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January 8, 2010The Annual Review of Pharmacology and Toxicology345 citations

Tissue Renin-Angiotensin-Aldosterone Systems: Targets for Pharmacological Therapy

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MBMichael Bäder

Key Result

Tissue renin-angiotensin-aldosterone systems play important roles in cardiovascular organs, and novel components require functional characterization to evaluate their suitability as novel drug targets.

Key Points

  • To review the distinct physiological and pathological functions of tissue-specific renin-angiotensin-aldosterone systems and assess their potential as novel pharmacological targets.
  • Synthesized molecular and physiological evidence on local angiotensin synthesis in specific organs, including the brain, heart, kidneys, and vasculature.
  • Evaluated the distinct mechanisms by which local versus circulating systems drive end-organ damage in hypertension and diabetes.
  • Locally synthesized angiotensins function independently from systemic circulation, exerting crucial regulatory actions across the blood-brain barrier and within cardiovascular tissues.
  • Tissue-level systems actively drive organ-specific damage, exacerbating the harmful effects of chronic hypertension and diabetes.
  • Novel counter-regulatory pathways opposing classical angiotensin actions provide viable opportunities for developing targeted cardiovascular therapies.

PICO

P
Population
Cardiovascular diseases
I
Intervention / Comparator
Pharmacological therapy targeting tissue renin-angiotensin-aldosterone systems

Abstract

The renin-angiotensin-aldosterone system is one of the most important systems in cardiovascular control and in the pathogenesis of cardiovascular diseases. Therefore, it is already a very successful drug target for the therapy of these diseases. However, angiotensins are generated not only in the plasma but also locally in tissues from precursors and substrates either locally expressed or imported from the circulation. In most areas of the brain, only locally generated angiotensins can exert effects on their receptors owing to the blood-brain barrier. Other tissue renin-angiotensin-aldosterone systems are found in cardiovascular organs such as kidney, heart, and vessels and play important roles in the function of these organs and in the deleterious actions of hypertension and diabetes on these tissues. Novel components with mostly opposite actions to the classical renin-angiotensin-aldosterone systems have been described and need functional characterization to evaluate their suitability as novel drug targets.

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Cite This Study

Michael Bäder (2010) conducted a review in Cardiovascular diseases. Pharmacological therapy targeting tissue renin-angiotensin-aldosterone systems was evaluated. Tissue renin-angiotensin-aldosterone systems play important roles in cardiovascular organs, and novel components require functional characterization to evaluate their suitability as novel drug targets.

synapsesocial.com/papers/6a10693b28c2d29469fe74e8https://doi.org/10.1146/annurev.pharmtox.010909.105610
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