Angiotensin-converting enzyme

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ACE
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RefSeq (mRNA)

NM_009598
NM_207624
NM_001281819

RefSeq (protein)

NP_001268748
NP_033728
NP_997507

Location (UCSC)Chr 17: 63.48 – 63.5 MbChr 11: 105.86 – 105.88 Mb
PubMed search[3][4]
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Angiotensin-converting enzyme (

angiotensin II. Therefore, ACE indirectly increases blood pressure by causing blood vessels to constrict. ACE inhibitors are widely used as pharmaceutical drugs for treatment of cardiovascular diseases.[5]

Other lesser known functions of ACE are degradation of bradykinin,[6] substance P[7] and amyloid beta-protein.[8]

Nomenclature

ACE is also known by the following names:

  • dipeptidyl carboxypeptidase I
  • peptidase P
  • dipeptide hydrolase
  • peptidyl dipeptidase
  • angiotensin converting enzyme
  • kininase II
  • angiotensin I-converting enzyme
  • carboxycathepsin
  • dipeptidyl carboxypeptidase
  • "hypertensin converting enzyme" peptidyl dipeptidase I
  • peptidyl-dipeptide hydrolase
  • peptidyldipeptide hydrolase
  • endothelial cell peptidyl dipeptidase
  • peptidyl dipeptidase-4
  • PDH
  • peptidyl dipeptide hydrolase
  • DCP
  • CD143

Function

ACE hydrolyzes peptides by the removal of a dipeptide from the C-terminus. Likewise it converts the inactive decapeptide angiotensin I to the octapeptide angiotensin II by removing the dipeptide His-Leu.[9]

Proposed ACE catalytic mechanism

ACE is a central component of the renin–angiotensin system (RAS), which controls blood pressure by regulating the volume of fluids in the body.

renin–angiotensin–aldosterone system

vasoconstrictor in a substrate concentration-dependent manner.[10] Angiotensin II binds to the type 1 angiotensin II receptor (AT1)
, which sets off a number of actions that result in vasoconstriction and therefore increased blood pressure.

Anatomical diagram of the renin–angiotensin system, showing the role of ACE at the lungs[11]

ACE is also part of the

vasodilator, and other vasoactive peptides.[12]

Kininase II is the same as angiotensin-converting enzyme. Thus, the same enzyme (ACE) that generates a vasoconstrictor (ANG II) also disposes of vasodilators (bradykinin).[11]

Mechanism

ACE is a zinc

-chelating agents.[14]

ACE in complex with inhibitor lisinopril, zinc cation shown in grey, chloride anions in yellow. Based on PyMOL rendering of PDB 1o86. The picture shows that lisinopril is a competitive inhibitor, since it and angiotensin I are similar structurally. Both bind to the active site of ACE. The structure of the ACE-lisinopril complex was confirmed by X-ray crystallography.[15]

The E384 residue is mechanistically critical. As a general base, it deprotonates the zinc-bound water, producing a nucleophilic Zn-OH center. The resulting ammonium group then serves as a general acid to cleave the C-N bond.[16]

The function of the chloride ion is very complex and is highly debated. The anion activation by chloride is a characteristic feature of ACE.[17] It was experimentally determined that the activation of hydrolysis by chloride is highly dependent on the substrate. While it increases hydrolysis rates for e.g. Hip-His-Leu it inhibits hydrolysis of other substrates like Hip-Ala-Pro.[16] Under physiological conditions the enzyme reaches about 60% of its maximal activity toward angiotensin I while it reaches its full activity toward bradykinin. It is therefore assumed that the function of the anion activation in ACE provides high substrate specificity.[17] Other theories say that the chloride might simply stabilize the overall structure of the enzyme.[16]

Genetics

The ACE gene, ACE, encodes two

beta amyloid. The latter is predominantly a function of N domain portion on the ACE enzyme. ACE inhibitors that cross the blood–brain barrier and have preferentially selected N-terminal activity may therefore cause accumulation of Aβ42 and progression of dementia.[citation needed
]

Disease relevance

ACE inhibitors are widely used as pharmaceutical drugs in the treatment of conditions such as

type 2 diabetes mellitus
.

ACE inhibitors inhibit ACE competitively.

