But there are also a lot of genes common not for two but for three and four treatments

rmal blood pressure; however, the observed defect could be due to the absence of the C-domain enzymatic site in the protein. In contrast, our study is based on a rational design of a transgenic mouse expressing the entire extracellular domain of sACE, which is the physiological soluble form of ACE in the circulation, by endothelial cells. The cleavage and secretion of ACE is negatively regulated by its cytoplasmic domain. In vitro studies using both sACE and gACE proteins show that deletion of cytoplasmic domain leads to elevated levels of soluble ACE. The pathological effects of ACE cleavage have been observed in patients with natural MedChemExpress Debio1347 mutations of ACE. Studies indicate that mutations of sACE that generate cytoplasmic domain deleted ACE, lead to high levels of circulating ACE, which correlates to disorder in RAS activities. Inhibition of ACE enzymatic activity by selective ACE inhibitors blocks the generation of Ang II and thereby acts as a suitable approach for the treatment of high blood pressure. However, it remains unclear whether the Ang II generating function of ACE is the only link between this protein and the maintenance of normal blood pressure. Our study indicates that the level of Ang II is not an accurate indicator of ACE function in blood pressure maintenance. Although, both the TeS mice and the control Ace+/2 mice expressed similar levels of renal and plasma Secreted ACE Cannot Restore Normal Blood Pressure Ang II, they could not maintain normal blood pressure. Similar to the TeS mice, the Gs mice, which expressed high levels of plasma Ang II, was also unable to maintain normal blood pressure. Kidney associated RAS activity has also been shown to be involved in blood pressure regulation. Surprisingly, PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/19649246/ TeS mice exhibited normal levels of kidney Ang II; however, this was not sufficient to restore the normal blood pressure. So, why is cell-bound ACE essential for blood pressure maintenance The concept of local vs. systemic RAS may be relevant to this question. The components of the RAS exist in many organs and are postulated to regulate tissue specific Ang II production. Initially considered only a systemic process, the Ang II produced at the tissue level is now accounted for the regulation of the vasculature structure and tone in the microenvironment of each tissue. These local systems depend critically on the presence of tissue-bound ACE and would be, therefore, presumably nonfunctional in the experimental TeS mice because secreted sACE, although capable of generating circulating Ang II in serum, is not able to generate local Ang II in the vascular endothelial bed. However, in addition to normal levels of serum Ang II, TeS mice exhibited kidney Ang II levels comparable to Wt mice. Although, it is not clear at this point, the kidney associated Ang II might be generated by ACE-independent alternative pathways. Multiple studies have described the growing importance of chymase-dependent pathways in generation of Ang II from Ang I. Ang II, derived from ACE or chymase have also been suggested to have distinct physiological implications. The Ang II levels observed in the TeS mice suggest an alternative hypothesis, that sACE has dual functions, both of which are needed for blood pressure maintenance. One function depends on the traditional enzyme activity ACE, which is responsible for Ang II formation and bradykinin degradation. In the second function, ACE works as a receptor on the surface of endothelial cells and mediates outside