Estrogen replacement therapy is cardioprotective in postmenopausal women; h
owever, the precise molecular mechanisms for this modulation are not fully
elucidated. We previously showed that chronic estrogen replacement therapy
reduced angiotensin-converting enzyme (ACE) activity in tissue extracts and
serum with an associated reduction in plasma angiotensin II, A reverse tra
nscriptase-polymerase chain reaction assay was developed to determine wheth
er estrogen treatment regulates tissue ACE mRNA concentration. Total RNA wa
s isolated from kidney cortex, kidney medulla, lung, and aorta of ovariecto
mized Sprague-Dawley rats after 21 days of chronic 17 beta-estradiol replac
ement therapy (5 mg pellet per rat SC) or placebo. A marked decrease in den
sitometric intensity ratios of amplified ACE cDNA to elongation factor-1 al
pha control cDNA was observed in all tissues from placebo-treated rats comp
ared with the estradiol-treated rats (renal cortex: 0.29+/-0.04 versus 0.14
+/-0.02; renal medulla: 0.37+/-0.04 versus 0.24+/-0.03; lung: 4.49+/-0.37 v
ersus 2.49+/-0.59; and aorta: 0.41+/-0.04 versus 0.29+/-0.02; all P<0.05).
A comparable reduction in ACE activity was detected in tissue extracts from
kidney cortex, kidney medulla, and lung of hormone-treated animals. Incuba
tion of purified rat lung ACE with 1 or 10 mu mol/L 17 beta-estradiol had n
o effect on enzyme activity. These results suggest that estrogen treatment
regulates tissue ACE activity by reducing ACE mRNA concentrations. Thus, th
e beneficial cardiovascular effects of estrogen may be mediated in part by
downregulation of ACE with a consequent reduction in the circulating levels
of the vasoconstrictor angiotensin II, a decrease in the metabolism of the
vasodilator bradykinin, and an increase in the production of the vasorelax
ant angiotensin-(1-7).