Lack of angiotensin II-facilitated erythropoiesis causes anemia in angiotensin-converting enzyme-deficient mice

Citation
J. Cole et al., Lack of angiotensin II-facilitated erythropoiesis causes anemia in angiotensin-converting enzyme-deficient mice, J CLIN INV, 106(11), 2000, pp. 1391-1398
Citations number
34
Categorie Soggetti
Medical Research General Topics
Journal title
JOURNAL OF CLINICAL INVESTIGATION
ISSN journal
00219738 → ACNP
Volume
106
Issue
11
Year of publication
2000
Pages
1391 - 1398
Database
ISI
SICI code
0021-9738(200012)106:11<1391:LOAIEC>2.0.ZU;2-Y
Abstract
While nephrologists often observe reduced hematocrit associated with inhibi tors of angiotensin-converting enzyme (ACE), the basis for this effect is n ot well understood. We now report that two strains of ACE knockout mice hav e a normocytic anemia associated with elevated plasma erythropoietin levels . Cr-51 labeling of red cells showed that the knockout mice have a normal t otal blood volume but a reduced red cell mass. ACE knockout mice, which lac k tissue ACE, are anemic despite having normal renal function. These mice h ave increased plasma levels of the peptide acetyl-SDKP, a possible stem cel l suppressor. However, they also show low plasma levels of angiotensin II. Infusion of angiotensin II for 2 weeks increased hematocrit to near normal levels. These data suggest that angiotensin II facilitates erythropoiesis, a conclusion with implications for the management of chronically ill patien ts on inhibitors of the renin-angiotensin system.