Angiotensin-(1-7) [ANG-(1-7)], one of the bioactive
peptides produced in the renin-angiotensin system, plays a pivotal role in cardiovascular physiology by providing a counterbalance to the function of ANG II. Recently, it has been considered as a potential candidate for
therapeutic use in the treatment of various types of
cardiovascular diseases. The aim of the present study is to explain the modulatory role of ANG-(1-7) in
atrial natriuretic peptide (
ANP) secretion and investigate the functional relationship between two
peptides to induce cardiovascular effects using isolated perfused beating rat atria and a cardiac hypertrophied rat model. ANG-(1-7) (0.01, 0.1, and 1 muM) increased
ANP secretion and
ANP concentration in a dose-dependent manner at high atrial pacing (6.0 Hz) with increased cGMP production. However, at low atrial pacing (1.2 Hz), ANG-(1-7) did not cause changes in atrial parameters. Pretreatment with an antagonist of the Mas receptor or with inhibitors of
phosphatidylinositol 3-kinase (PI3K),
protein kinase B (Akt), or
nitric oxide synthase blocked the augmentation of high atrial pacing-induced
ANP secretion by ANG-(1-7). A similar result was observed with the inhibition of the Na(+)/H(+) exchanger-1 and Ca(2+)/
calmodulin-dependent
kinase II (
CaMKII). ANG-(1-7) did not show basal intracellular Ca(2+) signaling in quiescent atrial myocytes. In an in vivo study using an
isoproterenol-induced
cardiac hypertrophy animal model, an acute infusion of ANG-(1-7) increased the plasma concentration of
ANP by twofold without changes in blood pressure and heart rate. A chronic administration of ANG-(1-7) increased the plasma
ANP level and attenuated
isoproterenol-induced
cardiac hypertrophy. The antihypertrophic effect was abrogated by a cotreatment with the
natriuretic peptide receptor-A antagonist. These results suggest that 1) ANG-(1-7) increased
ANP secretion at high atrial pacing via the Mas/PI3K/Akt pathway and the activation of
Na(+)/H(+) exchanger-1 and
CaMKII and 2) ANG-(1-7) decreased
cardiac hypertrophy which might be mediated by
ANP.