A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.

<h4>Background</h4>Angiotensin-converting enzyme (ACE) (EC 4.15.1) metabolizes many biologically active peptides and plays a key role in blood pressure regulation and vascular remodeling. Elevated ACE levels are associated with different cardiovascular and respiratory diseases.<h4>...

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Autores principales: Alexandre Persu, Michel Lambert, Jaap Deinum, Marta Cossu, Nathalie de Visscher, Leonid Irenge, Jerôme Ambroise, Jean-Marc Minon, Andrew B Nesterovitch, Alexander Churbanov, Isolda A Popova, Sergei M Danilov, A H Jan Danser, Jean-Luc Gala
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Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/7bae9c93159b40f4b827531676f729e2
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spelling oai:doaj.org-article:7bae9c93159b40f4b827531676f729e22021-11-18T07:51:15ZA novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.1932-620310.1371/journal.pone.0059537https://doaj.org/article/7bae9c93159b40f4b827531676f729e22013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23560051/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Angiotensin-converting enzyme (ACE) (EC 4.15.1) metabolizes many biologically active peptides and plays a key role in blood pressure regulation and vascular remodeling. Elevated ACE levels are associated with different cardiovascular and respiratory diseases.<h4>Methods and results</h4>Two Belgian families with a 8-16-fold increase in blood ACE level were incidentally identified. A novel heterozygous splice site mutation of intron 25 - IVS25+1G>A (c.3691+1G>A) - cosegregating with elevated plasma ACE was identified in both pedigrees. Messenger RNA analysis revealed that the mutation led to the retention of intron 25 and Premature Termination Codon generation. Subjects harboring the mutation were mostly normotensive, had no left ventricular hypertrophy or cardiovascular disease. The levels of renin-angiotensin-aldosterone system components in the mutated cases and wild-type controls were similar, both at baseline and after 50 mg captopril. Compared with non-affected members, quantification of ACE surface expression and shedding using flow cytometry assay of dendritic cells derived from peripheral blood monocytes of affected members, demonstrated a 50% decrease and 3-fold increase, respectively. Together with a dramatic increase in circulating ACE levels, these findings argue in favor of deletion of transmembrane anchor, leading to direct secretion of ACE out of cells.<h4>Conclusions</h4>We describe a novel mutation of the ACE gene associated with a major familial elevation of circulating ACE, without evidence of activation of the renin-angiotensin system, target organ damage or cardiovascular complications. These data are consistent with the hypothesis that membrane-bound ACE, rather than circulating ACE, is responsible for Angiotensin II generation and its cardiovascular consequences.Alexandre PersuMichel LambertJaap DeinumMarta CossuNathalie de VisscherLeonid IrengeJerôme AmbroiseJean-Marc MinonAndrew B NesterovitchAlexander ChurbanovIsolda A PopovaSergei M DanilovA H Jan DanserJean-Luc GalaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 4, p e59537 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alexandre Persu
Michel Lambert
Jaap Deinum
Marta Cossu
Nathalie de Visscher
Leonid Irenge
Jerôme Ambroise
Jean-Marc Minon
Andrew B Nesterovitch
Alexander Churbanov
Isolda A Popova
Sergei M Danilov
A H Jan Danser
Jean-Luc Gala
A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.
description <h4>Background</h4>Angiotensin-converting enzyme (ACE) (EC 4.15.1) metabolizes many biologically active peptides and plays a key role in blood pressure regulation and vascular remodeling. Elevated ACE levels are associated with different cardiovascular and respiratory diseases.<h4>Methods and results</h4>Two Belgian families with a 8-16-fold increase in blood ACE level were incidentally identified. A novel heterozygous splice site mutation of intron 25 - IVS25+1G>A (c.3691+1G>A) - cosegregating with elevated plasma ACE was identified in both pedigrees. Messenger RNA analysis revealed that the mutation led to the retention of intron 25 and Premature Termination Codon generation. Subjects harboring the mutation were mostly normotensive, had no left ventricular hypertrophy or cardiovascular disease. The levels of renin-angiotensin-aldosterone system components in the mutated cases and wild-type controls were similar, both at baseline and after 50 mg captopril. Compared with non-affected members, quantification of ACE surface expression and shedding using flow cytometry assay of dendritic cells derived from peripheral blood monocytes of affected members, demonstrated a 50% decrease and 3-fold increase, respectively. Together with a dramatic increase in circulating ACE levels, these findings argue in favor of deletion of transmembrane anchor, leading to direct secretion of ACE out of cells.<h4>Conclusions</h4>We describe a novel mutation of the ACE gene associated with a major familial elevation of circulating ACE, without evidence of activation of the renin-angiotensin system, target organ damage or cardiovascular complications. These data are consistent with the hypothesis that membrane-bound ACE, rather than circulating ACE, is responsible for Angiotensin II generation and its cardiovascular consequences.
format article
author Alexandre Persu
Michel Lambert
Jaap Deinum
Marta Cossu
Nathalie de Visscher
Leonid Irenge
Jerôme Ambroise
Jean-Marc Minon
Andrew B Nesterovitch
Alexander Churbanov
Isolda A Popova
Sergei M Danilov
A H Jan Danser
Jean-Luc Gala
author_facet Alexandre Persu
Michel Lambert
Jaap Deinum
Marta Cossu
Nathalie de Visscher
Leonid Irenge
Jerôme Ambroise
Jean-Marc Minon
Andrew B Nesterovitch
Alexander Churbanov
Isolda A Popova
Sergei M Danilov
A H Jan Danser
Jean-Luc Gala
author_sort Alexandre Persu
title A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.
title_short A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.
title_full A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.
title_fullStr A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.
title_full_unstemmed A novel splice-site mutation in angiotensin I-converting enzyme (ACE) gene, c.3691+1G>A (IVS25+1G>A), causes a dramatic increase in circulating ACE through deletion of the transmembrane anchor.
title_sort novel splice-site mutation in angiotensin i-converting enzyme (ace) gene, c.3691+1g>a (ivs25+1g>a), causes a dramatic increase in circulating ace through deletion of the transmembrane anchor.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/7bae9c93159b40f4b827531676f729e2
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