Increased AT1 receptor heterodimers in preeclampsia mediate enhanced angiotensin II responsiveness

Several examples of functional G-protein-coupled receptor heterodimers have been identified. However, it is not known whether receptor heterodimerization is involved in the pathogenesis of human disorders. Here we show that in preeclamptic hypertensive women, a significant increase in heterodimerization occurs between the AT1-receptor for the vasopressor angiotensin II and the B2-receptor for the vasodepressor bradykinin. AT1-B2-receptor heterodimerization in preeclampsia correlated with a 4-5-fold increase in B2-receptor protein levels. Expression of the AT1-B2 heterodimer increased the responsiveness to angiotensin II and conferred resistance in AT1receptors to inactivation by reactive oxygen species raised in normotensive and preeclamptic pregnancies. We suggest that AT1-B2 heterodimers contribute to angiotensin II hypersensitivity in preeclampsia. Moreover, we identify preeclampsia as the first disorder associated with altered G-protein-coupled receptor heterodimerization.