Angiotensin-(1-12): Does It Exist? A Critical Evaluation in Humans, Rats, and Mice

Hypertension. 2024 Aug;81(8):1776-1784. doi: 10.1161/HYPERTENSIONAHA.124.22856. Epub 2024 May 8.

Abstract

Background: Angiotensin-(1-12), measured by a self-developed, polyclonal antibody-based radioimmunoassay, has been suggested to act as an alternative precursor of angiotensin II. A more reliable detection method would be liquid chromatography-tandem mass spectrometry.

Methods: We set up the quantification of human and murine angiotensin-(1-12) by liquid chromatography-tandem mass spectrometry and then used this method to measure angiotensin-(1-12) in human, rat, and mouse blood samples, as well as in mouse brain, mouse kidney, and rat heart. We also verified ex vivo angiotensin-(1-12) generation and metabolism in human blood samples incubated at 37 °C.

Results: Stabilization of blood in guanidine hydrochloride was chosen for sample collection since this allowed full recovery of spiked angiotensin-(1-12). Angiotensin-(1-12) was undetectable in human blood samples when incubating nonstabilized plasma at 37 °C, while angiotensin-(1-12) added to nonstabilized human plasma disappeared within 10 minutes. Stabilized human blood samples contained angiotensin II, while angiotensin-(1-12) was undetectable. Blood, hearts, and kidneys, but not brains, of wild-type mice and rats contained detectable levels of angiotensin II, while angiotensin-(1-12) was undetectable. In renin knockout mice, all angiotensins, including angiotensin-(1-12), were undetectable at all sites, despite a 50% rise in angiotensinogen. Angiotensin-(1-12) metabolism in human blood plasma was not affected by renin inhibition. Yet, blockade of angiotensin-converting enzyme and aminopeptidase A, but not of chymase, neutral endopeptidase, or prolyl oligopeptidase, prolonged the half-life of angiotensin-(1-12), and angiotensin-converting enzyme inhibition prevented the formation of angiotensin II.

Conclusions: We were unable to detect intact angiotensin-(1-12) in humans, rats, and mice, either in blood or tissue, suggesting that this metabolite is an unlikely source of endogenous angiotensins.

Keywords: angiotensin II; angiotensinogen; chromatography, liquid; mice, knockout; tandem mass spectrometry.

MeSH terms

  • Angiotensin II / blood
  • Angiotensin II / metabolism
  • Angiotensinogen* / metabolism
  • Animals
  • Brain / metabolism
  • Chromatography, Liquid / methods
  • Humans
  • Kidney / metabolism
  • Male
  • Mice
  • Mice, Knockout
  • Peptide Fragments* / metabolism
  • Rats
  • Tandem Mass Spectrometry / methods

Substances

  • Angiotensinogen
  • Peptide Fragments
  • Angiotensin II
  • angiotensin-(1-12), human
  • proangiotensin-12, rat