Mutations in the main intestinal and kidney
luminal neutral
amino acid transporter B(0)AT1 (Slc6a19) lead to
Hartnup disorder, a condition that is characterized by neutral aminoaciduria and in some cases
pellagra-like symptoms. These latter symptoms caused by low-
niacin are thought to result from defective intestinal absorption of its precursor
L-tryptophan. Since Ace2 is necessary for intestinal B(0)AT1 expression, we tested the impact of intestinal B(0)AT1 absence in ace2 null mice. Their
weight gain following weaning was decreased, and Na(+)-dependent uptake of B(0)AT1 substrates measured in everted intestinal rings was defective. Additionally, high-affinity Na(+)-dependent transport of
L-proline, presumably via SIT1 (Slc6a20), was absent, whereas
glucose uptake via SGLT1 (Slc5a1) was not affected. Measurements of small intestine
luminal amino acid content following gavage showed that more
L-tryptophan than other B(0)AT1 substrates reach the ileum in wild-type mice, which is in line with its known lower apparent affinity. In ace2 null mice, the absorption defect was confirmed by a severalfold increase of
L-tryptophan and of other
neutral amino acids reaching the ileum lumen. Furthermore, plasma and muscle levels of
glycine and
L-tryptophan were significantly decreased in ace2 null mice, with other
neutral amino acids displaying a similar trend. A low-
protein/low-
niacin diet challenge led to differential changes in plasma
amino acid levels in both wild-type and ace2 null mice, but only in ace2 null mice to a stop in
weight gain. Despite the combination of low-
niacin with a
low-protein diet, plasma
niacin concentrations remained normal in ace2 null mice and no
pellagra symptoms, such as photosensitive
skin rash or
ataxia, were observed. In summary, mice lacking Ace2-dependent intestinal
amino acid transport display no total
niacin deficiency nor clear
pellagra symptoms, even under a low-
protein and low-
niacin diet, despite gross
amino acid homeostasis alterations.