ACE2 exerts anti-obesity effect via stimulating brown adipose tissue and induction of browning in white adipose tissue.

Y. Kawabe, J. Mori, Hidechika Morimoto, Mihoko Yamaguchi, S. Miyagaki, T. Ota, Y. Tsuma, S. Fukuhara, Hisakazu Nakajima, G. Oudit, H. Hosoi

American journal of physiology. Endocrinology and metabolism, 2019

Angiotensin II (Ang II)/AngII type1 receptor (AT1R) axis is a key player in the pathophysiology of obesity. Angiotensin converting enzyme 2 (ACE2) counteracts Ang II/AT1R axis via converting Ang II to angiotensin 1-7 (Ang 1-7), which is known to have an anti-obesity effect. In this study, we hypothesized that ACE2 exerts a strong anti-obesity effect by increasing Ang1-7 levels. We injected intraperitoneally recombinant human ACE2 (rhACE2) (2.0mg/ kg/day) for 28 days to high-fat diet (HFD) induced obesity mice. rhACE2 treatment decreased body weight and improved glucose metabolism. Furthermore, rhACE2 increased oxygen consumption and upregulated thermogenesis in HFD-fed mice. In the rhACE2 treatment group, BAT mass increased, accompanied with ameliorated insulin signaling and increased protein levels of UCP-1 and PRDM16. Importantly, subcutaneous white adipose tissue (sWAT) mass decreased, concomitant with browning, which was established by the increase of UCP-1 expression. The browning is due to increased H3K27 acetylation via the downregulation of HDAC3 and increased H3K9 acetylation via upregulation of GCN5 and PCAF. These results suggest that rhACE2 exerts anti-obesity effects by stimulating BAT and inducing browning in sWAT. ACE2 and the Ang 1-7 axis represent a potential therapeutic approach to prevent the development of obesity.

Cited by 16 publications.

Field of study: Medicine

10.1152/ajpendo.00311.2019