+-free Krebs solution and calcium antagonists on the tonin-induced contraction in the rabbit aortic strip. Left panel: Reduction of the contraction in absolute values. Right panel: The percent of the maximum contraction in the same group. FIGURE As tonin, an angiotensin II-producing enzyme, potentiates the effect of NE in the rat mesenteric artery preparation and this effect was not blocked by saralasin, the possibility of All formation at a site inaccessible to the antagonist was suggested.4 Later, a similar effect was found in rat aortic strips" which was also not abolished by saralasin. In the present study on rabbit vascular strips, we have demonstrated that tonin not only potentiates the effect of NE-, KC1-, and All-induced contractions, but elicits by itself a contraction that was not present in our previous experiments in the rat. In a Ca2+-free medium, this tonin-induced contraction is reduced to 27% of the maximum contraction, an inhibition that was reversed after the preparation was washed with a normal Krebs solution. As this effect is not seen if tonin has not been added into the bath, it suggests that tonin increases the permeability of the cell membrane, allowing Ca ! + to enter the muscular cell from the extracellular space and triggering the contraction. In smooth muscle, La 3+ is considered to compete with Ca 2+ for extracellular negative sites* and for ion channels, thus interfering with the influx of calcium ions through drug-operated ion channels.11 The addition of La 3+ to the tissue bath with a normal Ca 2+ concentration also partially blocks the contraction produced by tonin (fig. 6), further suggesting that this contraction could at least be partially induced by an influx of Ca a+ . Furthermore, when calcium is restored to a Ca2+-free solution (fig. 5), La 3+ abolishes the restorative effect of Ca a+ on tonin contraction. Verapamil, another calcium antagonist,12 also blocked the tonin-induced contraction to the same extent as Ca !+ -free medium or La s+ (fig. 6). Db-cAMP, which probably lowers cytoplasmatic Ca I+ by increasing its sequestration by the sarcoplasmic reticulum, 13 blocked the potentiation produced by tonin of the NE-induced contraction, an effect that is reversed once the Db-cAMP is washed from the preparation. La"+ also blocked this potentiation of NE (fig. 7), suggesting that this effect of tonin is also calcium-mediated. Probably the same mechanism could be involved in the potentiation of the KG- and All-induced contractions. The same results as with Db-cAMP were found with theophylline, a well-known phosphodiesterase inhibitor.14 The fact that tonin is still capable of producing a contraction in a Ca 1+ free-medium or in the presence of calcium antagonists strongly suggests that the increased permeability of the cell membrane to Ca I + is not the only mechanism involved. The finding that propranolol or phenoxybenzamine has no effect on the tonin-induced contraction suggests that neither a- nor j8-adrenergic receptors are im- TONIN AND VASCULAR SMOOTH MUSCLE/Garcia et al. 1-105 Imin LA 3 *(2»IO"' 1 M) NE TONIN I LA 3 *(2»IO" 3 M) TONIN 1 LA 3 *(4»l0' 3 ) TONIN Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 TONIN t FIGURE 7. Tracings obtained from simultaneous experiments on rabbit aortic strips. The effects of La'+ on the potentiation induced by tonin in the response to NE is shown. plicated. Prostaglandin release has been involved in the action of catecholamines15 and A l l " on smooth muscle. However, since indomethacin has no effect on direct contractions from tonin or on tonin potentiation of the contraction produced by NE, this possibility seems unlikely. Another explanation previously suggested that the All formation in situ can be fairly ruled out, at least from our present results in rabbit smooth muscle, since: 1) the effect of tonin is not inhibited by saralasin; and 2) in the experiments in which DFP-treated tonin has been used, DIRECT VASOC0NSTRICTI0N POTENTIATION TO THE NE-INDUCED CONTRACTION %IOO PC0.05 O UJ T t UJ S 50 < Z UJ o TONIN TONINOFP TONIN TONINDFP FIGURE 8. Effect of enzymatically inactive tonin on the rabbit aortic strip expressed as percent of the maximum effect produced by active tonin. Left panel: Effect of DFP treatment on the direct effect contraction induced by tonin. Right panel: Effect of DFP treatment on the potentiation by tonin of the contraction produced by NE. the potentiation of NE is only slightly depressed even when tonin is 95% enzymatically inactive. Contractions induced in smooth muscle by substances such as epinephrine are distinctly biphasic.17 The phasic or fast component utilizes a bound source of intracellular calcium, and the tonic or slow component is more dependent on extracellular calcium." Since the contraction produced by tonin is only partially inhibited by a Ca2+-free medium or by calcium antagonists, it seems logical to conclude that both the tonin-induced