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      AMP-activated Protein Kinase Phosphorylation of Angiotensin-Converting Enzyme 2 in Endothelium Mitigates Pulmonary Hypertension

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          Abstract

          <p class="first" id="d6811804e466"> <b>Rationale:</b> Endothelial dysfunction plays an integral role in pulmonary hypertension (PH). AMPK (AMP-activated protein kinase) and ACE2 (angiotensin-converting enzyme 2) are crucial in endothelial homeostasis. The mechanism by which AMPK regulates ACE2 in the pulmonary endothelium and its protective role in PH remain elusive. </p><p id="d6811804e471"> <b>Objectives:</b> We investigated the role of AMPK phosphorylation of ACE2 Ser680 in ACE2 stability and deciphered the functional consequences of this post-translational modification of ACE2 in endothelial homeostasis and PH. </p><p id="d6811804e476"> <b>Methods:</b> Bioinformatics prediction, kinase assay, and antibody against phospho-ACE2 Ser680 (p-ACE2 S680) were used to investigate AMPK phosphorylation of ACE2 Ser680 in endothelial cells. Using CRISPR-Cas9 genomic editing, we created gain-of-function <i>ACE2</i> S680D knock-in and loss-of-function <i>ACE2</i> knockout ( <i>ACE2</i> <sup>−/−</sup>) mouse lines to address the involvement of p-ACE2 S680 and ACE2 in PH. The AMPK–p-ACE2 S680 axis was also validated in lung tissue from humans with idiopathic pulmonary arterial hypertension. </p><p id="d6811804e493"> <b>Measurements and Main Results:</b> Phosphorylation of ACE2 by AMPK enhanced the stability of ACE2, which increased Ang (angiotensin) 1–7 and endothelial nitric oxide synthase–derived NO bioavailability. <i>ACE2</i> S680D knock-in mice were resistant to PH as compared with wild-type littermates. In contrast, <i>ACE2</i>-knockout mice exacerbated PH, a similar phenotype found in mice with endothelial cell–specific deletion of <i>AMPKα2</i>. Consistently, the concentrations of phosphorylated AMPK, p-ACE2 S680, and ACE2 were decreased in human lungs with idiopathic pulmonary arterial hypertension. </p><p id="d6811804e507"> <b>Conclusions:</b> Impaired phosphorylation of ACE2 Ser680 by AMPK in pulmonary endothelium leads to a labile ACE2 and hence is associated with the pathogenesis of PH. Thus, AMPK regulation of the vasoprotective ACE2 is a potential target for PH treatment. </p>

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          Most cited references32

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          Cellular and molecular basis of pulmonary arterial hypertension.

          Pulmonary arterial hypertension (PAH) is caused by functional and structural changes in the pulmonary vasculature, leading to increased pulmonary vascular resistance. The process of pulmonary vascular remodeling is accompanied by endothelial dysfunction, activation of fibroblasts and smooth muscle cells, crosstalk between cells within the vascular wall, and recruitment of circulating progenitor cells. Recent findings have reestablished the role of chronic vasoconstriction in the remodeling process. Although the pathology of PAH in the lung is well known, this article is concerned with the cellular and molecular processes involved. In particular, we focus on the role of the Rho family guanosine triphosphatases in endothelial function and vasoconstriction. The crosstalk between endothelium and vascular smooth muscle is explored in the context of mutations in the bone morphogenetic protein type II receptor, alterations in angiopoietin-1/TIE2 signaling, and the serotonin pathway. We also review the role of voltage-gated K(+) channels and transient receptor potential channels in the regulation of cytosolic [Ca(2+)] and [K(+)], vasoconstriction, proliferation, and cell survival. We highlight the importance of the extracellular matrix as an active regulator of cell behavior and phenotype and evaluate the contribution of the glycoprotein tenascin-c as a key mediator of smooth muscle cell growth and survival. Finally, we discuss the origins of a cell type critical to the process of pulmonary vascular remodeling, the myofibroblast, and review the evidence supporting a contribution for the involvement of endothelial-mesenchymal transition and recruitment of circulating mesenchymal progenitor cells.
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            Identification, analysis, and prediction of protein ubiquitination sites.

            Ubiquitination plays an important role in many cellular processes and is implicated in many diseases. Experimental identification of ubiquitination sites is challenging due to rapid turnover of ubiquitinated proteins and the large size of the ubiquitin modifier. We identified 141 new ubiquitination sites using a combination of liquid chromatography, mass spectrometry, and mutant yeast strains. Investigation of the sequence biases and structural preferences around known ubiquitination sites indicated that their properties were similar to those of intrinsically disordered protein regions. Using a combined set of new and previously known ubiquitination sites, we developed a random forest predictor of ubiquitination sites, UbPred. The class-balanced accuracy of UbPred reached 72%, with the area under the ROC curve at 80%. The application of UbPred showed that high confidence Rsp5 ubiquitin ligase substrates and proteins with very short half-lives were significantly enriched in the number of predicted ubiquitination sites. Proteome-wide prediction of ubiquitination sites in Saccharomyces cerevisiae indicated that highly ubiquitinated substrates were prevalent among transcription/enzyme regulators and proteins involved in cell cycle control. In the human proteome, cytoskeletal, cell cycle, regulatory, and cancer-associated proteins display higher extent of ubiquitination than proteins from other functional categories. We show that gain and loss of predicted ubiquitination sites may likely represent a molecular mechanism behind a number of disease-associatedmutations. UbPred is available at http://www.ubpred.org. (c) 2009 Wiley-Liss, Inc.
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              Angiotensin II Mediates Angiotensin Converting Enzyme Type 2 Internalization and Degradation Through an Angiotensin II Type I Receptor–Dependent MechanismNovelty and Significance

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                Author and article information

                Journal
                American Journal of Respiratory and Critical Care Medicine
                Am J Respir Crit Care Med
                American Thoracic Society
                1073-449X
                1535-4970
                August 15 2018
                August 15 2018
                : 198
                : 4
                : 509-520
                Affiliations
                [1 ]Department of Cardiology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China
                [2 ]Cardiovascular Research Center, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, China
                [3 ]Division of Cardiology and
                [4 ]Department of Biochemistry and Molecular Biology, University of California, Riverside, Riverside, California
                [5 ]Department of Cardiopulmonary Sciences, Loma Linda University, Loma Linda, California; and
                [6 ]Institute of Bioinformatics and Systems Biology and
                [7 ]Department of Biological Science and Technology, National Chiao Tung University, Hsinchu City, Taiwan
                [8 ]Division of Cardiothoracic Surgery, Department of Surgery, University of California, San Diego, La Jolla, California
                [9 ]Division of Physiology, Department of Medicine, and
                Article
                10.1164/rccm.201712-2570OC
                6118028
                29570986
                0be2b747-6386-4ef9-86b6-428b7d0ff9bf
                © 2018
                History

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