Artery Research

Volume 8, Issue 4, December 2014, Pages 121 - 121

NO GENERATION, BLOOD PRESSURE AND VASCULAR STIFFNESS: LESSONS FROM THE ANGIOTENSIN AT2 RECEPTOR

Authors
T. Unger
Cardiovascular Research Institute Maastricht, The Netherlands
Available Online 4 November 2014.
DOI
10.1016/j.artres.2014.09.046How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Vascular remodeling participates in the development and progression of cardiovascular conditions such as hypertension, atherosclerosis or aneurysm. This process is fine-tuned by neuro-humoral regulatory pathways: the renin-angiotensin system (RAS), being one of the most important. Chronic RAS activation, via AT1 receptor (AT1R) stimulation sets on a series of pro-proliferative, pro-fibrotic, pro-inflammatory signals that promote vascular remodeling and lead to adverse cardiovascular outcomes. The prevention of these outcomes after the blockade of this “deleterious” RAS might be at least in part mediated by the activation of the “protective” RAS. The “protective” RAS involves the AT2 receptor (AT2R) with anti-proliferative, anti-fibrotic, anti-inflammatory and anti-oxidant effects. Some of these protective actions of AT2R stimulation are mediated by AT2R-induced NO generation. Stimulation of AT2R with the new selective, orally active AT2R agonist, Compound 21, in L-NAME hypertensive rats reduced vascular stiffness (pulse wave velocity) and induced vascular structural improvements without lowering blood pressure. These effects cannot be ascribed to NO generation. Alternative effector pathways include activation of protein phosphatases that inactivate the pro-fibrotic MAPKs or anti-apoptotic Bcl-2, down-regulation of MAPKs with NADPH oxidase inhibition and subsequent attenuation of oxidative load, inhibition of NF-κB activity by epoxidation of 11,12-epoxy-eicosatrienoic acid, direct and indirect anti-inflammatory action with augmented IL-10 production and T cell differentiation, and, finally, heterodimerization of the AT2R with AT1R that abrogates the AT1R-dependent pro-fibrotic effects.

Journal
Artery Research
Volume-Issue
8 - 4
Pages
121 - 121
Publication Date
2014/11/04
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2014.09.046How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - T. Unger
PY  - 2014
DA  - 2014/11/04
TI  - NO GENERATION, BLOOD PRESSURE AND VASCULAR STIFFNESS: LESSONS FROM THE ANGIOTENSIN AT2 RECEPTOR
JO  - Artery Research
SP  - 121
EP  - 121
VL  - 8
IS  - 4
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2014.09.046
DO  - 10.1016/j.artres.2014.09.046
ID  - Unger2014
ER  -