Increased AT(1) receptor heterodimers in preeclampsia mediate enhanced angiotensin II responsiveness

Nat Med. 2001 Sep;7(9):1003-9. doi: 10.1038/nm0901-1003.

Abstract

Several examples of functional G-protein-coupled receptor heterodimers have been identified. However, it is not known whether receptor heterodimerization is involved in the pathogenesis of human disorders. Here we show that in preeclamptic hypertensive women, a significant increase in heterodimerization occurs between the AT(1)-receptor for the vasopressor angiotensin II and the B(2)-receptor for the vasodepressor bradykinin. AT(1)-B(2)-receptor heterodimerization in preeclampsia correlated with a 4-5-fold increase in B(2)-receptor protein levels. Expression of the AT(1)-B(2) heterodimer increased the responsiveness to angiotensin II and conferred resistance in AT(1)-receptors to inactivation by reactive oxygen species raised in normotensive and preeclamptic pregnancies. We suggest that AT(1)-B(2) heterodimers contribute to angiotensin II hypersensitivity in preeclampsia. Moreover, we identify preeclampsia as the first disorder associated with altered G-protein-coupled receptor heterodimerization.

MeSH terms

  • Adult
  • Angiotensin II / metabolism
  • Angiotensin II / pharmacology*
  • Blood Platelets / drug effects
  • Blood Platelets / metabolism
  • Blood Vessels / drug effects
  • Blood Vessels / metabolism
  • Case-Control Studies
  • Cells, Cultured
  • Dimerization
  • Female
  • GTP-Binding Proteins / metabolism
  • Humans
  • Omentum / blood supply
  • Omentum / drug effects
  • Omentum / metabolism
  • Pre-Eclampsia / drug therapy
  • Pre-Eclampsia / metabolism*
  • Pregnancy
  • Reactive Oxygen Species / metabolism
  • Receptor, Angiotensin, Type 1
  • Receptor, Angiotensin, Type 2
  • Receptor, Bradykinin B2
  • Receptors, Angiotensin / drug effects
  • Receptors, Angiotensin / metabolism*
  • Receptors, Bradykinin / drug effects
  • Receptors, Bradykinin / metabolism
  • Signal Transduction

Substances

  • Reactive Oxygen Species
  • Receptor, Angiotensin, Type 1
  • Receptor, Angiotensin, Type 2
  • Receptor, Bradykinin B2
  • Receptors, Angiotensin
  • Receptors, Bradykinin
  • Angiotensin II
  • GTP-Binding Proteins