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        <identifier>oai:air.repo.nii.ac.jp:00005894</identifier>
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          <dc:title>Loss of Apelin Augments Angiotensin II-Induced Cardiac Dysfunction and Pathological Remodeling</dc:title>
          <dc:creator>Sato, Teruki</dc:creator>
          <dc:creator>Kadowaki, Ayumi</dc:creator>
          <dc:creator>Suzuki, Takashi</dc:creator>
          <dc:creator>Ito, Hiroshi</dc:creator>
          <dc:creator>Watanabe, Hiroyuki</dc:creator>
          <dc:creator>Imai, Yumiko</dc:creator>
          <dc:creator>Kuba, Keiji</dc:creator>
          <dc:subject>apelin</dc:subject>
          <dc:subject>APJ receptor</dc:subject>
          <dc:subject>angiotensin II</dc:subject>
          <dc:subject>angiotensin-converting enzyme 2</dc:subject>
          <dc:subject>ACE inhibitor</dc:subject>
          <dc:subject>transforming growth-factor beta</dc:subject>
          <dc:subject>heart failure</dc:subject>
          <dc:description>Apelin is an inotropic and cardioprotective peptide that exhibits beneficial effects through activation of the APJ receptor in the pathology of cardiovascular diseases. Apelin induces the expression of angiotensin-converting enzyme 2 (ACE2) in failing hearts, thereby improving heart function in an angiotensin 1-7-dependent manner. Whether apelin antagonizes the over-activation of the renin-angiotensin system in the heart remains elusive. In this study we show that the detrimental effects of angiotensin II (Ang II) were exacerbated in the hearts of aged apelin-gene-deficient mice. Ang II-mediated cardiac dysfunction and hypertrophy were augmented in apelin knockout mice. The loss of apelin increased the ratio of angiotensin-converting enzyme (ACE) to ACE2 expression in the Ang II-stressed hearts, and Ang II-induced cardiac fibrosis was markedly enhanced in apelin knockout mice. mRNA expression of pro-fibrotic genes, such as transforming growth-factor beta (TGF-beta) signaling, were significantly upregulated in apelin knockout hearts. Consistently, treatment with the ACE-inhibitor Captopril decreased cardiac contractility in apelin knockout mice. In vitro, apelin ameliorated Ang II-induced TGF-beta expression in primary cardiomyocytes, accompanied with reduced hypertrophy. These results provide direct evidence that endogenous apelin plays a crucial role in suppressing Ang II-induced cardiac dysfunction and pathological remodeling.</dc:description>
          <dc:description>journal article</dc:description>
          <dc:publisher>MDPI</dc:publisher>
          <dc:date>2019</dc:date>
          <dc:type>VoR</dc:type>
          <dc:format>application/pdf</dc:format>
          <dc:identifier>INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES</dc:identifier>
          <dc:identifier>2</dc:identifier>
          <dc:identifier>20</dc:identifier>
          <dc:identifier>https://air.repo.nii.ac.jp/record/5894/files/iA_2022_63.pdf</dc:identifier>
          <dc:identifier>http://hdl.handle.net/10295/00006206</dc:identifier>
          <dc:identifier>https://air.repo.nii.ac.jp/records/5894</dc:identifier>
          <dc:language>eng</dc:language>
          <dc:relation>https://doi.org/10.3390/ijms20020239</dc:relation>
          <dc:rights>© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).</dc:rights>
          <dc:rights>open access</dc:rights>
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