potentiation of NE and its direct effect may be mediated by two mechanisms: 1) the dislodging of internally bound calcium, which is not dependent on external calcium concentration; and 2) an increase in the permeability of the cell membrane, which allows calcium to enter the cell from the extracellular space. The first of these mechanisms is completely blocked by the treatment of tonin with DFP, suggesting a proteolytic effect on the cellular membrane, which is reversible, however. The second mechanism does not seem to be of a proteolytic nature, as it is only slightly inhibited by DFP treatment (fig. 8). Relaxation of tonin-induced contraction by /Sadrenergic stimulation with isoproterenol and by theophylline could be the result of a decrease of intracellular calcium concentration has been demonstrated by Mueller and Van Breeman. 1 ' The finding that the described tonin effects on vascular smooth muscle are persistent after repeatedly washing the strips, or after the removal of a variety of inhibitors, suggests that tonin may remain attached to the vascular tissue in a still not precise manner. These results may partially explain the mechanisms by which tonin could be involved in the pathogenesis of experimental hypertension, as suggested.*"* 1-106 PATHOPHYSIOLOGY OF HYPERTENSION Acknowledgments The authors thank Louise Theroux and Suzanne Diebold for technical assistance and Vivianne Jodoin for secretarial help. References Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 1. Boucher R, Saidi M, Genest J: A new "angiotensin I converting enzyme" system. In Hypertension, edited by Genest J, Koiw E. Berlin: Springer-Verlag, 1972, p 512 2. Boucher R, Asselin J, Genest J: A new enzyme leading to the direct formation of angiotensin II. Circ Res 34 and 35 (suppl I): 1-203, 1974 3. Demassieux S, Boucher R, Grise C, Genest J: Purification and characterization of tonin. Can J Biochem 54: 788, 1976 4. Hayakawa K, Kelly JA, James MNG: Crystal data for tonin, an enzyme involved in the formation of angiotensin II. J Mol Biol 123: 107, 1978 5. Kondo K, Garcia R, Demassieux S, Manku MS, Horrobin DF, Boucher R, Genest J: Action of tonin on the response of rat mesenteric vessels to norepinephnne. Proc Soc Exp Biol Mcd 155: 64, 1977 6. Garcia R, Boucher R, Gutkowska J, Kondo K, Demassieux S, Genest J: Effect of antitonin on blood pressure in the onekidney hypertensive rat. Clin Sci Mol Med 54: 457, 1978 7. Garcia R, Schiffrin EL, Gutkowska J, Boucher R, Genest J: Reduction of hypertension in one-kidney one-clip rabbits by immunization with tonin. Proc Soc Exp Biol Med 162: 245, 1979 8. Garcia R, SchifTrin EL, Thibault G, Boucher R, Genest J: Effects of tonin on vascular smooth muscle of the hypertensive rat and normal rabbit. Clin Sci 59: 339s, 1980 SUPP I, HYPERTENSION, VOL 3, No 3, MAY-JUNE, 1981 9. Furchgott RF, Bhadrakom S. Reaction of strips of rabbit aorta to epinephrine, isopropyl arterenol, sodium nitrite and other drugs. J Pharmacol Exp Ther 108: 129, 1953 10. Van Breeman C: Blockade of membrane calcium fluxes by lanthanum in relation to vascular smooth muscle contractility. Arch Int Physiol Biochim 77: 710, 1969 11. Bolton TB: Mechanisms of action of transmitters and other substances on smooth muscle. Physiol Rev 59: 606, 1979 12. Bilek J, Laven R, Peiper U, Regnat K: The effect of verapamil on the response to noradrenaline or to potassium-depolarization in isolated vascular strips. Microvasc Res 7: 181, 1974 13. Mueller E, Van Breeman C: Role of intracellular Ca I + sequestration in jS-adrenergic relaxation of a smooth muscle. Nature 281: 682, 1980 14. Butcher RW, Sutherland EW: Adenosine 3'-5' phosphate in biological materials. I. Purification and properties of 3'-5' nucleotide phosphodicsterase and use this enzyme to characterize adenosinc 3'-5' phosphate in human urine. J Biol Chem 237: 1244, 1962 15. Botting JH: The mechanism of the release of prostaglandin-like activity from guinea-pig isolated ileum. J Pharm Pharmacol 29: 708, 1977 16. Chong EKS, Downing OA: Reversal by prostaglandin E, of the inhibitory effect of indomethacin on contractions of guinea-pig ileum induced by angiotensin. J Pharm Pharmacol 26: 729, 1974 17. Healy JK, Bohr DF: Angiotensin II responses of rabbit aortic strips compared with fast and slow epinephrine responses. Proc Soc Exp Biol Med 155: 495, 1977 18. Sitrin MD, Bohn DF: Ca and Na interaction in vascular smooth muscle contraction. Am J Physiol 220: 1124, 1971 Effects of tonin, an angiotensin II-forming enzyme, on vascular smooth muscle in the normal rabbit. R Garcia, E L Schiffrin, G Thibault and J Genest Hypertension. 1981;3:I101 doi: 10.1161/01.HYP.3.3_Pt_2.I101 Downloaded from http://hyper.ahajournals.org/ by guest on June 16, 2017 Hypertension is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1981 American Heart Association, Inc. All rights reserved. Print ISSN: 0194-911X. 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