title: Enhanced vascular responses to adrenomedullin in mice overexpressing receptor-activity-modifying protein 2.
abstract: Adrenomedullin (AM) levels are elevated in cardiovascular disease, but little is known of the role of specific receptor components. AM acts via the calcitonin receptor-like receptor (CLR) interacting with a receptor-activity-modifying protein (RAMP). The AM1 receptor is composed of CLR and RAMP2, and the calcitonin gene-related peptide (CGRP) receptor of CLR and RAMP1, as determined by molecular and cell-based analysis. This study examines the relevance of RAMP2 in vivo. Transgenic (TG) mice that overexpress RAMP2 in smooth muscle were generated. The role of RAMP2 in the regulation of blood pressure and in vascular function was investigated. Basal blood pressure, acute angiotensin II-raised blood pressure, and cardiovascular properties were similar in wild-type (WT) and TG mice. However, the hypotensive effect of IV AM, unlike CGRP, was enhanced in TG mice (P<0.05), whereas a negative inotropic action was excluded by left-ventricular pressure-volume analysis. In aorta relaxation studies, TG vessels responded in a more sensitive manner to AM (EC50, 8.0+/-1.5 nmol/L) than WT (EC50, 17.9+/-3.6 nmol/L). These responses were attenuated by the AM receptor antagonist, AM(22-52), such that residual responses were identical in all mice. Remaining relaxations were further inhibited by CGRP receptor antagonists, although neither affected AM responses when given alone. Mesenteric and cutaneous resistance vessels were also more sensitive to AM in TG than WT mice. Thus RAMP2 plays a key role in the sensitivity and potency of AM-induced hypotensive responses via the AM1 receptor, providing evidence that this receptor is a selective target for novel therapeutic approaches.
authors.affiliation: Cardiovascular Division, King's College London, United Kingdom.
authors.forename: C W
authors.initials: CW
authors.lastname: Tam
authors.forename: K
authors.initials: K
authors.lastname: Husmann
authors.forename: N C
authors.initials: NC
authors.lastname: Clark
authors.forename: J E
authors.initials: JE
authors.lastname: Clark
authors.forename: Z
authors.initials: Z
authors.lastname: Lazar
authors.forename: L M
authors.initials: LM
authors.lastname: Ittner
authors.forename: J
authors.initials: J
authors.lastname: Götz
authors.forename: G
authors.initials: G
authors.lastname: Douglas
authors.forename: A D
authors.initials: AD
authors.lastname: Grant
authors.forename: D
authors.initials: D
authors.lastname: Sugden
authors.forename: L
authors.initials: L
authors.lastname: Poston
authors.forename: R
authors.initials: R
authors.lastname: Poston
authors.forename: I
authors.initials: I
authors.lastname: McFadzean
authors.forename: M S
authors.initials: MS
authors.lastname: Marber
authors.forename: J A
authors.initials: JA
authors.lastname: Fischer
authors.forename: W
authors.initials: W
authors.lastname: Born
authors.forename: S D
authors.initials: SD
authors.lastname: Brain
mesh_terms: D053607:Adrenomedullin; D000818:Animals; D001794:Blood Pressure / Q000187:drug effects*; D015740:Calcitonin Gene-Related Peptide / Q000494:pharmacology; D058286:Calcitonin Receptor-Like Protein; D004305:Dose-Response Relationship, Drug; D005260:Female; D066298:In Vitro Techniques; D047908:Intracellular Signaling Peptides and Proteins / Q000502:physiology*; D008297:Male; D008565:Membrane Proteins / Q000502:physiology*; D051379:Mice; D008822:Mice, Transgenic; D009569:Nitric Oxide / Q000502:physiology; D010455:Peptides / Q000494:pharmacology*; D058262:Receptor Activity-Modifying Protein 1; D058263:Receptor Activity-Modifying Protein 2; D058261:Receptor Activity-Modifying Proteins; D058265:Receptors, Adrenomedullin; D018003:Receptors, Calcitonin / Q000502:physiology; D018015:Receptors, Calcitonin Gene-Related Peptide / Q000187:drug effects / Q000502:physiology; D018000:Receptors, Peptide / Q000502:physiology; D014664:Vasodilation / Q000187:drug effects*
chemical_list: D058286:Calcitonin Receptor-Like Protein; C545579:Calcrl protein, mouse; D047908:Intracellular Signaling Peptides and Proteins; D008565:Membrane Proteins; D010455:Peptides; C545505:Ramp1 protein, mouse; C545506:Ramp2 protein, mouse; D058262:Receptor Activity-Modifying Protein 1; D058263:Receptor Activity-Modifying Protein 2; D058261:Receptor Activity-Modifying Proteins; D058265:Receptors, Adrenomedullin; D018003:Receptors, Calcitonin; D018015:Receptors, Calcitonin Gene-Related Peptide; D018000:Receptors, Peptide; D053607:Adrenomedullin; D009569:Nitric Oxide; D015740:Calcitonin Gene-Related Peptide