Journal: American Journal of Physiology - Renal Physiology
Article Title: Increased urinary angiotensin converting enzyme 2 and neprilysin in patients with type 2 diabetes
doi: 10.1152/ajprenal.00565.2017
Figure Lengend Snippet: Immunoblot analysis of urinary ACE2, NEP, ADAM17, and albumin in ND, Dnormo, Dmicro, and Dmacro subjects. Immunoblots were depicted using two patients, and the semiquantitative analysis is performed using four to six patients per group. A: urinary ACE2 expression was determined in ND and patients with diabetes with various degrees of albuminuria. Kidney lysate (2 μl) and urine (2 μl) from diabetic mice were used as positive controls. In mice, full length of ACE2 (100 kDa) was observed both in kidney and urine. In addition, fragmented ACE2 bands (75 kDa and 65 kDa) were seen in urine obtained from mice, whereas in humans, a 120-kDa immunoreactive band, as well as fragmented ACE2 immunoreactive bands at 75 kDa, ~70 kDa, and ~50 kDa were seen only in patients with diabetes. Fragmented urinary ACE2 bands (50 kDa) were quantified, and significant increase in urinary ACE2 expression was observed in patients with diabetes compared with ND (*P < 0.0001). B: urinary NEP expression was determined in ND and patients with diabetes using the volume equivalent to 10 μg creatinine. Kidney lysate (2 μl) and urine (2 μl) from diabetic mice were used as positive controls. In mice, full length of NEP (94 kDa) was observed in both kidney and urine. In addition, fragmented NEP immunoreactive bands at 70 kDa and 50 kDa were seen in urine obtained from mice, whereas in humans, full-length as well as fragmented NEP immunoreactive bands were seen at ~110 kDa, ~70 kDa, and ~50 kDa with increased intensity in patients with diabetes. Fragmented NEP immunoreactive bands were not observed in ND patients. Fragmented urinary NEP bands (70 kDa) were quantified, and significant increase in urinary NEP expression was observed in patients with diabetes compared with ND (*P < 0.02). C: urinary ADAM17 expression in ND and patients with diabetes according to volume equivalent to 10 μg creatinine. Kidney lysate (2 μl) and urine (2 μl) from diabetic mice were used as positive controls. The diabetic mouse kidney shows several immunoreactive bands for ADAM17 (~93 kDa, ~65 kDa, and ~55 kDa). A 55-kDa immunoreactive band was observed in urine obtained from diabetic mice. In humans, a 70-kDa immunoreactive band for urinary ADAM17 was only seen in patients with diabetes with increased intensity in patients with diabetes compared with ND subjects (*P < 0.0001). D: urinary albumin was determined in volume equivalent to 10 μg creatinine. A predominant band for albumin at 66 kDa was detected in kidney and urine obtained from diabetic mice and patients with diabetes. Significant increase of urinary albumin expression was observed in patients with diabetes compared with ND (*P < 0.002). ACE2, angiotensin converting enzyme 2; ADAM17, a disintegrin and metalloproteinase 17; Dmacro, patients with type 2 diabetes with macroalbuminuria; Dmicro, patients with type 2 diabetes with microalbuminuria; Dnormo, patients with type 2 diabetes with normoalbuminuria; ND, nondiabetics; NEP, neprilysin.
Article Snippet: Urine samples equivalent to 10 μg of creatinine or 20 μl of plasma were incubated in the assay buffer (50 mM Tris, 5 mM ZnCl 2 , 150 mM NaCl 2, and 10 μM lisinopril) containing the synthetic ACE2 fluorogenic peptide substrate 7-Mca-APK-(Dnp) (Enzo Life Sciences, Farmingdale, NY) for 0.5–2 h. This fluorogenic peptide emits fluorescence, which was measured at excitation (λ ex ) of 328 nm and emission (λ em ) of 393 nm using a Fusion Packard instrument.
Techniques: Western Blot, Expressing