Convergence of Angiotensin Signaling on Lung Pericyte and Stromal Behaviors

The renin-angiotensin system is a well-characterized regulator of tissue homeostasis whose clinical relevance has expanded to include lung disorders such as chronic obstructive pulmonary disease (COPD)-associated emphysema, idiopathic pulmonary fibrosis, and COVID-19. Despite this interest, the cell-specific localization of angiotensin receptors in the human lung has remained poorly defined, in part due to limitations of available antibody reagents. Here, we define the expression patterns of the two predominant angiotensin receptors, AGTR1 and AGTR2, using complementary bulk and single-nucleus transcriptomic datasets from human lung tissue. We demonstrate that these receptors exhibit mutually exclusive, compartment-specific localization, with AGTR1 expressed in lung pericytes and AGTR2 expressed in alveolar epithelial type 2 cells. AGTR1 is detectable in isolated lung pericytes, and spatial colocalization with pericyte markers confirmed within the airspace microvasculature compartment by RNAscope. Airspace pericyte abundance was reduced in an experimental emphysema model but restored by pharmacologic attenuation of AGTR1 signaling commensurate with airspace repair. In COPD lungs, AGTR1 expression showed heterogeneous, disease-associated dysregulation across stromal populations, including upregulation in alveolar fibroblasts. Bulk transcriptomics also revealed aging-associated redistribution of AGTR1 expression into stromal compartments. Angiotensin II and cigarette smoke impaired pericyte migration toward endothelial cells, while combined exposure suppressed pericyte proliferation. Together, these findings identify AGTR1 as a new highly selective marker of lung pericytes and a regulator of pericyte behaviors within the airspace microvasculature. These findings provide a cell-resolved framework for angiotensin signaling with direct relevance to airspace resilience and therapeutic targeting.