To determine whether angiotensin II (Ang II) can induce apoptosis of n
eonatal ventricular myocytes, these cells were exposed to 10(-9) M Ang
II for 24 h in vitro and the effects of this intervention on programm
ed myocyte cell death were examined by the terminal deoxynucleotidyl t
ransferase assay and DNA gel electrophoresis. Ang II resulted morpholo
gically in a 2.5-fold increase in the percentage of myocytes with doub
le strand cleavage of the DNA and biochemically in the formation of DN
A fragments equal in size to mono- and oligonucleosomes. Moreover, Ang
II stimulation was characterized by a 37% increase in resting level o
f intracellular calcium and the activation of calcium-dependent endoge
nous endonuclease. In contrast, pH-dependent endogenous endonuclease w
as not enhanced by the addition of Ang II. Ang II-induced DNA damage w
as inhibited by the AT(1) receptor antagonist, losartan. Similarly, th
e calcium chelator, BAPTA-AM, prevented Ang II-mediated cell death. Co
nversely, the calcium ionophore, A23187, triggered programmed cell dea
th. Finally, the selective AT(2) receptor subtype blocker, PD123319, f
ailed to reduce myocyte apoptosis. In conclusion, ligand binding of AT
(1) receptors may initiate programmed myocyte cell death via an elevat
ion in cytosolic calcium and the stimulation of calcium-dependent endo
genous endonuclease. (C) 1997 Academic Press.