ACE's effect on Alzheimer's disease is still highly debated. Alzheimer patients usually show higher ACE levels in their brain. Some studies suggest that ACE inhibitors that are able to pass the blood-brain-barrier (BBB) could enhance the activity of major amyloid-beta peptide degrading enzymes like neprilysin in the brain resulting in a slower development of Alzheimer's disease.[20] More recent research suggests that ACE inhibitors can reduce risk of Alzheimer's disease in the absence of apolipoprotein E4 alleles (ApoE4), but will have no effect in ApoE4- carriers.[21] Another more recent hypothesis is that higher levels of ACE can prevent Alzheimer's. It is assumed that ACE can degrade beta-amyloid in brain blood vessels and therefore help prevent the progression of the disease.[22]

A negative correlation between the ACE1 D-allele frequency and the prevalence and mortality of COVID-19 has been established.[23]

Pathology

Influence on athletic performance

The angiotensin converting enzyme gene has more than 160 polymorphisms described as of 2018.[24]

Studies have shown that different genotypes of angiotensin converting enzyme can lead to varying influence on athletic performance.[25][26]

The rs1799752 I/D polymorphism consists of either an insertion (I) or absence (D) of a 287 base pair alanine sequence in intron 16 of the gene.[24] The DD genotype is associated with higher plasma levels of the ACE protein, the DI genotype with intermediate levels, and II with lower levels.[24] During physical exercise, due to higher levels of the ACE for D-allele carriers, hence higher capacity to produce angiotensin II, the blood pressure will increase sooner than for I-allele carriers. This results in a lower maximal heart rate and lower maximum oxygen uptake (VO2max). Therefore, D-allele carriers have a 10% increased risk of cardiovascular diseases. Furthermore, the D-allele is associated with a greater increase in left ventricular growth in response to training compared to the I-allele.[27] On the other hand, I-allele carriers usually show an increased maximal heart rate due to lower ACE levels, higher maximum oxygen uptake and therefore show an enhanced endurance performance.[27] The I allele is found with increased frequency in elite distance runners, rowers and cyclists. Short distance swimmers show an increased frequency of the D-allele, since their discipline relies more on strength than endurance.[28][29]

History

The enzyme was reported by Leonard T. Skeggs Jr. in 1956.

epithelial cells.[31]

See also

References

  1. ^ a b c GRCh38: Ensembl release 89: ENSG00000159640 - Ensembl, May 2017
  2. ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000020681 - Ensembl, May 2017
  3. ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. . Mechanisms of Action:ACE inhibitors act by inhibiting one of several proteases responsible for cleaving the decapeptide Ang I to form the octapeptide Ang II. Because ACE is also the enzyme that degrades bradykinin, ACE inhibitors increase circulating and tissue levels of bradykinin (Fig. 8.4).
  6. .
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  15. ^ from the original on 26 November 2022. Retrieved 22 May 2020.
  16. ^ .
  17. ^ .
  18. ^ "Angiotensin converting enzyme (ace) inhibitors" (PDF). British Hypertension Society. Archived from the original (PDF) on 18 November 2017.
  19. ^ Klabunde RE. "ACE-inhibitors". Cardiovascular Pharmacology Concepts. cvpharmacology.com. Archived from the original on 2 February 2009. Retrieved 26 March 2009.
  20. ^ "The Importance of Treating the Blood Pressure: ACE Inhibitors May Slow Alzheimer's Disease". Medscape. Medscape Cardiology. 2004. Archived from the original on 31 August 2016. Retrieved 1 March 2016.
  21. PMID 23948883
    .
  22. ^ "ACE Enzyme May Enhance Immune Responses And Prevent Alzheimer's". Science 2.0. 27 August 2014. Archived from the original on 7 March 2016. Retrieved 1 March 2016.
  23. PMID 32220422
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  28. ^ Sanders J, Montgomery H, Woods D (2001). "Kardiale Anpassung an Körperliches Training" [The cardiac response to physical training] (PDF). Deutsche Zeitschrift für Sportmednizin (in German). 52 (3): 86–92. Archived (PDF) from the original on 8 March 2016. Retrieved 1 March 2016.
  29. S2CID 21167767
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Further reading

External links