**Mechanism of Angiotensin-converting enzyme (ACE):**
– ACE is a zinc metalloproteinase.
– The zinc center catalyzes peptide hydrolysis.
– ACE can be inhibited by metal-chelating agents.
– The E384 residue is mechanistically critical.
– The function of the chloride ion in ACE is complex and debated.
– ACE inhibitors inhibit proteases cleaving Ang I to form Ang II.
– ACE inhibitors increase levels of bradykinin.
– ACE inhibitors affect bradykinin degradation.
– ACE inhibitors have physiological effects in the cardiovascular system.
– ACE inhibitors may slow Alzheimer’s disease progression.
**Genetics and Disease Relevance of ACE:**
– The ACE gene encodes two isozymes.
– The somatic isozyme is expressed in various tissues.
– Brain tissue ACE enzyme is involved in local RAS.
– ACE inhibitors are widely used in treating high blood pressure and heart failure.
– Inhibiting ACE leads to decreased angiotensin II formation and bradykinin metabolism.
– ACE inhibitors have debated effects on Alzheimer’s disease.
– ACE inhibitors may reduce the risk of Alzheimer’s in certain populations.
– The ACE enzyme converts Aβ42 to Aβ40 in brain tissue.
**Pathological Implications of ACE Levels:**
– Elevated ACE levels are found in sarcoidosis and other diseases.
– ACE levels are decreased in renal disease and obstructive pulmonary disease.
– ACE levels play a role in diagnosing and monitoring various conditions.
**Influence of ACE Gene Polymorphism on Athletic Performance:**
– The ACE gene has over 160 polymorphisms.
– Different genotypes of ACE influence athletic performance.
– The rs1799752 I/D polymorphism affects ACE protein levels.
– D-allele carriers have higher blood pressure during exercise.
– I-allele carriers show enhanced endurance performance.
**Historical and Additional Information on ACE:**
– Enzyme reported by Leonard T. Skeggs Jr. in 1956.
– Crystal structure of human testis ACE solved in 2002 by R. Natesh, S. Schwager & E. Sturrock.
– Mainly located in the capillaries of the lungs and found in endothelial and kidney epithelial cells.
– Additional concepts related to ACE include ACE inhibitors, Angiotensin-converting enzyme 2 (ACE2), Hypotensive transfusion reaction, and the Renin–angiotensin system.
Angiotensin-converting enzyme (EC 3.4.15.1), or ACE, is a central component of the renin–angiotensin system (RAS), which controls blood pressure by regulating the volume of fluids in the body. It converts the hormone angiotensin I to the active vasoconstrictor angiotensin II. Therefore, ACE indirectly increases blood pressure by causing blood vessels to constrict. ACE inhibitors are widely used as pharmaceutical drugs for treatment of cardiovascular diseases.
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Aliases | ACE, angiotensin I converting enzyme, ACE1, CD143, DCP, DCP1, ICH, MVCD3, Angiotensin-converting enzyme | ||||||||||||||||||||||||||||||||||||||||||||||||||
External IDs | OMIM: 106180 MGI: 87874 HomoloGene: 37351 GeneCards: ACE | ||||||||||||||||||||||||||||||||||||||||||||||||||
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Other lesser known functions of ACE are degradation of bradykinin, substance P and amyloid beta-protein.